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Idaho Department Of Insurance Cannot Predict Ongoing Cost Of Health Exchange
Nov 2011 – The Idaho Reporter (11/18, Hurst) reports that at yesterday's "meeting of the Idaho Health Care Task Force...Idaho Department of Insurance Director Bill Deal told lawmakers that he doesn't know how much it will cost to run a state-based insurance exchange.
Healthcare Reform – Individual Mandate Health Insurance
July 2010 – Effective January 1st, 2014, "applicable individuals" will be required to maintain "minimum essential coverage" for themselves and their dependents. "Applicable individuals" who fail to maintain "minimum essential coverage" will be required to pay a "penalty" on their tax return.
NIHN Prescription Assistance Program
October 2009 – Working to optimize health and promoting solutions designed to achieve high quality, cost-effective health care, North Idaho Health Network is partnering with MEDPro ( a corporate affiliate of Design Benefits) to add a Prescription Assistance Program to the services they offer their 270 member physicians and five member hospitals in the five Northern Counties of Idaho.
About the Program
Access the Prescription Assistance Program Application 
Design Benefits has added to their portfolio of health care related services by offering a prescription assistance program. This program is available nationwide to individuals and their families who need maintenance medications but are unable to afford them.
The Design Benefits MedPro program is committed to assuring that our clients have access to medications from the Prescription Assistance Programs (PAPs). Their foundation for delivering exceptional customer service is based on integrity and commitment to performance thus providing a superior standard of processing and administrative services.
Prescription Assistance Programs (PAPs) provide free or low cost prescription medicine to people who are uninsured or under-insured and meet income guidelines. (“Under insured” can mean your specific prescription medication may not be covered under your drug plan).
"The MedPro professionals have a comprehensive understanding and database of Pharmaceutical Company Prescription Assistance Programs. This allows them to provide efficient service and a streamlined application process."
Prescription Assistance Programs (PAPs) are sponsored by the pharmaceutical companies who manufacture the medicine and are not to be confused with prescription discount services such as Together Rx Access.
In circumstances where medications are not offered by Prescription Assistance Programs (PAPs), MedPro takes the extra step to conduct special inquires to seek additional avenues to help provide access to needed medications.
For individuals and families who do not meet the Patience Assistance Programs’ eligibility requirements and income guidelines yet experience financial hardship in paying for their medications, MedPro will assist them in seeking other ways to obtain the medications they need at favorable rates.
Many companies and organizations tout their services for access to the Prescription Assistance Programs (PAPs), however what individuals actually receive is an application for a PAP but no assistance in the application process. Nor do these companies and organizations provide the advocate services necessary that are a requirement of some PAPs before an individual is able to access medication.
There are more than 475 Patient Assistance Programs (PAPs). Each pharmaceutical company’s sponsored program has it own eligibility guidelines and required documentation. These Prescription Assistance Programs (PAPs) change frequently - drugs are added to or deleted from the programs; eligibility requirements change; and application forms are revised. (Use of outdated application forms are a frequent cause of automatic rejection by a PAP)
An application is required for each medication (and every refill) on the Patient Assistance Programs (PAPs). For individuals, many taking an average of four medications, this process is cumbersome, time consuming and daunting. As a result, only a small percentage of people are able to access medication from these programs on their own.
The MedPro professionals have a comprehensive understanding and database of Pharmaceutical Company Prescription Assistance Programs. This allows them to provide efficient service and a streamlined application process.
Through the Medication Access Evaluation Service, our MedPro professionals will:
- Conduct an initial evaluation of your particular situation
- Match your individual prescription(s) to the appropriate programs
- Review and verify the eligibility requirement for each program
- Inform you of your options and recommend the programs that meet your needs
- Provide an eligibility determination for Patience Assistance Programs
Once you are ready to apply for the Prescription Assistance Programs the MEDPro processing department will:
- Obtain the application forms and complete your application process
- Act as your advocate if required
- Become the communication link between you, your physician’s office and the Pharmaceutical Companies
- Order your refills as needed
- Notify you when it is time to renew your applications
- Answer your questions and make updates to your information
- Stay current on trends and changes in available programs and how they affect your situation
Access the Prescription Assistance Program Application
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Design Benefits is a leading, national employee benefits firm and a provider of Third Party Administration (TPA) services.
We offer healthcare, disability and life programs, prescription assistance programs, wellness, as well as Retirement Planning and Services. Through an advanced innovative web-based platform called Virtual Benefits Administration System (Vbas®) clients are offered a menu of services that help streamline the administration processes for efficient data management. We also offer the latest in online technology to help facilitate online benefit administration.
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