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FACTS - -
Do you know that:
- 70% of Americans take medication on a regular basis.
- 78 million Americans have no coverage for prescriptions at all.
- 70 million Americans are underinsured and have inadequate RX coverage.
Insurance programs, the Affordable Care Act, Medicare and Medicare D have been put in place so that we, the people of the greatest country of the world, can have our health concerns treated.
But many of us need help in paying for our medications. CAPS assists those in need of overcoming the rising costs of medications. This program makes it affordable to take your medications.
CAPS can help you to avoid missing work for health reasons. And to avoid many trips to doctors' offices and the ER. And even to avoid hospital stays, bankruptcy, and foreclosure!
DO YOUR BRAND NAME MEDICATIONS DRAIN YOUR FINANCES?
Would you like to save money on your BRAND NAME medications?
Are you tired of being RIPPED OFF by the high cost of your BRAND NAME medications?
Do you pay $25.00 or more on BRAND NAME medications?
Would you like to receive FREE NAME BRAND medications?
Would you like to stay out of the 'donut'?
I stayed out of the 'donut' and saved money.
I may be able to help you save on your brand name medications, too!
Browse the information on these pages, and contact CAPS to get started.
THE COST OF NAME BRAND MEDICATIONS IS A PUBLIC HEALTH HUMILIATION FOR THE GREATEST COUNTRY IN THE WORLD!
The Consumer Advocate for Pharmaceutical Savings (CAPS) offers help and hope to those who cannot afford or have difficulty affording their medications. ...
THE GOAL OF CAPS IS TO SAVE YOU MONEY!!!
Call Pete Mazza, the Consumer Advocate for Pharmaceutical Savings (CAPS)
847-857-0135
...
I saved thousands of dollars by contacting the pharmaceutical companies and "jumping through their hoops"!
I may, at least, be able to save you hundreds!
What's my story?
My daughter and I went over the yearly finances of my wife Joanne and myself. We were utterly stunned to see that our medications and Part D came out to over $9,000.
Needless to say, something had to be done. ...
Let me tell you a few stories about some of our clients.
A husband and his wife were on Medicare A & B. They wisely signed up for Part D.
With their premiums for Part D, this struggling couple's cost for their drugs (including premiums) were $4,800. ...
If you have medications that total $25.00 or more and you fall within the pharmaceutical companies guidelines, CAPS will provide you with the tools NECESSARY for you to obtain BRAND NAME medications and, thus, save on your medications! CAPS will research the pharmaceutical companies that have programs which apply to your medications, ...
What CAPS Is Not ...
The following are some eligibility requirements. Each company has its own. ...
- OFTEN, TO MEET MAXIMUM INCOME REQUIREMENTS. THESE MAY BE AFTER SPECIFIED DEDUCTIONS, AND BASED ON SOME MULTIPLE (..., 2X, 4X, ...) OF THE CURRENT U.S. FEDERAL POVERTY LEVEL. CF. . - TO FILL IN ALL THE ITEMS ON THE APPLICATION FORM AND SUBMIT THOSE REQUESTED; (SOME OF THE INFO YOU MAY BE REQUIRED TO PROVIDE INCLUDES: 1040, NUMBER OF PEOPLE IN HOUSEHOLD, PRESCRIPTION LIST, ETC.) ...
Special Medical Conditions
Medication Programs for Special Medical Conditions
...
- A
- Acromegaly
- ...
Pharmaceuticals, a selected list ...
Compare Pricing ...
Do you need help paying for the high cost of your drugs, to bring the cost down to have a better quality of life?
CAPS is the advocate you need ...
THE COST OF NAME BRAND MEDICATIONS IS A PUBLIC HEALTH HUMILIATION FOR THE GREATEST COUNTRY IN THE WORLD!
The Consumer Advocate for Pharmaceutical Savings (CAPS) offers help and hope to those who cannot afford or have difficulty affording their medications.
THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) ENVISIONS A SOCIETY IN WHICH EVERY INDIVIDUAL CAN ACCESS NEEDED PHARMACEUTICALS.
