Eligible patients with commercial insurance may pay as little as a $0 copay for each EYLEA treatment with the EYLEA Copay Card. Subject to annual assistance limit.†
$0 copay; 15% off balance over $130 allowance: Up to $104: Contacts – Disposable: $0 copay; plus balance over $130 allowance: Up to $104: Contacts - Medically Necessary: $0 copay. Eligible patients with private insurance may pay $0 per month Novartis will pay the remaining co-pay, up to $15,000 per calendar year, per product. To find out if you are eligible for the Novartis Oncology Universal Co-pay Program, call 1‑877‑577‑7756 or visit Copay.NovartisOncology.com.
THE EYLEA COPAY CARD PROGRAM
Patients diagnosed with Wet Age-related Macular Degeneration (Wet AMD), Diabetic Macular Edema (DME), Diabetic Retinopathy (DR), or Macular Edema following Retinal Vein Occlusion (MEfRVO) who have private insurance may qualify for copay assistance:
$0 copay for virtual visits, including UPMC AnywhereCare Now through May 20, we are waiving all member cost sharing for virtual health care visits with our network providers. We cover a variety of services via telehealth, including video office visits, telephone visits and check-ins, behavioral health, substance abuse treatment, physical therapy, speech therapy, and more. Zero dollar copay means there is no costs to you for that specific product or service provided. For instance, if a prescription drug plan offers 'zero dollar copays for generics' then any generic.
- Your insurance covers EYLEA
- You have a copay for EYLEA
- You’re a resident of the USA or its territories or possesions
Apply by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) and press Option 4. Hours: Mon-Fri 9 a.m. – 8 p.m. Eastern Time.
Other assistance options
If you have government insurance (like Medicare), are uninsured, or if your health plan doesn’t cover EYLEA, there are still financial assistance options available for eligible patients.
Alternate Coverage Referral‡ may be an option if you have government insurance. The Patient Assistance Program may help eligible patients get EYLEA free of charge if you are uninsured or if your health plan doesn’t cover EYLEA.
Additional assistance options‡Regeneron does not influence or control the operations of independent charitable foundations and cannot guarantee assistance will be provided.
How does the EYLEA Copay Card Program work?
Here’s an example: You have commercial health coverage, and pay $490 in out-of-pocket copay/coinsurance for each EYLEA treatment. If you enroll in the EYLEA Copay Card Program, the program would cover the $490 if you have not exceeded the $15,000 per-year limit. You would be responsible for any additional copay costs that exceed the program assistance limit.
‡The EYLEA Copay Card Program covers up to $15,000 in assistance per year toward product-specific copay, coinsurance, and insurance deductibles for EYLEA treatments. You pay as little as a $0 copay of each treatment and any additional copay costs that exceed the program limits.
EYLEA4U Offers Live Support.
EYLEA4U® Support Specialists are here to listen to your story and answer your questions. These Specialists can help by:
- Determining the support program that may be right for you
- Providing information about your health plan
- Working with your doctor’s office and health plan to help determine your coverage
Receive support by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) Monday through Friday 9 AM to 8 PM Eastern Time. Press 2 for Medical Information questions, 3 to report an adverse event, 4 for patient assistance programs, or 6 if you need help getting to and from your eye appointments.
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Last Updated : 10/31/20193 min read
If you’re doing some research about Medicare Advantage plans, you might have discovered some $0-premium Medicare Advantage plans. But just because a Medicare Advantage plan has a zero premium doesn’t mean the plan covers all your health-care costs.
Find affordable Medicare plans in your area
What are $0-premium Medicare Advantage plans?
No matter whether they have a $0 premium or not, Medicare Advantage plans give you an opportunity to receive your Medicare benefits through a private insurance company contracted with Medicare.
What Is $0 Copay
Under the Medicare Advantage (also called Medicare Part C) program, plans must offer the same benefits as Original Medicare, Part A and Part B, but if you need hospice benefits, they’d come directly through Medicare Part A instead of through the plan.
What out-of-pocket costs might $0-premium Medicare Advantage plans have?
Medicare Advantage plans (whether $0-premium or not) typically come with certain out-of-pocket costs, just as most health insurance does. These expenses may include copayments, coinsurance, and deductibles.
- A deductible is the amount you have to pay before your Medicare Advantage plan pays its share of covered services. Not every plan might have a deductible amount, and they may vary among plans.
- A copayment is generally a set dollar amount you may have to pay for a covered service (for example, $15).
- A coinsurance amount is a percentage of the total cost that you may have to pay for a covered service (for example, 20%).
Insurance companies offering Medicare Advantage plans have some flexibility in setting their rates. Plan premiums, deductibles, coinsurance amounts, and copayments may vary among plans.
Another cost-related item to consider is the plan’s maximum out-of-pocket amount. Every Medicare Advantage plan, including $0-premium plans, has an out-of-pocket maximum that can vary among plans and might change year to year. This amount is the total cost you have to pay for Medicare-covered services. Once you have spent a certain amount on these services in one calendar year, you won’t have to pay any more for covered services that year.
So, before you decide to enroll in a $0-premium Medicare Advantage plan, you might want to look at these other costs. It may be a good idea to compare all costs among plans when you’re looking at Medicare Advantage plans.
Is $0 Copay Good
What else do I need to know about $0-premium Medicare Advantage plans?
Average Medicare Advantage premiums dropped 33 percent year over year in 2019, according to eHealth research. The popularity of $0-premium plans contributed to the low average premiums.
Medicare Part D plans are not available with $0-premiums.
Whether or not it’s a $0-premium Medicare Advantage plan that you sign up for, you still need to continue paying your Medicare Part B premium, in addition to any premium your plan may charge. You’re still in the Medicare program even when you receive your benefits through a Medicare Advantage plan.
0 Copay Insurance
As you can see, the cost of a Medicare Advantage plan’s premium isn’t all there is to choosing which Medicare Advantage plan may be right for you. It could be a $0-premium Medicare Advantage plan, or a different plan that might suit your needs. Would you like help comparing $0-premium Medicare Advantage plans and other Medicare health plans? Just enter your ZIP code on this page.