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INSURANCE REIMBURSEMENT

We've got you covered!

Foundation Care reimbursement representatives are trained to provide outstanding service - let them help you. Our reimbursement representatives can answer your questions on your medication coverage and can assist with patient specific insurance verifications, prior authorizations or claim appeals.

Insurance and Reimbursement Services:

  • Foundation Care's reimbursement representatives are available during regular business hours for questions about your coverage or insurance concerns.
  • Foundation Care accepts most prescription drug plans and will enroll in any new plan to help service our patients.
  • Foundation Care accepts most state Medicaid and funding programs.
  • Foundation Care bills MEDICARE directly for any Medicare covered medications.
  • Foundation Care accepts most major prescription plans and bills those plans directly.
  • Foundation Care accepts payment directly from insurance companies eliminating the need for patients to pay for prescriptions up front. Patients pay only their copay and/or deductible amounts.
  • Foundation Care will help enroll the patient in any available assistance program if the patient has no insurance.
  • Foundation Care communicates results of the application process to the referral source and patient.
  • Patients, caregivers, and physicians seeking help and assistance for their prescription and medical treatment please visit the site below.

For assistance on "How to Appeal Your Medication Device Claim" please click here.

Foundation Care has compiled a list of sites you may find helpful when seeking reimbursement assistance.

Patient Assistance Resources:

Company Assistance Programs:

ABBOTT:

EURAND PHARMACEUTICAL:

GENENTECH, INC.:

GILEAD:

NOVARTIS PHARMACEUTICALS

SUNOVION PHARMACEUTICALS INC.

Federal Programs:

MEDICARE:

SOCIAL SECURITY DISABILITY INSURANCE PROGRAM (SSDI):

SUPPLEMENTAL SECURITY INCOME (SSI) PROGRAM:

State Programs:

ALABAMA:

ALASKA:

ARIZONA:

ARKANSAS:

CALIFORNIA:

  • Medi-Cal
    California Department of Health Care Services / Department of Social Services
    1-916-522-9200

COLORADO:

CONNECTICUT:

DELAWARE:

DISTRICT OF COLUMBIA:

FLORIDA:

GEORGIA:

HAWAII:

IDAHO:

ILLINOIS:

INDIANA:

  • Hoosier Healthwise
    Indiana Family and Social Services Administration (FSSA)
  • Hoosier Rx
    Indiana Family and Social Services Administration (FSSA)
    1-317-234-1381

IOWA:

  • Medicaid
    Iowa Department of Human Services (DHS)
    1-800-972-2017

KANSAS:

KENTUCKY:

LOUISIANA:

MAINE:

MARYLAND:

MASSACHUSETTS:

MICHIGAN:

MINNESOTA:

MISSISSIPPI:

MISSOURI:

  • MO Healthnet
    Missouri Department of Social Services (DSS) / Missouri HealthNet Division
    1-573-751-3425
  • Missouri Rx Plan (MoRx)
    Missouri Department of Social Services MO HealthNet Division
    1-800-375-1406

MONTANA:

  • Medicaid
    Montana Department of Public Health and Human Services (DPHHS)
    1-800-332-2272
  • Big Sky Rx Program
    Montana Department of Public Health and Human Services (DPHHS)
    1-866-913-2323

NEBRASKA:

NEVADA:

  • Medicaid
    Nevada Division of Health Care Financing and Policy
    1-775-684-3676
  • Nevada Disability Rx
    Nevada Department of Health and Human Services

NEW HAMPSHIRE:

  • Medicaid
    New Hampshire Department of Health and Human Services Division of Family Assistance
    1-800-852-3345 (Ext. 4344)

NEW JERSEY:

NEW MEXICO:

NEW YORK:

  • Medicaid
    New York Department of Health / Human Resources Administration (HRA)
    1-877-472-8411

NORTH CAROLINA:

  • Medicaid
    North Carolina Department of Heath and Human Services (DHHS)
    1-800-662-7030

OHIO:

OKLAHOMA:

  • SoonerCare
    Oklahoma Department of Human Services (OKDHS)
    1-405-521-3646

OREGON:

PENNSYLVANIA:

RHODE ISLAND:

SOUTH CAROLINA:

  • Medicaid
    South Carolina Department of Health and Human Services (DHHS)
    1-888-549-0820

SOUTH DAKOTA:

TENNESSEE:

  • TennCare
    Bureau of TennCare
    1-800-342-3145

TEXAS:

  • Medicaid
    Texas Health and Human Services Commission (HHSC)
    (800) 252-8263

UTAH:

VERMONT:

VIRGINIA:

WASHINGTON:

  • Medicaid
    Washington Department of Social and Health Services (DSHS)
    1-800-562-3022

WEST VIRGINIA:

  • Medicaid
    West Virginia Department of Health and Human Resources (DHHR)
    Bureau for Children and Families (BCF)
    1-800-642-8589

WISCONSIN:

WYOMING: