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Help your patient today.

 

Going beyond copays, Accessia Health® is focused on addressing unmet needs in healthcare, including paying for important expenses such as diagnostic tests, durable medical equipment, dental services, and more.

We understand the difficulties patients face with affording healthcare costs, and we’re here to help. In just a few easy steps, you can submit an application for your patient.

Accessia Health can only provide limited information to the pharmacy or provider directly. Once an application eligibility determination has been made, correspondence is sent directly to the patient. An Accessia Health patient may request a joint-call with their provider in order to discuss information in more detail if needed.

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Get Started

To apply, you’ll need:

  • Patient Demographic Information (address, date of birth, phone number, etc.)
  • Health Insurance Details
  • Estimated Household Income and Dependents

 

Once we receive an application, we may need:

  • Supporting Income Documentation
  • Medical Statement to Confirm Diagnosis
  • Health Insurance Cards

 

Patient Assistance

We're here to change lives.

We offer financial support for a variety of chronic medical conditions, including:

  • Health Insurance Premiums: We assist with the cost of a patient’s health insurance policy.
  • Medical Expenses: Medical expenses include a wide range of healthcare services to support treatment for the program diagnosis. This may include out-of-pockets costs for medical visits, hospitalizations, laboratory testing, durable medical equipment, etc.
  • Copay Assistance: Copay assistance is provided for FDA approved and indicated treatment for the program diagnosis. Patients must have health insurance and Accessia Health will assist with the patient’s copay or coinsurance.
  • Travel Assistance: We provide assistance for patient travel expenses related to receiving medical care for the program diagnosis. This may include fuel, ambulance services, lodging, and public transportation.

 

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Commonly Asked Questions

  • Provider or Pharmacy
    • Accessia Health does not currently offer a Provider Portal. However, we recognize the value it could bring to providers and are actively exploring opportunities to develop this resource in the future. In the meantime, providers can connect with our team directly for support, referrals, and program information.

    • Accessia Health has a 4-month timely filing limit for eligible claims or payments. Claims must be received within 4 months of the eligible date of service to be considered for payment.

    • Accessia Health provides copay assistance for eligible patients if the treatment prescribed by their physician is FDA approved and indicated for the program diagnosis.

    • Pharmacy claims may be submitted electronically for approved patients. Pharmacies must be contracted with our PBM vendor to submit electronic claims for pharmacy billing of eligible medication copays. Some helpful billing information is below.

      Rx BIN: 610020
      PCN: PXXPDMI
      Click here to view a list of Group Codes by Program

    • If the pharmacy or provider has a date of service(s) that they wish to submit to Accessia Health, they may obtain the ID number from the patient.

    • Accessia Health may only provide very limited information to the pharmacy or provider. Correspondence is sent to the patient once an eligibility determination has been made.

      Once an application eligibility determination has been made, correspondence is sent directly to the patient.

      An Accessia Health patient may request a joint-call with their provider in order to discuss information in more detail if needed.

    • Correspondence is sent to the patient once an eligibility determination has been made.

      The patient can contact Accessia Health to speak with a representative about the status of their application.

      An Accessia Health patient may also request a joint-call with their provider in order to discuss information in more detail if needed.

      • Patient’s first and last name
      • Patient’s date of birth
      • Demographic information
      • Health Insurance details
      • Estimated household income
      • Number of household dependents
    • Applications may be submitted here

More Resources

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Financial Assistance

Medical expenses shouldn’t control someone’s life. If your patient is living with a rare or chronic health condition, our patient assistance programs are designed to support them.

Our programs provide financial assistance with copays, health insurance premiums, travel costs, and other medical expenses – all at no cost to the patient.

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A.C.C.E.S.S® Program

Navigating the complexities of healthcare can be overwhelming in the best of circumstances — but with our expertise — we can help guide your patient through it.

Advocating for Chronic Conditions, Entitlements and Social Services (A.C.C.E.S.S®) is a free disability legal aid program, offered by Accessia Health’s attorneys, for families facing specific chronic medical conditions.

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