Frequently Asked Questions
Patients receiving assistance from the PAN Foundation are free to change their covered medications, healthcare providers, pharmacies and insurance plans at any time without affecting the status of their grants, provided that they continue to meet PAN’s eligibility criteria. PAN reserves the right to modify its assistance programs at any time and without advanced notice.
Here are some of the commonly asked questions we receive from patients.
- Who is the PAN Foundation?
- What does PAN cover?
- Am I eligible for assistance?
- I have been diagnosed, but I haven't begun treatment. Can I apply for assistance?
- How can I apply?
- How long does the approval process take?
- What if I am not approved and still have high co-payments?
- Once I am approved for a grant, how long is my eligibility period?
- How much assistance will I receive?
- How do I submit a claim?
- What is the Grant Use Policy?
- How can I make sure my claims are submitted in a timely fashion?
- How many claims do I need to submit in a year to keep my grant active?
- What if my treatment is only once or twice a year?
- How can I check my grant balance?
- How do I use my PAN ID card?
- What should I do if I lose my PAN ID card?
- Can I get reimbursed for medication expenses incurred before I enrolled with PAN?
- What if I change my contact information, provider or medications?
- My enrollment period is ending soon. Is my assistance renewable?
The Patient Access Network (PAN) Foundation is an independent, national 501 (c)(3) organization dedicated to helping federally and commercially insured people living with life-threatening, chronic and rare diseases with the out-of-pocket costs for their prescribed medications. Partnering with generous donors, healthcare providers and pharmacies, PAN provides the underinsured population access to the healthcare treatments they need to best manage their conditions and focus on improving their quality of life. Since its founding in 2004, PAN has provided nearly 1 million underinsured patients with over $3 billion in financial assistance, through nearly 70 disease-specific programs.
» Co-pay funds: assistance with deductibles, co-pays and co-insurance for medications.
» Travel funds: Assistance with transportation and accommodation costs associated with travel to a physician’s office or hospital site to receive treatment.
» Premium funds: Assistance with health insurance premiums.
Patients must meet the following criteria to be eligible for PAN assistance:
» The patient must be getting treatment for the disease named in the assistance program to which he or she is applying.
» The patient must have health insurance that covers his or her qualifying medication or product.
» The patient’s medication or product must be listed on PAN’s list of covered medications.
» The patient’s adjusted gross income must fall at or below 400% or 500% of the Federal Poverty Level, depending on
» The patient must reside and receive treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement.)
Click here to learn more about PAN’s assistance programs.
PAN accepts applications for individuals who are currently in treatment, scheduled to begin treatment in the next 120 days or have had treatment in the past 90 days.
Whether you apply online through our portals or by phone, you will get approval within just a few minutes.
Once approved, you may begin using your benefits immediately by providing your enrollment information to your provider or pharmacy.
You will receive a formal welcome letter and PAN ID card in the mail within a week. Your provider will also receive an approval letter within a week.
If you are not approved for PAN assistance, don’t worry. PAN will refer you to other organizations that may be able to help.
In most cases, assistance starts on your approval date and continues for 12 months. Your exact eligibility dates will be included in your PAN welcome letter, and can be accessed any time using PAN’s online portals or automated telephone system, at 866-316-7263.
During your first eligibility period, eligible expenses incurred up to 90 days prior to your approval date may also be submitted to PAN for reimbursement.
Grant amounts vary for each disease-specific program. Your welcome letter will contain this information.
In most cases, your pharmacy or physician will submit a claim to PAN on your behalf. They must bill your primary insurance, and any other insurances, before billing PAN, and your primary insurance must consider the charge to be an eligible expense.
If you pay out of pocket, download and complete a Direct Member Reimbursement form. Attach your proof of purchase and mail or fax your claim to PAN.
Mail: Patient Access Network Foundation
PO Box 2310
Mt. Clemens, MI 48046
PAN will issue payment to you in the form of a paper check seven to 10 business days after receiving the completed request.
PAN’s Grant Use Policy encourages grant recipients to use their grants as intended to help cover the out-of-pocket costs for critical medications. You, your healthcare provider or your pharmacist must request and receive payment for a claim from PAN within 120 days of your enrollment date. Throughout your eligibility period, PAN must receive another claim within 120 days of the previous claim.
If grant recipients do not follow the Grant Use Policy, their grants will be canceled, and the released funds will be used to provide grants to other patients who need assistance. If you have questions, call PAN at 866-316-7263.
Please note, PAN grant recipients must be currently in treatment, scheduled to begin treatment in the next 120 days or have had treatment in the past 90 days. If you have extenuating circumstances, please let us know.
To ensure your claims are submitted to PAN in a timely fashion, make sure your pharmacist submits the claim immediately after you pick up or receive your medication or treatment. If your provider is billing PAN on your behalf, please remind them to submit the claim promptly to your insurance company and then submit the claim to PAN.
There is no set number of claims that must be submitted in a year. You, your healthcare provider or your pharmacist must request and receive payment for a claim from PAN within 120 days of your enrollment date. Throughout your eligibility period, another claim must be received and paid within 120 days of the previous claim, or your grant will be cancelled.
PAN grant recipients must be currently in treatment, scheduled to begin treatment in the next 120 days or have had treatment in the past 90 days. We recognize that your treatment may not fit within the 120-day timeframes of the Grant Use Policy. If your treatment is only once or twice a year, and you receive a letter from PAN indicating that you must use your grant soon, please call PAN at 866-316-7263. We will take this under consideration.
You can check your grant balance by logging into your Patient Portal account or calling 866-316-7263, Monday through Friday, 9 a.m. to 7 p.m. ET.
Keep your PAN ID card handy in case your account information is requested by your pharmacy or physician. Present your PAN ID card at your doctor’s office or at a participating pharmacy at the time services are rendered.
Yes. You may request reimbursement for medication expenses incurred up to 90 days prior to your approval date for your first eligibility period only.
A change in your contact information, provider or medications will not affect your enrollment. If your information has changed, call us at 866-316-7263 to update your records.
Yes, if you still meet the program-specific eligibility criteria and funds are available, you are eligible for a renewal grant at the end of your enrollment period. For your convenience, PAN will send you a renewal reminder and application at the end of your enrollment period.