AT THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS), WE ENVISION A NATION IN WHICH THE UNINSURED AND UNDERINSURED RECEIVE NECESSARY MEDICATIONS.
CAPS PARTNERS WITH GENEROUS PHARMACEUTICAL COMPANIES TO ASSIST IN LOWERING THE DRUG COSTS FOR UNINSURED AND UNDERINSURED PATIENTS.
WE WANT TO PROVIDE ACCESS TO NAME BRAND MEDS FOR THE UNINSURED AND UNDERINSURED PATIENTS THEY NEED TO BEST MANAGE THEIR CONDITIONS AND IMPROVE THEIR QUALITY OF LIFE.
THE GOAL OF CAPS IS TO SAVE YOU MONEY!!!
Call Pete Mazza, the Consumer Advocate for Pharmaceutical Savings
847-857-0135
'At the intersection of FREE and BRAND NAME MEDICATIONS.'
If you have medications that total $25.00 or more and you fall within the pharmaceutical companies guidelines, CAPS will provide you with the tools NECESSARY for you to obtain BRAND NAME medications and, thus, save on your medications! CAPS will research the pharmaceutical companies that have programs which apply to your medications, provide you with the appropriate applications, and directions on what is required from you.
I saved thousands of dollars by contacting the pharmaceutical companies and "jumping through their hoops"!
I may, at least, be able to save you hundreds!
What's my story?
My daughter and I went over the yearly finances of my wife Joanne and myself. We were utterly stunned to see that our medications and Part D came out to over $9,000.
Needless to say, something had to be done.
My daughter and I hit the phones, sent emails and called our doctors' offices. Most doctors had samples they could give us; but, those were of a limited type and quantity.
In contacting the pharmaceutical companies, there were many that were willing to assist.
After many phone calls, emails, application forms to fill out and documentation to be collected, I saw a light at the end of the tunnel.
That 'light' was almost a $7,000 savings.
While I can't guarantee this amount of savings for you, if you spent over$50.00/month on NAME BRAND medications, I MAY be able to save you money.
That's why I began CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) to help individuals benefit as I was benefited.
Let me tell you a few stories about some of our clients.
A husband and his wife were on Medicare A and B. They wisely signed up for Part D.
With their premiums for Part D, this struggling couple's cost for their drugs (including premiums) were $4,800.
STAGGERING AMOUNT!!!
THEY CALLED CAPS!
CALL FOR A FREE ANALYSIS: 847-857-0135
to see if our advocates can SAVE you MONEY.
'At the intersection of FREE and BRAND NAME MEDICATIONS.'
FREE + BRAND NAME MEDICATIONS
THE CONSUMER ADVOCATE FOR PHARMACEUTICAL SAVINGS (CAPS) worked with them and their projected total costs for this calendar year will be $1,500.
$3,300 (yes, thirty-three hundred dollars) ... their life will be more comfortable by freeing them from economic stress.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS)
CALL: 847-857-0135
to see if our advocates can SAVE you MONEY
'At the intersection of FREE and BRAND NAME MEDICATIONS.'
FREE + BRAND NAME MEDICATIONS
THE CONSUMER ADVOCATE FOR PHARMACEUTICAL SAVINGS (CAPS) is the advocate you need to bring down your out-of-sight drug costs, making them more affordable. You will get BRAND NAME medications FREE from US pharmaceutical companies.
ANOTHER SAVINGS STORY
CAPS worked with an elderly man (but don't call him elderly) to save one hundred twenty dollars ($120/month). You do the math - - $1440 annually, allowing him to have a better life.
Do you need help paying for the high cost of your drugs, to bring the cost down to have a better quality of life?
CAPS is the advocate you need to bring down your out-of-sight drug costs, making them more affordable. You will get NAME BRAND Medications FREE from US pharmaceutical companies.
Call Pete Mazza, the Consumer Advocate for Pharmaceutical Savings
847-857-0135
to see if our advocates can SAVE you MONEY.
If you have a medication(S) that costs $25.00 or more and you fall within the pharmaceutical companies guidelines, CAPS will provide you with the tools NECESSARY for you to obtain BRAND NAME medications and, thus, save on your medications! CAPS will research the pharmaceutical companies that have programs which apply to your medications, provide you with the appropriate applications, and directions on what is required from you.
