Financial Assistance Program for All Qualifying Patients
JETREA CARE® can investigate if your patient qualifies for one of these 3 programs to help with their out-of-pocket financial responsibility.
|For patients insured through commercial insurance plans*||Covers JETREA® out-of-pocket costs in excess of $25, including co-pay or co-insurance, and/or deductible†|
|Referral to independent nonprofit co-pay foundations||For patients insured through government sponsored programs
(ie, Medicare, Medicaid, TRICARE, VA, and Federal Employee Health
|Offers co-pay assistance
|JETREA CARE® Patient Assistance Program||For uninsured patients§||Provides JETREA at no cost∥|
†JETREA CARE® CO-PAY ASSISTANCE PROGRAM does not apply to patient financial responsibility for the injection procedure. Co-pay assistance is capped at $2,000. Patients with any remaining balance will be referred to a nonprofit foundation.
‡Independent nonprofit foundations provide assistance regardless of the choice of medicine, and decisions are based on financial need and according to criteria established by individual foundations. JETREA CARE® can assist patients by referring them to these independent nonprofit foundations. Neither ThromboGenics® nor JETREA CARE® can guarantee that patients will be eligible for or receive co-pay assistance after referral. Neither ThromboGenics® nor JETREA CARE® have controlling or managerial influence on these independent nonprofit foundations.
§Eligibility is based on limited income requirements, with the annual household adjusted gross income of up to $100,000.
∥JETREA CARE® Patient Assistance Program does not apply to patient financial responsibility for the injection procedure, only the drug is provided at no cost.