(click on links for more information)
1. Affordable Medications
PhRMA’s Medicine Assistance Tool (MAT) is a search engine designed to help patients, caregivers and health care providers learn more about the resources available through the various biopharmaceutical industry programs. MAT is not its own patient assistance program, but rather a search engine for many of the patient assistance resources that the biopharmaceutical industry offers.
2. Agency for Health Care Administration: Changes to Medicaid
The AHCA made the following announcement related to COVID-19 changes. A letter granting an 1135 waiver submitted by Florida can be found here.
Prior Authorization Suspended: Applicable to medically necessary services: hospital, physician, APRN, Physician Assistant, home health, durable medical equipment and supplies
Limits on Services Waived: Applies to limits on early prescription refills for maintenance medications (except controlled substances). Patients diagnosed with COVID-19 will also have no limits on duration, frequency, and scope of services
Co-payments: All co-payment requirements are waived for all services
Provider Enrollment: All medically necessary services for patients diagnoses with COVID-19 will be reimbursed, regardless of where provider is located
3. Applying for Assistance
4. Access to Health Care/Health Plans
Aetna-(until 6/4/20) Zero co-pay telemedicine visits –for any reason.
AvMed-(3/17/20) Free diagnostic COVID testing, free home delivery of prescriptions; and early refill capability of maintenance medications.
Bright Health-(3/17/20) -Early medication refills, expanded coverage for COVID health care, more transportation coverage.
Capital Health Plan -(3/17/20) -Earlier medication refills. Telehealth not covered for all plans.
Cigna-(3/17/20) -Telehealth coverage flexibility for customers with immunosuppression, chronic conditions or who are experiencing transportation challenges to be treated virtually by in-network physicians; free home delivery of up to 90-day supplies for Rx maintenance medications.
Compass Rose Benefits -(3/17/20) -Free telemedicine services through Doctor on Demand and through an in-network primary care provider if offered.
Florida Blue -(3/9/20) -Early medication refills, flexibility with formulary.
Health First Health Plans -3/10/20 -will temporarily reduce out-of-network cost-sharing to in-network-cost sharing amounts, where applicable, and will permit Medicare Parts A, B and supplemental Part C benefits to be provided at facilities that are not contracted with Health First.
Humana-3/17 -urgent care telemedicine covered, early prescription refills. additional FAQ page here.
United Healthcare -3/17 -Early prescription refills
This resource is provided for information purposes only and does not guarantee that coverage will result. Included information is subject to change at any moment without notice. Please confirm coverage details with your provider and/or physician. This resource is not intended as legal advice or as a substitute for a provider’s independent professional judgment.