HOW THE PROCESS WORKS
To get the process started, you'll need to mail an application to the drug company along with information about your financial situation. In almost all cases, your doctor will need to provide information about your prescriptions. The doctor must then fax the script and all supporting information to the company.
The drug company will review the application and tell you if you're eligible for assistance. If approved, the companies will ship a supply of the drug either to your home or your doctor's office. You or your doctor will need to place a new order several weeks before the supply runs out.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS NOT A DRUG STORE
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS NOT A MAIL-ORDER PHARMACY
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS NOT A MEDICAL PROFESSIONAL
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS NOT A PRESCRIBER OF DRUGS.
CAPS DOES NOT ASSIST YOU IN MAINTAINING YOUR DRUG REGIMEN.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) DOES NOT REORDER YOUR MEDICATIONS FOR YOU.
CAPS DOES NOT FILL OUT FORMS. IT PROVIDES DIRECTIONS ON WHAT YOU NEED TO DO AND THE FORMS NECESSARY.
CONSUMER ADVOCATES for PHARMACEUTICAL SAVINGS DOES NOT PROVIDE GENERIC DISCOUNT CARDS.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) ONLY GOAL IS TO ASSIST YOU IN OBTAINING FREE BRAND NAME DRUGS FROM PHARMACEUTICAL MANUFACTURERS.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS)
CALL NOW: 847-857-0135
- 'FREQUENTLY ASKED QUESTIONS' -
These are little known programs, set up by drug companies, that offer free or low cost NAME BRAND DRUGS to uninsured or underinsured individuals who cannot afford their medications.
Most brand name drugs are found in these programs.
Companies offer these NAME BRAND DRUGS voluntarily; the government does not require them to provide free medicine. (Some manufacturers provide a discount card for their own medications. We will direct you to these if we become aware of them.)
Each program has it's own rules. Some common requirements (BUT NOT ALL) are:
* Be a U.S. citizen or legal resident
* Meet program income guidelines
YES.
ALSO, THERE ARE ALSO SEVERAL FOUNDATIONS THAT ASSIST WITH COPAYS FOR MEDICATIONS TAKEN FOR SPECIFIC DISEASES. TO RESEARCH THESE THERE IS AN ADDITIONAL FIFTY DOLLAR ($50.00) CHARGE.
CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) CHARGES A CALENDAR YEAR FEE OF TWO HUNDRED FORTY-FIVE DOLLARS ($245.00) FOR ONE PERSON IN A HOUSEHOLD. EACH ADDITIONAL HOUSEHOLD MEMBER (as listed on your IRS income tax return) IS CHARGED AN ADDITIONAL ONE HUNDRED NINETY-FIVE DOLLARS ($195.00). THIS IS FOR THE RESEARCH AND DIRECTION necessary for you to benefit from these programs. THERE IS NO CHARGE BY THE PHARMACEUTICAL COMPANIES.
PAYMENT MAY BE MADE BY CHECK PAYABLE TO: PETE MAZZA, 1240 COLDSPRING, ELGIN, IL 60120. THERE WILL BE A $35.00 CHARGE ON RETURNED CHECKS.
IF ADDITIONAL MEDICATIONS ARE PRESCRIBED DURING THE CALENDAR YEAR IN WHICH YOU ARE SIGNED UP, THERE WILL BE NO ADDITIONAL CHARGE.
IF WE CANNOT SAVE YOU THE COST OF YOUR FEE, YOUR MONEY WILL BE REFUNDED WHEN YOU PROVIDE THE REJECTION LETTER(S) FROM THE COMPANY.
It depends on the company. Some companies will let people with Part D apply for their programs. Other companies may review applications on a case-by-case basis.
CAPS is not an accountant. Please discuss this with your tax preparer.
To get the process started, you will need to mail an application to the drug company along with information about your financial situation. In almost all cases, your doctor will need to provide information about your prescriptions.
The drug company will review the application and tell you if you're eligible for assistance. If approved, the companies will ship a supply of the drug either to your home or your doctor's office. You or your doctor will need to place a new order several weeks before the supply runs out.
