| Program Name | Patient Access Network Foundation |
| Program Address | P.O. Box 221858 Charlotte, NC 28222 |
| Phone Number |
866-316-7263 |
| Fax Number | 866-316-7261 |
| contact@PANfoundation.org | |
| Diseases | Acromegaly, Age Related Macular Degeneration, Ankylosing Spondylitis, Breast Cancer, Chronic Lymphocytic Leukemia (CLL), Colorectal Cancer, Crohn's Disease, Cutaneous T-Cell Lymphoma, Cystic Fibrosis, Cytomegalovirus (CMV) Prevention and Treatment, Gaucher Disease, Growth Hormone Deficiency, Hepatitis B or C, Kidney Transplant Immunosuppressant, Lung Cancer (non-small cell), Multiple Myeloma, Multiple Sclerosis, Myelodysplastic Syndrome, Non-Hodgkin's Lymphoma, Non-Small Cell Lung Cancer, Pancreatic Cancer, Plaque Psoriasis, Prostate Cancer, Renal Cell Carcinoma, Rheumatoid Arthritis, Respiratory Syncytial Virus |
| Services Provided | Insurance Copays, Insurance Payments |
| Details | Program helps insured patients pay for out-of-pocket medical costs (copayments, coinsurance and deductibles) for 22 specific cancer-related and chronic diseases. Requirements vary by disease, but eligible patients may qualify for between $1850 and $8500 per year in copayment assistance. |
| Eligibility Guidelines | Individuals must be US residents and have been diagnosed with a disease for which PAN has a fund. The medication for which applicants are seeking assistance must fight the disease directly. Applicant must be insured and the insurance has to cover the medication for which they are seeking assistance. Copay or coinsurance must be $600 or more annually for the medications for which applicant is seeking assistance. Applicant's income must be below a designated percentage of the Federal Poverty Level, depending on individual fund requirements. |
| How To Apply | Begin the application prescreening on-line at www.PANfoundation.org or call toll-free: 866-316-7263. |
| Area of Service | National | Web Site | Go to Website |
| Languages | English |
| Last Updated | July 08, 2010 |
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