Velsipity Copay Savings Program - Non-covered benefit

Funded

About

The Velsipity Copay Savings Program - Non-covered benefit offers significant support for patients prescribed with Velsipity, a vital FDA-approved medication. By participating in the Velsipity Copay Savings Program, patients with commercial insurance can alleviate financial burdens associated with incomplete coverage of their Velsipity medication. Additionally, eligible patients can benefit from a rebate for essential assessments and tests not covered by insurance. This comprehensive program underscores support from VelsipityForMe, enhancing the treatment journey with Velsipity.

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 may also be able to receive a onetime rebate of up to $2,500 for baseline assessments/prescreening tests for the initial blood tests, ECG screening, eye exam, and baseline skin examination where the full cost is not covered by patient's insurance

•Patients residing in Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for the AtHome Baseline Assessment/Prescreening Tests Program

•Call 8003503080, MondayFriday, 8AM8PM ET, for assistance or additional information

•Pharmacists: call 8665626851, MF 8:00am to 8:00pm, for help processing the card

Enrollment Forms

Enrollment Form