| Program Contact Info / Application Submission | ||||
| Program | Renagel Medicare Part D Assistance Program | |||
| Company | Genzyme & American Kidney Fund | |||
| Address | Genzyme Center 500 Kendall St Renal Reimbursement 4th Floor Cambridge, MA 02142 | |||
| Phone | 800-847-0069 | |||
| Fax | 877-363-6732 | |||
| Program Details | ||||
| Details | The medication is sent to the doctor's office. Once a year the application process must be repeated. | |||
| Program Requirements | ||||
| Information | The doctor must fill out a section and sign the application. The patient must fill out a section, sign the application and attach proof of income and any insurance information. | |||
| Details | Proof of Income required | |||
| Other Requirements | Assistance is based on funds & donations. | |||
| Delivery of Medication | ||||
| Delivery Options | Can NOT be delivered directly to the patient Can be delivered directly to the doctor | |||
| Application Process | ||||
| App Process | Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back. | |||
| New Applications | Patients can apply directly to the program Doctors can apply directly to the program Advocates can apply directly to the program | |||
| Eligibility | ||||
| Eligibility | The patient must be enrolled in Medicare Part D, have no other prescription insurance for the medication, not qualify for the Limited Income Subsidy and have an income at or below 300% of the Federal Poverty Level. The patient must be a US citizen or legal resident. Patients must also have spent at least 3% of their annual estimated income on prescription medications. | |||
| Limitations | Patients are eligible if LIS is denied Patients are NOT eligible with existing prescription coverage Patients are eligible if they are accepting Medicare part D | |||
| Other Medications | ||||
| Other Medications available in this program |
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