THE SUPPORT YOU NEED TO START YOUR TREATMENT

Patient Connect is here to help you get the medication prescribed by your doctor and help make it more affordable, if you qualify. Just call us on our toll-free number: 1-855-299-8844 and one of our dedicated associates will walk you through the enrollment process.

Once you complete the form, we’ll determine your eligibility. Then if you qualify, you’ll have access to various services offered by EUSA Pharma.

WHAT CAN PATIENT CONNECT DO FOR YOU?

If you have been prescribed a EUSA Pharma treatment and have enrolled with Patient Connect, our experts can help you take the next steps. Here are some of the services we offer:

GENERAL INQUIRIES Directing you to the right people to help you get answers.

PATIENT ADHERENCE SUPPORT Helping you set up reminders about your upcoming appointments so you don't miss scheduled treatments.

NAVIGATING THE INSURANCE PROCESS Working with your healthcare team and insurance company to help you get coverage.

Benefit Investigation

Prior Authorization

Appeals Support

TREATMENT NOT FULLY COVERED?

Patient Connect provides additional support to help you get financial aid to cover the medication you need

PATIENT CONNECT CO-PAY PROGRAM

EUSA Patient Connect Co-pay benefits are available to individuals who are currently using private or commercial insurance to cover a portion of their medication costs for their prescribed EUSA Pharma medication.

There are no income requirements to sign up for this program

This program is not available to individuals who use any state or federal government-subsidized healthcare program to cover a portion of medication costs, such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration

Patients must confirm that they will not seek reimbursement from any of the above-mentioned programs or from pharmaceutical patient assistance foundations and accounts such as a Flexible Spending Account (FSA), Health Savings Account (HSA), or Health Reimbursement Account (HRA)

$5

ELIGIBLE PATIENTS PAY $5 PER INFUSION

$26,000 maximum program benefit per calendar year.

Independent co-pay assistance foundations have their own rules for eligibility. We have no control over these independent foundations and can only refer patients to a foundation that supports their disease state. We do not endorse any particular foundation.

PATIENT CONNECT PATIENT ASSISTANCE PROGRAM

EUSA Patient Connect Patient Assistance Program (PAP) provides medication at no cost to eligible patients. In order to qualify for Patient Connect PAP, you must meet certain financial and insurance eligibility criteria:

You have tried applying for the following financial programs that help patients, but were denied:

  • The Co-pay Program for eligible commercially insured patients
  • Assistance from third-party charitable foundations to help cover deductibles, coinsurance, and co-pays for eligible government-insured patients­—or there have been no foundations with applicable funds accepting applications

Have Medicare and applied for Medicare Extra Help (low-income subsidy) to support your Medicare Part D prescription drug coverage premium, but were denied the assistance of Medicaid, TRICARE, Department of Defense, or Veterans Administration

THE EUSA PHARMA DISTRIBUTION NETWORK

Our distribution centers are strategically located across America so that we can deliver medications to any city within 24 hours.

NEED HELP? WE’RE JUST A CALL AWAY

If you have been prescribed a EUSA Pharma medication by your doctor and don’t know where to start, Patient Connect can be a great place to begin. Our experts can help you navigate access to your treatment and help evaluate financial aid options if your insurance does not provide coverage. Just call us on our toll-free number:

MORE WAYS TO GET IN TOUCH WITH US

Phone: 1-855-299-8844 / Fax: 1-888-223-1746

EUSA Patient Connect / 6931 Arlington Road, Suite 308 / Bethesda, MD 20814

Patients should always speak with their healthcare team about their medication.