AAA PatientCONNECTTM Is Here to Help You
Start and Stay Focused on Your Treatment
Go to www.aaapatientconnect.com for more information about Advanced Accelerator Applications (AAA) PatientCONNECT.
AAA PatientCONNECT is a patient-focused support program that focuses on you, the patient, throughout your treatment experience on LUTATHERA. This may include:
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Patient Financial Assistance
- Commercial patient co-pay assistance
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Other Assistance
- Insurance benefits verification
- Prior authorization eligibility check
- Financial assistance for eligible patients
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Patient Financial Assistance
- Commercial patient co-pay assistance
|
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Other Assistance
- Insurance benefits verification
- Prior authorization eligibility check
- Financial assistance for eligible patients
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Financial Assistance for Patients with Commercial Insurance
AAA PatientCONNECT may provide co-pay assistance for LUTATHERA treatment to patients who have commercial insurance and meet certain eligibility criteria.*
You may qualify for assistance if:
- You have commercial insurance and certify that you do not have any government insurance
- Your LUTATHERA treatment is being provided in an outpatient setting
- You are a permanent resident of the United States, including any of its territories, or the District of Columbia
Co-pay assistance is not available through the AAA PatientCONNECT program for patients who have public or government insurance, such as insurance available as through Medicare, the Department of Veterans Affairs, or the Department of Defense. AAA PatientCONNECT is not an insurance program and is not a substitute for medical insurance.
*Eligibility restrictions may apply. For full terms and conditions, please call AAA PatientCONNECT at 1-844-638-7222. Patients who are enrolled in any type of government insurance or reimbursement program are not eligible. As a condition precedent of the copayment support provided under this program (eg, co-pay refunds), participating patients and pharmacies are obligated to inform insurance companies and third-party payers of any benefits they receive and the value of this program, as required by contract or otherwise. Void where prohibited by law or restricted.
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Enrolling in Co-Pay Assistance
Once you enroll in AAA PatientCONNECT, you will be considered for co-pay assistance.
To enroll in financial assistance for commercial insurance, your health care provider must submit a completed and signed AAA PatientCONNECT Program Enrollment Form on your behalf. AAA PatientCONNECT Program Enrollment Forms are available online at www.aaapatientconnect.com.
By signing the AAA PatientCONNECT Program Enrollment Form, you agree that, if approved for the co-pay assistance program, all co-pay assistance funds distributed will be used only for the cost of LUTATHERA.
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Receiving Co-Pay Financial Assistance
Upon approval, AAA PatientCONNECT will send you an approval letter and outline of the co-pay assistance funds that are available for your treatment.
Proof of LUTATHERA treatment and claims processed must be submitted to AAA PatientCONNECT for distribution of co-pay assistance funds.
Upon receipt of required documents, co-pay assistance funds will be processed.
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Enrolling in Co-Pay Assistance
Once you enroll in AAA PatientCONNECT, you will be considered for co-pay assistance.
To enroll in financial assistance for commercial insurance, your health care provider must submit a completed and signed AAA PatientCONNECT Program Enrollment Form on your behalf. AAA PatientCONNECT Program Enrollment Forms are available online at www.aaapatientconnect.com.
By signing the AAA PatientCONNECT Program Enrollment Form, you agree that, if approved for the co-pay assistance program, all co-pay assistance funds distributed will be used only for the cost of LUTATHERA.
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Receiving Co-Pay Financial Assistance
Upon approval, AAA PatientCONNECT will send you an approval letter and outline of the co-pay assistance funds that are available for your treatment.
Proof of LUTATHERA treatment and claims processed must be submitted to AAA PatientCONNECT for distribution of co-pay assistance funds.
Upon receipt of required documents, co-pay assistance funds will be processed.
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For more information, contact a dedicated AAA PatientCONNECT Patient Navigator at 1-844-638-7222.
Underinsured or Uninsured Financial Assistance
If a patient does not have insurance, is underinsured, has insurance yet still cannot afford, or otherwise cannot afford their LUTATHERA treatment there may be an option for them. All patients must enroll through AAA PatientCONNECT at aaapatientconnect.com or by calling 1-844-638-7222.
For more information, contact a dedicated AAA PatientCONNECT Patient Navigator at 1-844-638-7222.
