Quiz 5
Understanding Copay Assistance
Welcome to the Copay Assistance Quiz! This quiz is designed to help you understand the essential aspects of copay assistance programs and their impact on eligible patients. By answering a series of questions, you will enhance your knowledge about patient qualifications, documentation requirements, and more.
Key topics include:
- Goals of copay assistance
- Evaluation process for financial assistance
- Document requirements for assistance programs
What is the goal of Copay Assistance?
Higher Out-of-Pocket costs for Eligible Patients
Lower Out-of-Pocket costs for Eligible Patients
Aid Government Insurance Patients
Lower patients deductibles
When does the CM evaluate the patient for copay assistance?
During the PA Process
During the Patient Intake
During the Appeal Process
During the BI Process
Please indicate the patient qualifications for copay assistance
Citizen or Resident of the US/Puerto Rico
Prescribed Tepro
Government Insured
Off-Label
On-label
Commercially Insured
What document(s) do we need in order to load the Declining Balance Card? (select all that could apply)
Receipts
EOB
Summary of Benefits
Documents Approved by Horizon
Note from the Patient
ACM contacts the patient to screen for financial assistance options.
True
False
What Free Drug products does Tepro utilize? (Select all that apply)
Travel Assistance
Quick Start
PAP
Bridge
Off Label is considered using a drug in the way described on the FDA-approved label
True
False
If the patient has no insurance or is underinsured by program guidelines, the patient will receive what?
A PAP request form?
A Bridge?
Who approves PAPs and Bridges?
AllCare - Director of Patient Support Services
Horizon - Director of HUB Services
Horizon - Case Managers
AllCare - Care Managers
If patient has government insurance, what "patient assistance" are they eligible for?
Copay
Travel
PAP
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