CO-PAY RELIEF PROGRAM | PATIENT ADVOCATE FOUNDATION

* Operating as an independent division within PAF, this program provides direct financial assistance with co-payments, co-insurance and deductibles required by your insurer for pharmaceutical treatments and/or prescription medications relative to your diagnosis.

Data provided by

211 Mid New York

Physical Address

421 Butler Farm Road, Hampton, VA 23666

Hours

M-F 8:30AM-5:00PM.

Application process

CPR offers four (4) points of entry into the program accepting applications daily. The program offers online service for patients, providers and pharmacies allowing them to apply electronically through a secured, web-based application portal available 24 hours a day. The program continues to provide personalized assistance through a dedicated professional representative, by phone, who will guide them through the application process and answer any questions you may have.

Fee

No fee for service.

Eligibility

Patient must be currently insured and have coverage for the medication(s) for which they seek financial assistance.
Patient must have a physician confirmed diagnosis of the disease under which they are requesting financial assistance. See website (https://www.copays.org/diseases) for up to date list.
Patient must reside and receive treatment in the United States.
Patient's income must fall below the income guidelines of the fund under which they are requesting financial assistance. All funds have income guidelines of either 300% or 400% or less of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and the number in the household.
Patient will be informed immediately upon application if they qualify for assistance.

Languages

Spanish

Service area

United States

Agency info

PATIENT ADVOCATE FOUNDATION

The Patient Advocate Foundation (PAF) provides direct financial support for pharmaceutical co-payments to insured patients, including Medicare Part D beneficiaries, who financially and medically qualify.