GETTING STARTED

Patient Connect is here to help your patients get the medication they need and to make it more affordable for those who qualify. Just call us on our toll-free number: 1-855-299-8844, and one of our dedicated associates will walk you through the enrollment process.

Once you complete the form, we will help your patients in determining their eligibility. If eligible, they will have access to various services offered by EUSA Pharma.

Download the templates and forms you need here.

WHAT CAN PATIENT CONNECT DO?

After prescribing a EUSA treatment and having enrolled with Patient Connect, our experts can help you and your patients take the next steps. Here are some of the services provided by Patient Connect.

GENERAL INQUIRIES Directing you to the right people to help you get answers.

PATIENT ADHERENCE SUPPORT Helping your patients set up reminders about their upcoming appointments so they do not miss scheduled treatments.

NAVIGATING THE INSURANCE PROCESS Working with healthcare teams and insurance companies to help your patients get coverage:

Benefits Investigation: Providing support for the verification of enrollee pharmacy and medical benefits:

  • Determination of patient eligibility
  • Product coverage for eligible patients
  • Product-specific prior authorization requirements

Prior Authorization (PA) Resources:

  • Supplying forms and materials that may assist with submitting information to the payer
  • You and/or your trained office staff will be solely responsible for the content of any PAs and for submitting information*

Appeals Support: The Appeals Support program provides generalized assistance and support to healthcare providers and patients in connection with first-level appeals

*All supportive tasks and materials provided in connection with the PA process shall be conducted in compliance with EUSA’s applicable Standard Operating Procedures (SOPs), as approved by EUSA.

TREATMENT NOT FULLY COVERED?

Patient Connect provides additional support to help patients get financial aid to pay for their medication.

PATIENT CONNECT CO-PAY PROGRAM

EUSA Patient Connect Co-pay benefits are available to individuals who are currently using private or commercial insurance to cover a portion of their medication costs for their prescribed EUSA Pharma medication.

There are no income requirements to sign up for this program

This program is not available to individuals who use any state or federal government-subsidized healthcare program to cover a portion of medication costs, such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration

Patients must confirm that they will not seek reimbursement from any of the above-mentioned programs or from pharmaceutical patient assistance foundations and accounts such as a Flexible Spending Account (FSA), Health Savings Account (HSA), or Health Reimbursement Account (HRA)

$5

ELIGIBLE PATIENTS PAY $5 PER INFUSION

$26,000 maximum program benefit per calendar year.

Independent co-pay assistance foundations have their own rules for eligibility. We have no control over these independent foundations and can only refer patients to a foundation that supports their disease state. We do not endorse any particular foundation.

PATIENT CONNECT PATIENT ASSISTANCE PROGRAM

EUSA Patient Connect Patient Assistance Program (PAP) provides medication at no cost to eligible patients. In order to qualify for Patient Connect PAP, your patients must meet certain financial and insurance eligibility criteria:

They applied for the following financial programs that help patients, but were denied:

  • The Co-pay Program for eligible commercially insured patients
  • Assistance from third-party charitable foundations to help cover deductibles, coinsurance, and co-pays for eligible government-insured patients­—or there have been no foundations with applicable funds accepting applications

They have Medicare and applied for Medicare Extra Help (low-income subsidy) to support their Medicare Part D prescription drug coverage premium, but were denied the assistance

THE EUSA PHARMA DISTRIBUTION NETWORK

Our distribution centers are strategically located across America so that we can deliver medications to any city within 24 hours.

HELPING YOU AT EVERY STEP

Our experts can help your patients navigate access to their treatment and help evaluate financial aid options if their insurance does not provide coverage. Just call us on our toll-free number:

MORE WAYS TO GET IN TOUCH WITH US

Phone: 1-855-299-8844 / Fax: 1-888-223-1746

EUSA Patient Connect / 6931 Arlington Road, Suite 308 / Bethesda, MD 20814

Patients should always speak with their healthcare team about their medication.