Financial Assistance
Before your care begins, a staff member will inform you of your financial obligations that are not covered by your insurance or other third-party sources. These obligations include but are not limited to: out-of-pocket costs such as deductibles, co-pays, co-insurance, or annual out-of-pocket limits. If, based on your health benefits plan, we are out of network, we will provide you with the cost of your medication in writing. We will also provide you this information if there is a change in your insurance plan.
Insurance Claims
We will submit claims to your health insurance carrier on the date your prescription is filled. If the claim is rejected, as staff member will notify you, as necessary, so that we can work together to resolve the issue.
Co-Payments
You may be required to pay a part of your medication cost, called a co-payment. If you have a co-payment, it must be paid at the time of shipping or pick up. We accept all major credit cards and keep your information on file.
We have access to financial assistance programs to help with co-payments and to ensure no financial barriers exist to starting your medication. These programs include discount coupons from drug manufacturers and assistance from various disease management foundations. We will assist you in enrollment into such programs.
Prior Authorizations
Because your specialty medications are usually higher in cost, most specialty medications will require prior authorizations. Prior authorizations are correspondence between our pharmacy, your doctors, and your insurance company to help get your medications approved and at an affordable cost for you. Our pharmacists and technicians have the training and knowledge needed to complete a prior authorization, including requesting the necessary information from your doctors and health care team. Then, we work directly with your insurance company to advocate on your behalf. We make sure to complete this process as quickly as possible so that you can receive your prescriptions as soon as possible.