Understanding Your Infusion Therapy Costs

Infusion therapy involves specialized medications that may require frequent or long-term treatment. Costs can vary depending on your insurance coverage, the medication prescribed, and the frequency of treatments. Our team can help you understand your coverage and break down your expected out-of-pocket costs before treatment begins.

Insurance Coverage & Benefit Coordination

We’re in-network with most major insurance providers and handle benefit verification on your behalf. Our team works to:

  • Confirm your plan’s infusion therapy coverage
  • Determine your co-pay, deductible, and co-insurance responsibility
  • Manage prior authorization requirements
  • Assist with denied claims and appeals, if needed

Financial Assistance Resources for Infusion Therapy

There are several resources available that offer co-pay and financial assistance to patients receiving specialty infusion treatments. Eligibility for copay and financial assistance programs vary depending on insurance coverage and program requirements. Assistance is not available for patients covered by Medicare, Medicaid, or other federal health care programs.

Many specialty drug manufacturers offer assistance for patients with private or commercial insurance. These programs can significantly lower or even eliminate your out-of-pocket medication costs. 

Our team at CSI Pharmacy can: 

  • Identify if an assistance program is available for your medication
  • Gather the necessary documentation 
  • Coordinate approvals to avoid treatment delays 

Charitable patient assistance programs help patients who qualify to manage costs associated with chronic, rare, or life-threatening diseases.  

Some trusted patient assistance foundations we work with include: 

  • The PAN Foundation: This organization offers access to affordable, equitable healthcare through financial assistance, advocacy, and education. Their resources cover more than 70 diseases and chronic illnesses. 
  • The Assistance Fund (TAF): TAF offers copay and financial assistance for 100+ disease programs including Alpha-1, CIDP, Myasthenia Gravis, and more.  
  • Healthwell Foundation: When health insurance is not enough, Healthwell fills the gap by assisting with expenses for essential treatments and medications. 
  • Patient Advocate Foundation (PAF): PAF provides case management services and financial aid to Americans with chronic, life-threatening, and debilitating illnesses. 
  • National Organization for Rare Disorders (NORD): NORD helps with access to medication, diagnostics, caregiver support, and other needs for patients with rare diseases. 

If you’re underinsured or don’t have health insurance, you still have options. We can connect you with foundation-based assistance, state-specific healthcare resources, and more. We’ll help assess your eligibility and walk you through the application process. 

For patients with limited financial resources, we offer personalized payment plans for eligible services. Our goal is to ensure that cost doesn’t become a barrier to receiving the care you need. 

Get the Financial Support You Deserve

Whether you’re unsure where to start or already know you’ll need assistance, our patient advocates are here to guide you every step of the way through your infusion journey.