To get the process started, you will need to mail an application to the drug company along with information about your financial situation. In almost all cases, your doctor will need to provide information about your prescriptions.
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============== Accordion content =================================================================================The drug company will review the application and tell you if you're eligible for assistance. If approved, the companies will ship a supply of the drug either to your home or your doctor's office. You or your doctor will need to place a new order several weeks before the supply runs out. subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test subaccordion test
The drug company will review the application and tell you if you're eligible for assistance. If approved, the companies will ship a supply of the drug either to your home or your doctor's office. You or your doctor will need to place a new order several weeks before the supply runs out.
- You are responsible for filling in ALL THE ITEMS ON THE APPLICATION FORM AND SUBMIT THOSE REQUESTED; (SOME OF THE INFO YOU MAY BE REQUIRED TO PROVIDE INCLUDES: 1040, NUMBER OF PEOPLE IN HOUSEHOLD, PRESCRIPTION LIST, ETC.)
- You are responsible for taking the REQUIRED INFO THE COMPANY REQUESTS TO YOUR MEDICAL PROFESSIONAL AND HAVE HIM WRITE THE SCRIPT
THEN YOUR MEDICAL PROFESSIONAL SHOULD FAX THE APPLICATION, YOUR DOCUMENTATION (AND ANY OTHER REQUESTED PAPERWORK YOU ARE TO PROVIDE) AND HIS SCRIPT FROM HIS OFFICE TO THE PHARMACEUTICAL COMPANY;
IF ACCEPTED, YOU SHOULD RECEIVE YOUR MEDICATIONS IN 4-6 WEEKS WITH THE MEDICATION SENT EITHER TO HIS OFFICE OR YOUR HOME (N0 P.O. BOX);
- You are responsible for organizing your DRUGS FOR THE PROPER TAKING OF THEM.
- You are responsible for reordering DRUGS AS NECESSARY IN ACCORD WITH THE PHARMACEUTICAL COMPANY'S GUIDELINES.
THE FOLLOWING ARE SOME ELIGIBILITY REQUIREMENTS. EACH COMPANY HAS ITS OWN. THESE ARE BASIC REQUIREMENTS. NOT ALL MAY BE NEEDED BY A SPECIFIC COMPANY WHILE OTHER COMPANIES MAY REQUIRE ADDITIONAL INFORMATION.
OFTEN, MEET MAXIMUM INCOME REQUIREMENTS. THESE MAY BE AFTER SPECIFIED DEDUCTIONS, AND BASED ON SOME MULTIPLE (..., 2X, 4X, ...) OF THE CURRENT U.S. FEDERAL POVERTY LEVEL. CF. .
FILL IN THE ENTIRE APPLICATION FORM. DO NOT LEAVE ANY BLANKS. COMPLETE AND SIGN THE APPLICATION.
SIGNED PRESCRIPTIONS SHOULD BE WRITTEN AS MEDICALLY APPROPRIATE.
FAXED PRESCRIPTION AND ACCOMPANYING DOCUMENTS SHOULD BE FAXED FROM THE DOCTOR'S OFFICE.
SOME COMPANIES REQUIRE MEDICARE PART D PATIENTS TO SPEND A CERTAIN AMOUNT OF OUT-OF-POCKET EXPENSES.
SEND A COPY OF THE PART D CARD, BOTH SIDES. SEND A COPY OF A PHOTO ID.
HEYYYYYYYYYYYYYYYYY 1.2900em(Some companies have different eligibility amounts.)
Federal Poverty Level may be used in calculating eligibility.
