Latest Posts

Report: Six million Medicare beneficiaries could face high out-of-pocket costs for COVID-19 treatment

By Dan Klein, President and CEO and Amy Niles, Executive Vice President COVID-19 is affecting the lives of all Americans. But older, low-income adults are being impacted the most. As of April 30, 2020, 79 percent of all COVID-19 deaths in the United States were among people age 65 and older. Aside from being at … Continued

Health Payer Intelligence: Over six million seniors may face COVID-19 treatment out-of-pocket costs

More than six million seniors could face COVID-19 treatment out-of-pocket healthcare spending if diagnosed with the coronavirus. Traditional Medicare and Medicare Advantage cover nearly all of the same coronavirus-related services, including testing, in-person office visits, and telehealth visits. Traditional Medicare and Medicare Advantage will also cover the vaccine when it comes out. But coverage does … Continued

New U.S. Department of Health and Human Services rule to allow copay accumulator programs will hurt vulnerable patients

Washington, D.C., May 11, 2020—In a significant setback for patients, the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services (HHS) announced last week a package of new regulations for Affordable Care Act health insurance plans that will significantly increase out-of-pocket costs for patients who rely on prescription medications … Continued

COVID-19: The impact on Medicare beneficiaries

The COVID-19 pandemic has impacted the lives of all Americans, but the virus has hit older adults especially hard. Now is the time to recognize that COVID-19 will impose added out-of-pocket cost burdens on economically vulnerable seniors who were already struggling with healthcare costs. This report explores how the virus will ultimately impact Medicare beneficiaries. … Continued

CMS-1500 health insurance claim form

Download this form to submit a medical or pharmacy claim to the PAN Foundation. How to file a claim: Providers Pharmacists

CMS-1500 example

The standard processing time for manual claims is 5 business days upon PAN’s receipt. Please allow this time before following up on manually submitted claims. Claims are processed on a first-come, first-served basis.

Morning Consult: For many older adults, COVID-19 is a financial crisis as well as a health crisis

Although we don’t know everything about the novel coronavirus, one thing is abundantly clear: COVID-19 has a disproportionate impact on older adults. As we try to protect the health of older Americans during this unprecedented crisis, we must also remember that COVID-19 poses more than just a medical threat. The PAN Foundation’s President and CEO … Continued

The PAN Foundation opens new sickle cell disease patient assistance fund

Washington, D.C., April 10, 2020—The PAN Foundation today opened a new patient assistance program for people living with sickle cell disease. Sickle cell disease is a group of inherited red blood cell disorders where the distorted red blood cells form a sickle or crescent shape and disrupt the normal flow of nutrition and oxygen throughout the body. It’s … Continued

New survey shows seniors are making difficult financial choices at the start of the year to afford their medications

As we come to terms with the impact of the coronavirus, difficult decisions lie ahead—for politicians, business leaders, medical practitioners and everyday Americans. Already, many of us have been forced to make sacrifices and dramatically adjust the way we live to slow the spread of the virus and help alleviate the strains on our healthcare … Continued

Pharmacy billing guide

The information previously found in our pharmacy billing guide can be found on the pharmacy claims and billing page. Additional information about claims denial reasons and remediation, as well as a list of Rx Group numbers, can be found on our claims help resources page. For claims and billing help, message PAN through your PAN portal … Continued