Hi Tom, I'm Dr. Evans. Unfortunately, it appears that you have the autoimmune disease, Lupus. Luckily, it is treatable, and we'll work with you to keep you happy and healthy.
Yes! We can do you one better and auto-enroll you in our new Accumulator Policy Program to help keep the medication affordable and you healthy!
Hi! I'm calling to inform you that I was recently diagnosed with Lupus. This is covered by my insurance, right?
Alright Tom - luckily, with your health insurance and a pharmaceutical co-pay, your deductible and out-of-pocket maximum shouldn't be too high. This medication is vital for your health and comfort, so make sure you take it daily.
Burden of payment
Tom's expectation with his new accumulator policy designed to "help" him afford his life-saving medicine
PharmaceuticalAssistance
Insurer
PharmaceuticalAssistance
Burden of payment
Tom's reality with his new accumulator policy designed to "help" him afford his life-saving medicine
Insurer
Two Months Later
Listen Tom, I don't know what to tell you- this is the policy you signed up for... we do accept the co-pay, but you aren't the one paying it so it doesn't count as if you were.
You said that my meds were covered by insurance... what about the Accumulator Policy Program that was supposed to help me?? Why am I paying more now than ever?? Why doesn't the pharmaceutical co-pay count towards my deductible or out-of-pocket maximum?? I can barely afford my rent!!
Six Months Later
Tom's vitals havesubstantially worsened. He must not have been taking his medication for a couple of months now.
Sorry, Tom - that's just how life works. We really struck gold with this new Accumulator Policy Program... I'll be able to retire by 50 at this rate!
TOM1991-2023
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