Family Size |
200% Monthly Fed Poverty Level |
400% Monthly |
1 |
$1,915 |
$3,830 |
2 |
$2,585 |
$5,170 |
3 |
$3,255 |
$6,510 |
4 |
$3,925 |
$7,850 |
5 |
$4,595 |
$9,190 |
6 |
$5,625 |
$10,530 |
7 |
$5,935 |
$11,870 |
8 |
$6,605 |
$13,210 |
SPECIAL MEDICATIONS FOR THESE CONDITIONS: Patients must meet the following criteria to be eligible for THESE PROGRAMS? assistance: -=- The patient must be getting treatment for the disease named to which he or she is applying. -=- The patient must have health insurance that covers his or her qualifying medication or product. -=- The patient's medication or product must be listed on the covered medications below. -=- The patient's income must fall at or below 400% or 500% of the Federal Poverty Guidelines, depending on fund-specific guidelines. -=- The patient must reside and receive treatment in the United States or U.S. territories. ( U.S. citizenship is not a requirement.) The following patient information is required to complete the application: -=- Diagnosis and medication name -=- Demographics: Name, address, phone number, and e-mail address. -=- Income: Adjusted gross income applicable to the patient and all members of the patient's household. -=- Insurance: Health insurance and pharmacy card(s). -=- Physician Demographics: Prescribing physician name, phone number, and facility address. Applicants are required to attest that the application information provided is complete and accurate. Reported financial information may be verified by an audit, as deemed necessary by the provider. Medications Covered for these conditions (these are limited so some may not e available):
DELETABLE
-=- 8-Mop (methoxsalen) -=- Zytiga (abiraterone acetate) Frequently Asked Questions (for Special Conditions) 1. Where should I send my enrollment application? 2. How long does the approval process take, and how will I know whether I've been approved? x 3. What if I am not approved and still have high copayments? x 4. Once I am approved for a grant, how long is my eligibility period? x 5. How much assistance will I eceive? x 6. How do I submit a claim? x 7. Who receives payment from the PAN? x 8. How can I check my grant balance? x 9. How do I use my PAN ID card? x 10. What should I do if I lose my PAN ID card? x 11. Can I obtain reimbursement for medication expenses I received before I began assistance with PAN? x 12. What if I change my contact information, provider, or medications? x 13. My enrollment period is ending soon. Is my assistance renewable? x 1. Where should I send my enrollment application? You may mail or fax your enrollment application: Mail: Fax: 2. How long does the approval process take and how will I know whether I've been approved? When your provider sends the necessary information, you will instantly receive your eligibility determination. Note: You will receive a formal approval letter and benefit card in the mail within a week. Your provider will also receive an approval letter within the same time period. 3. What if I am not approved an still have high copayments? To determine financial eligibility, this program applies a standard income deduction that varies based on insurance type. Individuals with income levels that still do not allow them to qualify will be provided with a referral to available third-party programs. 4. Once I am approved for a grant, how long is my eligibility period? Assistance starts on your approval date and continues for 12 months. Your exact eligibility dates will be included in your approval letter, and can be accessed any time using the program's automated telephone system, at 1-866-316-7263. Note: AN ADDED BONUS' During your initial eligibility period, eligible expenses incurred up to 90 days prior to your approval date may also be submitted to PAN for reimbursement. 5. How much assistance will I receive? Grant amounts vary for each disease-specific program. Your approval letter will contain this information. 6. How do I submit a claim? Patients, healthcare providers and pharmacies may submit requests for reimbursement to this program for medications covered by their disease fund. Charges incurred within 90 days prior to the eligibility date will be considered for payment during the first year of PAN coverage. All eligible expenses must be submitted within 120 days of the eligibility end date. Patients Primary insurance must be billed prior to the claim being submitted to the program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense. Physicians/Health Care Providers Primary insurance must be billed prior to the claim being submitted to the program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense. Claims can be filed through any of the three methods below: ' Submit electronically using payer ID 38225 ' Mail to: Directly to the program ' Fax to: 1-844-726-4728 Note: A copy of the explanation of benefits from the primary payer must be attached when you submit your claim. Pharmacies Primary insurance must be billed prior to the claim being submitted to this program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense. The program grantees will present for payment his or her benefit card. If the patient does not have his or her benefit card, pharmacies may contact the program toll free at: 1-866-316-7263, Monday through Friday, 9 a.m. to 5 p.m. EST, for electronic billing assistance. Claims can be filed through two methods listed below: ' Submit electronically using RX BIN 006012, PCN: MEDDPDM. You must use patient Billing ID and RX Group ' this can be found on the patient's ID card. ' Mail to directly to the program: PO Box 221858 Charlotte , NC 28222-1858 (CMS-1500 or UB-40 must be used with this method of submission) Note: A copy of remittance advice/invoice from the primary payer must be attached when you submit your claim. 