Insurance denials can be frustrating and financially devastating to families. As a member of MAGIC you can receive FREE help from our in-house expert to file your external insurance appeal. If you need help with your external insurance appeal, which means you have exhausted all of your internal appeals, consider Joining MAGIC to utilize this free service for members. If you are already a member, simply log in above and click the Insurance Appeals link on the member home page.
Here are answers to some FAQ:
Q. I am so confused and just do not understand my prescription drug benefits.
A. Navigating your prescription drug benefits can be confusing! Are you looking to better understand how prescription drug benefits work? If so, click here for a complimentary guide that should answer all your questions.
Q. What do I do if my Prior Authorization has been denied?
A. Consult your doctor as soon as possible and they will file the necessary paperwork.
Q. How do I get interim medication?
A. You should be assigned a caseworker from the manufacturer of the chosen medication to aid you and the physician in this process. Make sure the physician is aware you wish to receive medication while beginning the appeal process so that all forms are filled out correctly.
Q. Is there any help with co pay assistance?
A. Please see the list of foundations below.
Q. How does the appeal process work?
A. Click here for a complimentary guide that should answer all your questions.
Q. Does my insurance cover growth hormone?
A. In the "Medical Policy" section of your insurance packet it should describe what types of growth hormones are covers and for which diagnoses.
Q. What criteria/testing does the insurance need for approval?
A. You or your Endocrinologist can find this out by speaking with your insurance company.
Q. Where can I go for help with the external appeal?
A. The MAGIC Foundation has a fantastic program to help guide you through the steps in the External Appeal Process. This is usually the final step in the appeal process. This appeal is usually done with the state or outside third party. The doctor usually will not help with this step as it is very time consuming. The MAGIC Foundation is a great resource to aid you in hopefully reversing the denial!
Pharmaceutical Patient Assistance Programs
The MAGIC Foundation is providing the list below of programs available through various pharmaceutical companies as well as foundations which are dedicated to helping with patient assistance. If you find a resource not listed please email us so that we may include that information.
Patient Assistance Foundations
The MAGIC Foundation is providing the following referrals that may assist with funding. If you come across a resource to include, or find information which we need to update on our list, please email us.