Venofer® (iron sucrose injection, USP) Patient Reimbursement Guide
Introduction
Understanding today’s complex world of reimbursement in medicine takes a good sense of direction. Daily changes in payment policy, the changing role of government, and multiple treatment options may make it difficult for your doctor and healthcare team to stay informed on current issues in healthcare reimbursement.
This Web page provides general coverage and reimbursement information to help you understand the policies of the Medicare program as well as those of other insurers who might pay for Venofer® treatment. In addition, the American Regent Venofer® Reimbursement Hotline is available to provide expert assistance to your doctor and healthcare team with all types of insurance claims, including Medicare. Your doctor can reach this service by calling 800-282-7712 between 9:00 AM and 5:00 PM, Monday through Friday, eastern time.
Coverage for Venofer®
Medicare covers Venofer® if you are a Medicare-eligible beneficiary who meets medical necessity requirements that are established for Venofer®. Remember, Medicare expenses are subject to Medicare premium, deductible, and coinsurance requirements.
Medicaid and private insurers, may also cover Venofer®. Medicaid policies can vary depending upon the state of your residence. Coverage policies can vary considerably from one insurer to another and from patient to patient based on specific policy benefits. Some insurers may not have a formal coverage policy for Venofer®.
Disclaimer: This Web page is not intended to provide legal, medical, or other professional advice. American Regent, Inc., makes no representations or guarantees regarding the completeness or accuracy of the information presented here and has no obligation to update the information to reflect changes in laws that may affect reimbursement for Venofer®. For assistance with legal or medical issues, you are urged to consult a qualified professional.
Venofer® Patient Assistance Program For Non-Dialysis Patients
A program for patients who lack insurance coverage
Program Overview
American Regent, Inc., created the Venofer® (iron sucrose injection, USP) Patient Assistance Program to help improve access to Venofer® for patients who lack health insurance and cannot afford therapy.
If you are eligible, American Regent will replace the Venofer® provided free of charge to your healthcare provider while you are enrolled in the program.
American Regent reserves the right to modify or cancel the program with respect to any patient, or in its entirety, at any time.
Program Eligibility
To be eligible for the program, you must completely lack health insurance and be ineligible for public insurance or financing. You also must be a US citizen, legal entrant in the United States, or permanent resident. Proof of citizenship also may be required. You also must meet income and other criteria established by American Regent.
How to Apply
Your doctor may apply to the program on your behalf by following these steps.
Step 1: Doctor/Provider submits patient application.
A hospital, physician, or infusion center may apply to the program on your behalf by submitting a patient application, which is used to determine your eligibility. A link to a copy of this form is provided below. You may print out the form and give it to your doctor/provider; you may not submit it yourself.
- Patient Assistance Program Application (requires Adobe® Reader®)
Your healthcare provider may also contact the program at 800-282-7712 to apply by telephone. Note: All release of information is subject to your authorization and consent.
Step 2: You and the doctor/provider are notified of enrollment status.
You and your doctor/healthcare provider will receive notification by mail of your enrollment or denial. If approved, you are eligible for American Regent to replace the Venofer that your healthcare provider gave you during the enrollment period.
Step 3: Doctor/Provider requests replacement Venofer®.
If you are approved, a product replacement request is submitted. This form documents the amount of Venofer® (iron sucrose injection, USP) provided to you free of charge and must be signed by your doctor. A link to a copy of this form is provided below for you to give your doctor/provider.
- Patient Assistance Program Product Request (requires Adobe® Reader®)
Step 4: Doctor/Provider reapplies if continued assistance is required.
Your doctor/healthcare provider may reapply on your behalf by completing a new patient application or by calling the program at the end of your enrollment period. The initial enrollment period is usually for one year. For additional information on the program you or your healthcare provider can call 1-800-282-7712 between 9:00AM and 5:00PM, Monday through Friday, Eastern time.
Adobe Reader is a registered trademark of Adobe Systems Incorporated.