7. Who receives payment from the program? Payment from this grogram can be made to a pharmacy or healthcare provider who supplies the treatment, as well as directly to a patient if the patient paid out-of-pocket for eligible expenses. 8. How can I check my grant balance? You can check your grant balance by calling 1-866-316-7263 and speaking to a customer service representative. Customer service representatives are available, Monday through Friday, 9 a.m. to 5 p.m. EST. 9. How do I use my ID card? Present your ID card at your doctor's office or at a participating pharmacy at the time services are rendered. 10. What should I do if I lose my ID card? If you misplaced or do not have your benefit card, the pharmacy can call 1-866-316-7263, extension 72244 for electronic billing assistance, which is available Monday through Friday, 9 a.m. to 5 p.m. EST. 11. Can I obtain reimbursement for medication expenses I received before I began assistance with this program? During your initial enrollment period, this program will consider for reimbursement medication expenses incurred up to 90 days prior to your approval date. 12. What if I change my contact information, provider, or medications? A change in your contact information, provider or medications will not change your enrollment. If your information has changed, call us at 1-866-316-7263 to update your records. 13. My enrollment period is ending soon. Is my assistance renewable? If you meet the program-specific eligibility criteria, you are eligible for a renewal grant at the end of the enrollment period, if funds are available. The program will automatically send you a renewal application at the end of your enrollment period if the specific disease program is accepting renewal patients.
Patients must meet the following criteria to be eligible for THESE PROGRAMS' assistance:
- The patient must be getting treatment for the disease named to which he or she is applying.
- The patient must have health insurance that covers his or her qualifying medication or product.
- The patient's medication or product must be listed on the covered medications below.
- The patient's income must fall at or below 400% or 500% of the Federal Poverty Guidelines, depending on fund-specific guidelines.
- The patient must reside and receive treatment in the United States or U.S. territories. ( U.S. citizenship is not a requirement.)
The following patient information is required to complete the application:
- Diagnosis and medication name
- Demographics: Name, address, phone number, and e-mail address.
- Income: Adjusted gross income applicable to the patient and all members of the patient's household.
- Insurance: Health insurance and pharmacy card(s).
- Physician Demographics: Prescribing physician name, phone number, and facility address.
Applicants are required to attest that the application information provided is complete and accurate. Reported financial information may be verified by an audit, as deemed necessary by the provider.
1. Where should I send my enrollment application?
2. How long does the approval process take and how will I know whether I've been approved?
3. What if I am not approved and still have high copayments?
4. Once I am approved for a grant, how long is my eligibility period
5. How much assistance will I receive?
6. How do I submit a claim?
7. Who receives payment from the PAN?
8. How can I check my grant balance?
9. How do I use my PAN ID card?
10. What should I do if I lose my PAN ID card?
11. Can I obtain reimbursement for medication expenses I received before I began assistance with PAN?
12. What if I change my contact information, provider, or medications?
13. My enrollment period is ending soon. Is my assistance renewable?
1. Where should I send my enrollment application?
You may mail or fax your enrollment application:
Mail: Fax:
2. How long does the approval process take and how will I know whether I've been approved?
When your provider sends the necessary information, you will instantly receive your eligibility determination.
Note: You will receive a formal approval letter and benefit card in the mail within a week. Your provider will also receive an approval letter within the same time period.
3. What if I am not approved and still have high copayments?
To determine financial eligibility, this program applies a standard income deduction that varies based on insurance type. Individuals with income levels that still do not allow them to qualify will be provided with a referral to available third-party programs.
4. Once I am approved for a grant, how long is my eligibility period?
Assistance starts on your approval date and continues for 12 months. Your exact eligibility dates will be included in your approval letter, and can be accessed any time using the program's automated telephone system, at 1-866-316-7263.
Note: AN ADDED BONUS' During your initial eligibility period, eligible expenses incurred up to 90 days prior to your approval date may also be submitted to PAN for reimbursement.
