Patientadvocate.org

Health Insurance Matters

WebPatient Advocate Foundation. 421 Butler Farm Road. Hampton, VA 23666 US. (800) 532-5274. Back to top.

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URL: https://www.patientadvocate.org/explore-our-resources/understanding-health-insurance/health-insurance-matters/

Medication Patient Assistance Programs

WebIf approved, the program can help with your out-of-pocket costs including co-payments, co-insurance, and deductibles related to medication expenses. These programs typically …

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Education Resource Library

WebDonate. (800) 532-5274. Media Center. Facebook. Go to main site. Education Resource Library. Our library provides straightforward information in a variety of formats to help …

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Healthcare Reform

WebHealthcare reform is the term used when discussing major health policy creation or changes that ultimately affect a patient’s experience within the medical arena. In recent years this …

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Uninsured and Facing an Emergency

WebAn emergency is any situation that is: Severe or life-threatening. Causes serious impairment to your bodily functions or organs. Involves imminent childbirth for a pregnant woman. …

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STEP-BY-STEP GUIDE FOR CHOOSING A HEALTH PLAN

WebOPEN ENROLLMENT STEP-BY-STEP GUIDE FOR CHOOSING A HEALTH PLAN. 3. Doctor Considerations. Open enrollment is a good time to think about making changes to …

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Co-Pay Relief Program

WebCall Co-Pay Relief directly at 1-866-512-3861. Welcome to the Co-Pay Relief Program! Welcome to Co-Pay Relief! "We are indeed grateful for the PAF presenting and …

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Sample Appeal Letter for Pre-Authorization Denial

WebUse this sample appeal letter for guidance when your health insurance company has denied a test, medication, or service before you’ve had it.

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Making Sense of the Different Types of Plan Structures

WebConsider these major elements of each structure. Health Maintenance Organization (HMO) Plan – In this plan, your Primary Care Provider (PCP) is who you will need to reach out …

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Finding Care When Uninsured

WebContact your local Department of Health for more information. — Use free clinics or income-based sliding scale clinics for preventative, routine and primary care. — Search for a …

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Do I Qualify For Health Insurance

WebDepending on your income and household size, you may qualify for financial assistance and lower costs for your insurance purchased through the marketplace. Submit the …

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Five Things to Know Before Choosing Health Insurance

WebIf your medication coverage is of particular importance to you when choosing your health coverage plan, make sure you know these five key elements before you make your …

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Understanding Drug Tiers

WebDrug availability. Clinical effectiveness and connection to standard of care. and other cost factors, including delivery and storage. Tier 1. These drugs offer the lowest co-payment …

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The Language of Insurance

WebA Patient’s Healthcare Glossary. Illustrated in recent survey data, Patient Advocate Foundation has documented that for some of the most commonly used terms …

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PAF Case Management

WebPAF Case Management is free for patients and families living with a serious or chronic health condition. To get services, a patient must be in, just starting or just ending …

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Things to Include in Your Appeal Letter

WebPatient name, policy number, and policy holder name. Accurate contact information for patient and policy holder. Date of denial letter, specifics on what was denied, and cited …

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Where to Start if Insurance Has Denied Your Service and Will Not …

WebYour insurer must provide to you in writing: Information on your right to file an appeal. The specific reason your claim or coverage request was denied. Detailed instructions on …

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