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7. AmeriPlan® Prescription Advocacy Program


AmeriPlan® Prescription Advocacy Program

Nobody should have to choose between buying

groceries and paying for their medications.

We can help.

For a printable version of this program click
here.

If you would like to have someone contact you click
here
.

Are
prescription drugs costing you more than $90 a month? AmeriPlan® may be able to help!

AmeriPlan® now offers, to its members who qualify,
the AmeriPlan® Prescription Advocacy Program (APAP). APAP provides an
easy, affordable way to obtain costly prescription medications. We offer
a low-cost, worry-free, full-service prescription assistance program
designed to utilize Patient Assistance Programs (P.A.P.s) currently
offered by pharmaceutical companies that provide medications to eligible
individuals.

Traditionally, participation in a P.A.P. requires a
lengthy qualification, application and approval process for the patient
for each medication. Now, with the AmeriPlan® Prescription Advocacy
Program, we do all the legwork for you, allowing you to receive your
medications at substantial savings ~ worry-free!

To get started, just verify your eligibility, then
fill out and send in the attached APAP Member Application including your
one-time enrollment fee and first month’s service fee, a total of $107.
You will be charged $82 monthly thereafter to participate in the
program. You may cancel at any time.

What services does APAP
provide its Members?

  • Determines initial eligibility
  • Gathers all necessary documentation (authorization forms, proof of
    income, etc.)
  • Sends proper forms to prescribing physician for signature and
    additional information.
  • Submits applications to appropriate Patient Assistance Programs.
  • Automatically handles refills or renewals to continue your ongoing
    supply of medication.
  • Medications come in 90-day supplies, and usually ship in 6-8
    weeks.

Affordable, name-brand medications

are just 3 steps away!

STEP
1:
APAP ANNUAL INCOME QUALIFICATIONS
Use this chart to determine the income
eligibility of yourself and/or your family.

PERSONS IN FAMILY/HOUSEHOLD   MAXIMUM INCOME
1 (Single)   $20,420
2 persons   $27,380
3 persons   $34,340
4 persons   $41,300
5 persons   $48,260
6 persons   $55,220
7 persons   $62,180
8 persons   $69,140
STEP 2: RX COVERAGE STATUS

  • No Rx coverage from an insurance policy or government assistance
    program (e.g. Medicaid, V.A., state assistance, etc.)

  • Rx benefit has been exhausted

  • Prescribed medication is specifically not covered under Rx
    formulary

STEP 3:

MONTHLY FEES

ONE-TIME Sign-Up Fee   $25.00*
Monthly Service Fee   $82.00*

*$25 Sign-Up fee and first month’s service fee due upon
Sign-Up ($107.00) APAP Applicants must be AmeriPlan® Members to receive
the discounted $82 per month service fee.

Name-Brand Medications,
Substantial Savings
EXAMPLES OF SAVINGS EXPERIENCED BY APAP CLIENTS
CLIENT
EXAMPLE #1

MEDICATION   DOSAGE/QUANTITY   RETAIL   APAP
Advair®   250/50mcg/1 disc   $183   $0
Lipitor®   10 mg/30 tablets   $83   $0
Plavix®   75 mg/30 tablets   $131   $0
Nexium®   40 mg/30 tablets   $146   $0
Singulair®   10 mg/30 tablets   $103   $0
Zoloft®   25 mg/30 tablets   $86   $0
Monthly fee   $0   $82
TOTAL COST PER MONTH   $732   $82
CLIENT #1 REDUCED HIS TOTAL MONTHLY COST
BY OVER 80%, SAVING HIM $650 PER MONTH. WITH APAP, HE WILL SAVE
OVER $7,800 PER YEAR!

CLIENT EXAMPLE #2

MEDICATION   DOSAGE/QUANTITY   RETAIL   APAP
Actos®   30 mg/30 tablets   $186   $0
Celebrex®   200 mg/30 tablets   $190   $0
Monthly fee   $0   $82
TOTAL COST PER MONTH   $376   $82
CLIENT #2 REDUCED HER TOTAL MONTHLY COST
BY OVER 78%, SAVING HER $294 PER MONTH. WITH APAP, SHE WILL SAVE
OVER $3,500 PER YEAR!

For a printable version of this program click
here.
If you would like to have someone contact you
about the Rx Advocacy Program
click
here
.

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