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FAQ

Eligibility

Who is Eligible for Aid & Assistance Programs?

Each program has unique criteria and rules in which individuals and families qualify for assistance. We search through hundreds of assistance programs and offers for your prescription brand or type to see which one(s) you qualify for and help you through the application process. 

Does my Income Disqualify me for Assistance?

The eligibility criteria for patient assistance programs varies significantly from company to company, and may even vary by medicines within a company's program. Several factors are looked at, including but not limited to: household income, household prescription expense, prescription drug insurance coverage, and significant changes in circumstance such as unemployment. There are generally no age limitations. A common guideline, however, for most programs is a household income limit. The following chart lists monthly income guidelines for most programs at 200% and 400% of Federal Poverty Level Guidelines (FPL), however some have higher limits.

 

 Household Size 200% Monthly FPL 400% Monthly FPL
1 $1,862 $3,723
2 $2,522 $5,043
3 $3,182 $6,363
4 $3,842 $7,683
5 $4,502 $9.003
6 $5,162 $10,323
7 $5,822 $11,643
8 $6,482 $12,963

Enrollment & Processing

What is Prescription Assistance?

Programs called Patient Assistance Programs (sometimes referred to as PAPs) provide free and/or low-cost prescription medicine to people who are uninsured or under-insured and meet the guidelines of the specific program they apply.  Most brand-name drugs are known to have an assistance or aid program available, however companies offer these programs voluntarily usually have strict criteria which determine eligibility to qualify.

How Long does it Take?

On average, prescription medicine is sent from the manufacturer within 2 to 3 weeks after we submit enrollment paperwork for aid and assistance. There can be complications which slow the enrollment process such as: receiving signed paperwork from physicians, retrieving pharmacy cost history and necessary tax & income documentation.

How do I Receive my Medication?

Medications are usually delivered in 90-day supplies directly to the customer's home or their doctor's office. 

How does Prescription Relief Help?

Prescription Relief is an administrative processing service.  We provice research, preparation, filing, managing and renewing grant, aid and other healthcare assistance programs for the aid & assistance. Our  substantial experience in navigating the assistance process quickly, and without error, to get approval is one of the best benefits of working with Prescription Relief .

What does Prescription Relief Do?

The process can be complicated because we work directly with you, your doctor, your pharmacy and the assistance program to obtain a substantial amount of documentation related to income records, signed physician authorizations and other materials various programs require.  In addition, our services rendered to our patients include, but are not limited to: program eligibility research, regular emails & phone calls to the patient, requirement inquiries to the assistance programs, requests for patient’s pharmacy documentation, queries to physician and insurance carriers and much more.

Insurance

Is this Insurance?

This is not insurance. Prescription Relief is an advocacy service that can help you fill in the gaps of coverage from what your insurance company does not cover, if you have insurance, or help you with prescription expenses if you do not.

  • This is not an insurance program
  • This is not an online pharmacy
  • This is not a reimbursement
  • This is prescription assistance

 

If you are uninsured, this is a great alternative for financial support for the high costs of healthcare services and prescription medications. Each program has unique criteria and rules in which individuals and families qualify for assistance.

I have Private or Group Health Insurance, Am I Eligible?

Some assistance programs will help people who have insurance if they can meet hardship requirements or if their medicine is not covered by the health insurance company.  If you do not have a copay for your brand-name medicine, there usually is a program for your we can inquire about.  In addition, some programs help with co-pays for specific diseases and conditions such as Asthma, HIV, High Blood-Pressure, and other chronic conditions. For all other situations, refer to our Drug Discount Card page to look for discounts on your medication. 

I have Medicare Part D, Am I Eligible?

Most programs allow individuals to enroll if they are on Medicare, and many will allow people to participate even if they have Medicare Part D. Each patient assistance program has different rules and guidelines that are taken on an individual basis.

      • Get brand-name medication alternatives
      • Coverage for medications not covered
      • If your medications meet the doughnut hole
      • Easy alternative to high cost medications

 

The eligibility criteria for patient assistance programs varies significantly from company to company, and may even vary by medicines within a company's program. Several factors are looked at, including but not limited to: household income, household prescription expense, prescription drug insurance coverage, and significant changes in circumstance such as unemployment. There are generally no age limitations.

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