5. How much assistance will I receive?
Grant amounts vary for each disease-specific program. Your approval letter will contain this information.
6. How do I submit a claim?
Patients, healthcare providers and pharmacies may submit requests for reimbursement to this program for medications covered by their disease fund. Charges incurred within 90 days prior to the eligibility date will be considered for payment during the first year of PAN coverage. All eligible expenses must be submitted within 120 days of the eligibility end date.
Patients
Primary insurance must be billed prior to the claim being submitted to the program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense.
Physicians/Health Care Providers
Primary insurance must be billed prior to the claim being submitted to the program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense.
Claims can be filed through any of the three methods below:
Submit electronically using payer ID 38225
Mail to: Directly to the program
Fax to: 1-844-726-4728
Note: A copy of the explanation of benefits from the primary payer must be attached when you submit your claim.
Pharmacies
Primary insurance must be billed prior to the claim being submitted to this program for reimbursement. In addition, the primary insurance must consider the charge to be an eligible expense.
The program grantees will present for payment his or her benefit card. If the patient does not have his or her benefit card, pharmacies may contact the program toll free at: 1-866-316-7263, Monday through Friday, 9 a.m. to 5 p.m. EST, for electronic billing assistance.
Claims can be filed through two methods listed below:
- Submit electronically using RX BIN 006012, PCN: MEDDPDM. You must use patient Billing ID and RX Group ' this can be found on the patient's ID card.
- Mail to directly to the program: PO Box 221858 Charlotte , NC 28222-1858 (CMS-1500 or UB-40 must be used with this method of submission)
Note: A copy of remittance advice/invoice from the primary payer must be attached when you submit your claim.
7. Who receives payment from the program?
Payment from this program can be made to a pharmacy or healthcare provider who supplies the treatment, as well as directly to a patient if the patient paid out-of-pocket for eligible expenses.
8. How can I check my grant balance?
You can check your grant balance by calling 1-866-316-7263 and speaking to a customer service representative. Customer service representatives are available, Monday through Friday, 9 a.m. to 5 p.m. EST.
9. How do I use my ID card?
Present your ID card at your doctor's office or at a participating pharmacy at the time services are rendered.
10. What should I do if I lose my ID card?
If you misplaced or do not have your benefit card, the pharmacy can call 1-866-316-7263, extension 72244 for electronic billing assistance, which is available Monday through Friday, 9 a.m. to 5 p.m. EST.
11. Can I obtain reimbursement for medication expenses I received before I began assistance with this program?
During your initial enrollment period, this program will consider for reimbursement medication expenses incurred up to 90 days prior to your approval date.
12. What if I change my contact information, provider, or medications?
A change in your contact information, provider or medications will not change your enrollment. If your information has changed, call us at 1-866-316-7263 to update your records.
13. My enrollment period is ending soon. Is my assistance renewable?
If you meet the program-specific eligibility criteria, you are eligible for a renewal grant at the end of the enrollment period, if funds are available. The program will automatically send you a renewal application at the end of your enrollment period if the specific disease program is accepting renewal patients.
Find specific medications here by name: Use your browser's Find function (Ctrl-f and then F3s).
CAPS can advocate for savings. CAPS can research special medical conditions savings.
Medications Covered for these conditions (these are limited so some may not be available):COMPETITORS' PRICING STRUCTURE
FIRST OF ALL, THE MEDICARE CO-PAY FOR GENERIC DRUGS BEATS THE CAPS PRICE AND THE COMPETITORS' PRICING.
THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) WILL BEAT THE COMPETITORS' PRICING ON ITS PROGRAMS TO PROVIDE BRAND NAME DRUGS.
COMPANY A
application fee: $90.00
monthly fee: 80.00/mo
TOTAL $1050/yr.
THE CONSUMER ADVOCATE FOR PHARMACEUTICAL SAVINGS (CAPS) IS $245.00/yr.
$805.00 IS YOUR SAVINGS WITH THE CONSUMER ADVOCATE FOR PHARMACEUTICAL SAVINGS (CAPS) PROGRAM
COMPANY B
application fee: $40.00
monthly fee: 50.00/mo
TOTAL $640.00/yr
THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS $245.00/yr.
