More than 90% of Medicare fee-for-service (FFS) patients receiving PROVENGE are expected to have minimal to no out-of-pocket costs*
There are many types of insurance, so be sure to speak with your doctor’s office to help you throughout the financial process. You can also get more information about your coverage, as well as whether you are eligible for additional financial support during treatment with PROVENGE, by calling 1-877-336-3736.
*Data from Dendreon ON Call benefit verifications from Q1 2013 to Q4 2013. These data represent the distribution of patient out-of-pocket costs, per infusion, and do not include patient assistance funding. Your insurance coverage will be dependent upon several factors such as where you live and your health plan’s insurance benefit design. Please contact 1-877-336-3736 or your plan administrator for more information.
Dendreon ON Call is committed to supporting you
Eligibility is determined by Dendreon
- Refers Medicare patients to the appropriate independent foundation that may provide financial assistance for co-pays, co-insurance, and deductible costs*
– Eligibility is determined by the individual foundation
- Commercially insured patients may be eligible to access PROvide™, which provides coverage of up to $6,000 for PROVENGE treatments†
|| Support for uninsured or rendered uninsured patients‡
Eligibility criteria are determined by Dendreon
PROVENGE is provided free of cost to eligible uninsured patients and those eligible patients who have become uninsured due to a final payer claim denial.§
- Adjusted gross income of $150K a year or less
- Age 18 or older
- US resident
- On-label prescription
||Travel cost assistance
- If you need financial assistance with treatment-related costs, a case manager can refer you to independent resources to determine if you are eligible for help with these costs*
*Co-pay and travel assistance foundations provide assistance regardless of the choice of medicine, and decisions are based on financial need and according to criteria established by the individual foundations. Dendreon ON Call can assist patients by referring them to these independent organizations. Dendreon cannot guarantee that patients will be eligible for or receive assistance after referral. Dendreon does not have control or managerial influence over these independent organizations.
†The PROvide Commercial Co-pay Program provides flexible coverage of up to $6,000 over 3 PROVENGE treatments for co-pays, co-insurance, and deductible costs. Eligibility criteria can be changed or program can be discontinued at any time at the sole discretion of Dendreon. Patients with government-funded insurance including Medicare, Medicare Part D, Medicaid, or TriCare are not eligible for the PROvide Program. Additional terms and conditions apply.
‡ Contact Dendreon ON Call at 1-877-336-3736 for eligibility criteria. Uninsured patient assistance program eligibility criteria can be changed or program can be discontinued at any time at the sole discretion of Dendreon.
§ In the event an eligible patient’s claim for coverage for PROVENGE is denied by his payer after all appeals, the cost of the drug may be covered by Dendreon’s patient assistance program.
For more information, please call 1-877-336-3736.
Dendreon ON Call is available to answer questions about PROVENGE treatment and pre-verify your insurance benefits as it relates to PROVENGE. For more information, healthcare providers and patients may contact Dendreon ON Call at 1.877.336.3736, Monday through Friday from 8 a.m. to 8 p.m. ET.
To learn more about PROVENGE, visit www.provenge.com.