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Frequently Asked Questions

 
The Patient Access Network (PAN) Foundation offers a variety of disease assistance programs. Here are some of the commonly asked questions we receive from patients.

 

  1. Who is the PAN Foundation?
  2. What does PAN cover?
  3. Am I eligible for assistance?
  4. How can I apply?
  5. How long does the approval process take?
  6. What if I am not approved and still have high co-payments?
  7. Once I am approved for a grant, how long is my eligibility period?
  8. How much assistance will I receive?
  9. How do I submit a claim?
  10. How can I check my grant balance?
  11. How do I use my PAN ID card?
  12. What should I do if I lose my PAN ID card?
  13. Can I get reimbursed for medication expenses incurred before I enrolled with PAN?
  14. What if I change my contact information, provider or medications?
  15. My enrollment period is ending soon. Is my assistance renewable?
1. Who is the PAN Foundation?

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 $2.6 billion in financial assistance, through over 60 disease-specific programs.

 2. What does PAN cover?

» 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.

3. Am I eligible for assistance?

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

    fund-specific guidelines.

 

» 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.

4. How can I apply?

You can apply for a PAN assistance program through our online portal, or by calling 1-866-316-7263.

 5. How long does the approval process take?

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.

6. What if I am not approved and still have high co-payments?

If you are not approved for PAN assistance, don’t worry. PAN will refer you to other organizations that may be able to help.

7. Once I am approved for a grant, how long is my eligibility period?

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.

8. How much assistance will I receive?

Grant amounts vary for each disease-specific program. Your welcome letter will contain this information.

9. How do I submit a claim?

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


Fax: 844-726-4728

 

PAN will issue payment to you in the form of a paper check seven to 10 business days after receiving the completed request.

10. How can I check my grant balance?

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.

11. How do I use my PAN ID card?

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.

12. What should I do if I lose my PAN ID card?

If you misplaced or do not have your PAN ID card, call us at 866-316-7263 to obtain your account information or print a replacement benefit card online through the Patient Portal.

13. Can I get reimbursed for medication expenses incurred before I enrolled with PAN?

Yes. You may request reimbursement for medication expenses incurred up to 90 days prior to your approval date for your first eligibility period only.

14. What if I change my contact information, provider or medications?

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.

15. My enrollment period is ending soon. Is my assistance renewable?

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.