$405.00 IS YOUR SAVINGS WITH THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) PROGRAM.
COMPANY C
application fee $25.00
monthly fee 75.00/mo
TOTAL $925.00yr
THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) IS $245.00/yr.
$680.00 IS YOUR SAVINGS WITH THE CONSUMER ADVOCATE for PHARMACEUTICAL SAVINGS (CAPS) PROGRAM.
lsrxcare sez 20/mo.
DON'T WASTE ANOTHER SECOND!!!
Call Pete Mazza, the Consumer Advocate for Pharmaceutical Savings
CALL: 847-857-0135
AND GET IN ON THE SAVINGS RIGHT NOW!!!
Do you need help paying for the high cost of your drugs, to bring the cost down to have a better quality of life?
CAPS is the advocate you need to bring down your out-of-sight drug costs, making them more affordable. You will get NAME BRAND Medications FREE from U.S. pharmaceutical companies.
Pete Mazza
847-857-0135
to see if our advocates can SAVE you MONEY
'At the intersection of FREE and BRAND NAME MEDICATIONS.'
NAME ___________________________________ PHONE ___________________________________ EMAIL ___________________________________ MEDICATIONS: NAME COST MANUFACTURER _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________
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THE COST OF NAME BRAND MEDICATIONS IS A PUBLIC HEALTH HUMILIATION FOR THE GREATEST COUNTRY IN THE WORLD!
The Consumer Advocate for Pharmaceutical Savings (CAPS) offers help and hope to those who cannot afford or have difficulty affording their medications. ...
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THE COST OF NAME BRAND MEDICATIONS IS A PUBLIC HEALTH HUMILIATION FOR THE GREATEST COUNTRY IN THE WORLD!
The Consumer Advocate for Pharmaceutical Savings (CAPS) offers help and hope to those who cannot afford or have difficulty affording their medications. ...
THE GOAL OF CAPS IS TO SAVE YOU MONEY!!!
Call Pete Mazza, the Consumer Advocate for Pharmaceutical Savings (CAPS)
847-857-0135
...
I saved thousands of dollars by contacting the pharmaceutical companies and "jumping through their hoops"!
I may, at least, be able to save you hundreds!
What's my story?
My daughter and I went over the yearly finances of my wife Joanne and myself. We were utterly stunned to see that our medications and Part D came out to over $9,000.
Needless to say, something had to be done. ...
Let me tell you a few stories about some of our clients.
A husband and his wife were on Medicare A & B. They wisely signed up for Part D.
With their premiums for Part D, this struggling couple's cost for their drugs (including premiums) were $4,800. ...
If you have medications that total $25.00 or more and you fall within the pharmaceutical companies guidelines, CAPS will provide you with the tools NECESSARY for you to obtain BRAND NAME medications and, thus, save on your medications! CAPS will research the pharmaceutical companies that have programs which apply to your medications, ...
What CAPS Is Not ...
The following are some eligibility requirements. Each company has its own. ...
- OFTEN, TO MEET MAXIMUM INCOME REQUIREMENTS. THESE MAY BE AFTER SPECIFIED DEDUCTIONS, AND BASED ON SOME MULTIPLE (..., 2X, 4X, ...) OF THE CURRENT U.S. FEDERAL POVERTY LEVEL. CF. . - TO FILL IN ALL THE ITEMS ON THE APPLICATION FORM AND SUBMIT THOSE REQUESTED; (SOME OF THE INFO YOU MAY BE REQUIRED TO PROVIDE INCLUDES: 1040, NUMBER OF PEOPLE IN HOUSEHOLD, PRESCRIPTION LIST, ETC.) ...
Special Medical Conditions
Medication Programs for Special Medical Conditions
...
- A
- Acromegaly
- ...
Compare Pricing ...
Do you need help paying for the high cost of your drugs, to bring the cost down to have a better quality of life?
CAPS is the advocate you need ...
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Do you need help paying for the high cost of your drugs, to bring the cost down to have a better quality of life?
CAPS is the advocate you need ...