Accessia Health: Pompe Disease - Private Insurance

Funded
About
The Accessia Health: Pompe Disease - Private Insurance program offers crucial support for individuals diagnosed with Pompe Disease. This program provides multiple forms of assistance, including copayment, premium, and other healthcare services, to patients using medications like Lumizyme, Miglustat, Nexviazyme, Opfolda, and Pombiliti. The Accessia Health program is designed to cater to patients with financial and insurance requirements, ensuring they can access necessary medical treatments and services effectively.
Insurance requirements: Commercially insured, Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Benefits
•$8500 annual maximum benefit
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Fund may include assistance types such as copayment, premium, ancillary services, infusion and nursing services, or travel
•Coverage of items or services under Medical Expenses is determined at the sole discretion of Accessia Health; and is subject to change based on clinical correlation with covered diagnosis. Questions related to specific items covered under Medical Expenses require clinical review for compliance purposes, and responses will be provided within 35 business days. Inquiries about coverage of medical expenses should be directed to assistance@accessiahealth.org
•Patients can apply by calling the helpline or online at https://patient.accessiahealth.org/
•Patients must provide diagnosis, demographic & contact information, supporting income documentation and health insurance details when applying
•A completed Medical Care Provider Statement is required to process Premium Assistance Programs
•Patients must utilize their grant award at a minimum of every 4 months or their award will close. Once patient's award closes, they will need to reapply
•For copayment assistance with FDA approved and indicated medications for the program diagnosis, an Accessia Health pharmacy benefit card is mailed to the patient upon approval
•For all other assistance, a payment card will be provided for patient to pay eligible vendors and/or providers directly
•Claims must be submitted within 4 months from the date of service to be considered for payment
•To remain eligible for assistance, patients must notify Accessia Health of any change in insurance, contact, or financial details