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Premium Assistance FAQs

 

The Patient Access Network (PAN) Foundation provides premium assistance for patients being treated for hemophilia, homozygous familial hypercholesterolemia, inherited retinal disease or short bowel syndrome. Here are some of the commonly asked questions we receive about our premium assistance programs.

 

  1. Who qualifies for PAN's premium assistance programs?
  2. Are Medicare patients eligible for PAN's premium assistance program?
  3. Do PAN's premium assistance programs cover the individual premium or the premium for the family?
  4. If approved for assistance through PAN's premium assistance program, who will make my premium payments?
  5. Can I receive assistance from a co-pay assistance program and premium assistance program at the same time? If so, how can I apply?
  6. Will I be eligible for additional assistance if I exhaust the benefit cap within my eligibility period?
1. Who qualifies for PAN's premium assistance programs?

The criteria for PAN's premium assistance programs are:


» The patient must be getting treatment for the disease named in the assistance program to which he or she is applying.
» The patient should have access to insurance that covers the medication/s for which patient seeks assistance.
» The medication must treat the disease directly.
» The patient must reside and receive treatment in the United States.
» The patient’s income must fall below 500% of the Federal Poverty Level.

2. Are Medicare patients eligible for PAN's premium assistance program?

Yes. PAN's premium assistance programs is open to all patients with access to a plan that will cover the medications.

3. Do the premium assistance programs cover the individual premium or the premium for the family?

In a family insurance plan, PAN's premium assistance programs would provide assistance for the patient’s portion of the premium associated with their coverage.

4. If approved for assistance through PAN's premium assistance program, who will make my premium payments?

Once approved for PAN's premium assistance programs, a patient will receive assistance for their full 12 months of eligibility regardless of their ongoing treatments. A patient will not qualify for an additional year of assistance if they are not receiving treatments of a covered therapy.

5. Can I receive co-pay assistance and premium assistance at the same time? If so, how can I apply?

Yes, patients may receive assistance from both programs if they meet eligibility criteria for each program. Please contact PAN for more information.

6. Will I be eligible for additional assistance if I use my entire grant within my eligibility period?

Upon patient request, the PAN Foundation may be able to provide additional assistance should funding be available.