Camzyos Echocardiogram Co-Pay Assistance Program

Funded

About

The Camzyos Echocardiogram Co-Pay Assistance Program offers significant financial relief for patients using the drug Camzyos. This program helps eligible commercially insured patients reduce their out-of-pocket costs for echocardiogram assessments to as low as $0. With a maximum annual benefit of $2,500, the Camzyos Echocardiogram Co-Pay Assistance Program ensures that participants can manage their medical expenses more effectively, provided claims are submitted within 180 days of the service date.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$2500 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients pay as little as $0 per echocardiogram assessment

•Program includes medical benefit offer for outofpocket costs for required echocardiogram assessments where the full cost is not covered by the patient’s insurance

•Annual maximum benefit of $2,500; patients are responsible for any costs that exceed the maximum amounts

•To receive the Program benefits, claims must be submitted within 180 days of the date of service

•The program may apply retroactively to out of pocket expenses that occurred within 180 days prior to the date of enrollment

•Enrollment period is for 1 calendar year

•For more information patients must call 8552269967, Monday to Friday, 8 AM to 11 PM ET

Enrollment Forms

Enrollment Form