![]() Medicare Supplement Plan (Medigap): A type of plan sold by private insurance companies to fill “gaps” in Original Medicare coverage These medications are typically ones you would receive in your doctor's office or as a hospital outpatient It covers services such as medical equipment and some prescription medications. Medicare Part B (medical insurance): Along with Medicare Part A, it's part of what's known as Original Medicare. It covers services such as inpatient care in hospitals and skilled nursing facility care Medicare Part A (hospital insurance): Along with Medicare Part B, it's part of what's known as Original Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, and most offer prescription drug coverage Medicare Advantage (Part C): A type of Medicare health plan offered by a private company that contracts with Medicare. For example, you might pay $10 or $20 for a doctor’s visit or prescription drugĭeductible: The amount you must pay for healthcare or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay It is usually a set amount, rather than a percentage. Co-insurance is usually a percentage (for example, 20%)Ĭo-pay: An amount you may be required to pay as your share of the cost for a medical service or supply, like a doctor’s visit, hospital outpatient visit, or prescription drug. See for full Terms and Conditions.Ĭo-insurance: An amount you may be required to pay as your share of the cost for services after you pay any deductibles. Ongoing activation of the EVENITY ® Co-Pay Card is contingent on the submission of the required Explanation of Benefits (EOB) form by the healthcare provider’s office within 180 days of the use of the EVENITY ® Co-Pay Card.Patients are responsible for all amounts that exceed this limit. EVENITY ® patients pay as little as $25 for each dose, and Amgen ® will pay the remaining eligible out-of-pocket costs on behalf of the patient until the Amgen ® payments have reached either the Maximum Program Benefit or the Patient Total Program Benefit.Please ask your EVENITY ® Support Representative to help you understand eligibility for the EVENITY ® Co-Pay Card, whether your particular insurance coverage is likely to result in your reaching the Maximum Program Benefit or your Patient Total Program Benefit amount by calling 1-80. Whether you are eligible to receive the Maximum Program Benefit or Patient Total Program Benefit is determined by the type of plan coverage you have. ![]() If a patient’s commercial insurance plan imposes different or additional requirements on patients who receive EVENITY ® Co-Pay Card benefits, Amgen ® has the right to reduce or eliminate those benefits. The EVENITY ® Co-Pay Card provides support up to the Maximum Program Benefit or Patient Total Program Benefit. The EVENITY ® Co-Pay Card does not cover any other costs related to office visits or administration of EVENITY ®. Out-of-pocket costs include co-payment, co-insurance, and deductible out-of-pocket costs. ![]() The EVENITY ® Co-Pay Card may help lower your EVENITY ® out-of-pocket medication costs.It is not valid for cash paying patients or where prohibited by law. The program is not valid for patients whose EVENITY ® prescription is paid for in whole or in part by Medicare, Medicaid, or any other federal or state healthcare program. The EVENITY ® Co-Pay Card is open to patients with commercial insurance, regardless of financial need. The following summary is not a substitute for reviewing the Terms and Conditions in their entirety. It is important that every patient read and understand the full EVENITY ® Co-Pay Card Terms and Conditions.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |