HER2 Support Group Forums - View Single Post - Why is Genentech covering 80% cost of Herceptin?

01-12-2012, 05:37 PM

Below is further information about enrolling in Genentech's program to receive help with co-pays. I just enrolled, and it was very easy. Basically, if you go to the website (CoPayAssistanceNow.com) and you will find the form that you need to fill out and give your oncologist. (Very short form.) There is another form that the oncologist must fill out and fax to Genentech (also very short). Your date of enrollment is the date Genentech receives the form from your oncologist, although it will take some additional time for them to process the request. As mentioned above Genentech pays 80% of your Herceptin co-pays or deductibles up to $1,500 a year if your household income is above $100,000 and $4,000 if it is less.

From Genentech's website:

What is the Genentech BioOncology Co-pay Card?
Are you worried about how you are going to pay for your Herceptin® (trastuzumab) co-pays or out-of-pocket costs? We offer the Genentech BioOncology Co-pay Card to help you.
Have you told your doctor's office you are concerned about paying for your Herceptin co-pay? If you qualify for the card, you could have access to up to $1500 or $4000 per year to help. How much help you can get depends on your yearly income.
You can apply for the Genentech BioOncology Co-pay Card by:
Applying online at CoPayAssistanceNow.com
Calling 855-MYCOPAY
Contacting your specialty pharmacy (SP)
Contacting your doctor's office
If you get a Genentech BioOncology Co-pay Card, it may be used only to help with your co-pay for Herceptin. You can use the card for up to $4000 or $1500 per year. You should let your SP know if you get a Genentech BioOncology Co-pay Card.
If your yearly household income is more than $100,000, you could have access to up to $1500. If it is $100,000 or less and you need more help, you could get up to $4000. You will be asked whether you make more or less than $100,000. Please be sure to report this correctly. You may have to submit financial records later.
So how do you get started? You need to qualify. Here are the rules to get a card:
You have a health care plan not run by the government
You live in the United States or Puerto Rico
You are 18 years of age or older
You are NOT eligible for the Genentech BioOncology Co-pay Card if:
You have Medicare Part D, Medicaid, Medigap or TRICARE (or any other federal or state benefit program)
You do not have a health care plan
You live or receive treatment in Massachusetts or Vermont (because the states do not allow this plan)
You get help from the Genentech® Access to Care Foundation
To get started, you must first enroll by visiting CoPayAssistanceNow.com or calling 855-MYCOPAY. A Herceptin Access Solutions Specialist then helps you in the enrollment process. If you qualify for the card, you and your doctor's office are sent a welcome letter.
Once you are in the program, you pay only 20% of your co-pay. The program pays the other 80%. This goes up to a limit of $1500 or $4000 per year. Once the maximum amount is used up for the year, you pay any balance left over.
For example, if your Herceptin co-pay is $500 per month, you pay $100. After the amount on the co-pay card is used up, you must pay for any other costs during that year.
If you have questions, you can call 855-MYCOPAY.

01-12-2012, 05:37 PM	#13
Unregistered Guest Posts: n/a	Re: Why is Genentech covering 80% cost of Herceptin? Below is further information about enrolling in Genentech's program to receive help with co-pays. I just enrolled, and it was very easy. Basically, if you go to the website (CoPayAssistanceNow.com) and you will find the form that you need to fill out and give your oncologist. (Very short form.) There is another form that the oncologist must fill out and fax to Genentech (also very short). Your date of enrollment is the date Genentech receives the form from your oncologist, although it will take some additional time for them to process the request. As mentioned above Genentech pays 80% of your Herceptin co-pays or deductibles up to $1,500 a year if your household income is above $100,000 and $4,000 if it is less. From Genentech's website: What is the Genentech BioOncology Co-pay Card? Are you worried about how you are going to pay for your Herceptin® (trastuzumab) co-pays or out-of-pocket costs? We offer the Genentech BioOncology Co-pay Card to help you. Have you told your doctor's office you are concerned about paying for your Herceptin co-pay? If you qualify for the card, you could have access to up to $1500 or $4000 per year to help. How much help you can get depends on your yearly income. You can apply for the Genentech BioOncology Co-pay Card by: Applying online at CoPayAssistanceNow.com Calling 855-MYCOPAY Contacting your specialty pharmacy (SP) Contacting your doctor's office If you get a Genentech BioOncology Co-pay Card, it may be used only to help with your co-pay for Herceptin. You can use the card for up to $4000 or $1500 per year. You should let your SP know if you get a Genentech BioOncology Co-pay Card. If your yearly household income is more than $100,000, you could have access to up to $1500. If it is $100,000 or less and you need more help, you could get up to $4000. You will be asked whether you make more or less than $100,000. Please be sure to report this correctly. You may have to submit financial records later. So how do you get started? You need to qualify. Here are the rules to get a card: You have a health care plan not run by the government You live in the United States or Puerto Rico You are 18 years of age or older You are NOT eligible for the Genentech BioOncology Co-pay Card if: You have Medicare Part D, Medicaid, Medigap or TRICARE (or any other federal or state benefit program) You do not have a health care plan You live or receive treatment in Massachusetts or Vermont (because the states do not allow this plan) You get help from the Genentech® Access to Care Foundation To get started, you must first enroll by visiting CoPayAssistanceNow.com or calling 855-MYCOPAY. A Herceptin Access Solutions Specialist then helps you in the enrollment process. If you qualify for the card, you and your doctor's office are sent a welcome letter. Once you are in the program, you pay only 20% of your co-pay. The program pays the other 80%. This goes up to a limit of $1500 or $4000 per year. Once the maximum amount is used up for the year, you pay any balance left over. For example, if your Herceptin co-pay is $500 per month, you pay $100. After the amount on the co-pay card is used up, you must pay for any other costs during that year. If you have questions, you can call 855-MYCOPAY.