Financial Assistance

Appeals

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.

 

Drug Name Patient Program Name Manufacturer Patient Assistance Contact Info
Genotropin Bridge Program ® Pfizer http://www.genotropin.com/pfizer-bridge-program
800-645-1280
Humatrope DirectConnect Eli Lilly http://www.humatrope.com/patient-support-program.html
84 Humatrope (844-862-8767)
Increlex Ipsen Cares Ipsen http://www.increlex.com/patient-learn-about-ipsen-cares.asp
866-435-5677
Lupron Depot-Ped Patient Assistance Foundation AbbVie https://www.lupronped.com/support-savings/
800-222-6885
Norditropin Nordicare® Novo Nordisk http://www.novonordisk-us.com/patients/patient-assistance-programs/nordiCare.html
888-NOVO-444
Nutropin Growing Patient Support (GPS) ™ Genentech http://www.nutropin.com/nutropin-patient-access-support#
866-NUTROPIN (866-688-7674)
Omnitrope OmniSource ® Sandoz http://www.omnitrope.com/patient-support/index.shtml
877-456-6794
Saizen Connections for Growth® EMD Serono http://www.saizenus.com/getting-help/patient-support-services/
800-582-7989
Strensiq One Source™ Alexion Pharmeuticals http://www.strensiq.com/support/treatment-support
888-765-4747
SUPPRELIN® LA SHARES Program Endo Pharmaceuticals http://www.supprelinla.com/support-center-and-savings.aspx
855-270-0123
Zomacton ZoGo Support Program Ferring Pharmaceuticals http://www.zomacton.com/
844-944-ZOGO (9646)

 

 

 

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.

Patient Assistance Programs Website
Good Day Fund www.mygooddays.org
The HealthWell Foundation www.healthwellfoundation.org
NORD (National Organization for Rare Disorders) rarediseases.org
Partnership for Prescription Assistance www.pparx.org
The Ray Tye Medical Aid Foundation rtmaf.org
The Patient Access Network (PAN) panfoundation.org
United Healthcare Children's Foundation www.uhccf.org
Kroger Specialty Pharmacy www.krogerspecialtypharmacy.com/patients/copay-assistance
Needy Meds www.needymeds.org/
Patient Services, Inc. www.patientservicesinc.org/
UIC Specialized Care for Children (IL residents only) dscc.uic.edu/


 

 

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