Rosemont Specialty Pharmacy Patient Co-Pay Assistance Program
Specialty medication co-pays and high deductibles can significantly affect patient compliance and therefore treatment efficacy.
Medication co-pays and deductibles have been steadily increasing in the past few decades. In fact, the rate of increase in health insurance deductibles has surpassed the annual rate of the increase of worker’s wages. High medication co-pays can deter patients from filling prescriptions and scheduling follow-up doctor’s visits that are necessary for monitoring and managing their condition. This causes a huge gap in patient compliance and can lead to significant health risks.
In addition to affecting the patient’s health, medication co-pays can also deeply affect one’s financial and personal well-being. Even individuals who are insured have had to make significant changes in their lives due to medical bills.
Insured individuals in the U.S. have reported doing the following in order to pay medical bills associated with rising co-pays and deductibles:
63% Used all or most of their savings
42% Worked additional hours at their current job or took up an extra job
38% Took on additional credit card debt
34% At times were unable to pay for food, heat, and/or housing
14% Moved out of their current living situation or made a major change in their living situation
Rosemont Specialty Pharmacy Helps Obtain Financial Assistance to Lower Patient Costs
Financial Assistance Qualification
At Rosemont Specialty Pharmacy, our patient advocates locate financial assistance for patients by contacting:
- The drug manufacturer
- Nonprofit organizations
- Community organizations
- Health clinics
Once we find a program that meets the patient’s needs and one for which he/she qualifies, we apply on the patient’s behalf and help guide him/her through next steps in order to enroll in the program.
Dedicated Prior Authorization Department
Sometimes, in order for the health insurance company to agree to pay for specialty medications, a type of approval called prior authorization may be required. In order to get prior authorization, detailed documentation needs to be sent to the insurance company that outlines the patient’s need for the medication and how he/she qualifies for coverage according to the insurance company’s guidelines. If necessary, Rosemont Specialty Pharmacy helps patients and providers obtain prior authorization.