Patients FAQ

Applying for Assistance

How do I submit documentation?

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You may submit documentation using our electronic document uploader, fax, or mail:

The Assistance Fund
4700 Millenia Blvd., Suite 410
Orlando, FL 32837
Phone: (855) 845-3663
Fax: (833) 865-3757

What are the diseases for which TAF provides assistance?

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We provide assistance for 70 diseases. You can view the full list on our Covered Diseases page.

What documentation is required with an application?

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When applying for assistance, you’ll be asked to provide and verify your demographic, insurance, and financial information. If additional documentation is required, we will let you know.

What does “conditional approval” mean?

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Conditional approval gives you 30 days of immediate assistance through open disease programs where funding is available. To receive assistance beyond the 30-day period, you must submit a completed application, including your signature and agreement to the program terms and conditions. If you apply online, sign electronically, agree to terms and conditions, and meet all criteria, you will be approved for the full calendar year, unless otherwise stated.

Paying for Your Treatment

My insurance recently changed. Do I need to inform The Assistance Fund?

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If your insurance changes, you only need to inform TAF if your new insurance plan does not cover a portion of your FDA-approved treatment. If your new insurance plan does not cover a portion of your FDA-approved treatment, you will no longer be able to receive TAF assistance.

What medications does TAF support?

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Our disease programs cover all FDA-approved medications for the treatment of the disease named in the program.

Which pharmacies can I use to fill my medication?

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Our copay assistance can be used with any pharmacy that:

1) is in your primary insurance’s network;

2) is able to dispense your medication; and

3) accepts our payment methods of electronic claims submission or manual paper claim submission.

To find out which pharmacies you can use, contact your health insurance company or your doctor’s office. You will need to give your TAF program card to your pharmacy, which has all the information required for the pharmacy to process a claim.

Where can I receive my infusion treatment?

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Our copay assistance can be used with any site of care that:

1) is in your primary insurance’s network;

2) is able to provide your infusion treatment; and

3) accepts our payment methods of electronic claims submission or manual paper claim submission.

To find out which sites of care you can use, contact your health insurance company or your doctor’s office. You will need to give your TAF program card to your provider, which has all the information required for your provider to process a claim.

Disease Program Information

I was referred to TAF for copay assistance. What happens next?

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When you are referred to The Assistance Fund for copay assistance, expect the following;

1) We will review the referral information against the disease program’s eligibility criteria.

2) If the referral information meets the disease program’s eligibility requirements, you will be granted conditional approval, which allows your pharmacy to dispense your prescribed medication for 30 days.

3) We will mail a welcome letter with an enrollment application to you the following business day. You must complete and return the application by the conditional approval expiration date stated in the letter.

4) To continue to receive assistance beyond the 30-day conditional approval period, you must submit a completed application, including your signature and agreement to the program terms and conditions, within the conditional approval period.

5) If we receive the completed enrollment application by the required date and you receive full active approval, you will receive assistance through the end of the calendar year, unless otherwise specified.

Can I receive assistance through more than one TAF program?

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You may receive assistance simultaneously through multiple copay assistance disease programs and financial assistance disease programs if you meet each program’s eligibility criteria and funding is available.

I was referred to TAF for financial assistance. What happens next?

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When you are referred to The Assistance Fund for financial assistance , expect the following

1) We will review the referral information against the disease program’s eligibility criteria.

2) If the referral information meets the disease program’s eligibility requirements and funding is available, we will mail a welcome letter with the enrollment application to you.

3) When we receive the completed enrollment application and proof of health insurance coverage, you will be approved for participation in the disease program for the calendar year (unless otherwise specified). As part of your participation in the program, you are required to provide insurance plan details to receive health insurance reimbursements.

If I’m approved, how long will I be able to receive assistance?

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If you are approved for participation in a disease program, you will receive assistance on a calendar-year basis (unless otherwise specified). Thereafter, you must reapply for assistance each calendar year. Reenrollment occurs during the fourth quarter of the current calendar year and you will be notified when the reenrollment period opens. Assistance in any year is always subject to the availability of funds and there is no guarantee such funds will be available.

Reimbursements

Is there a deadline by which I must submit my documentation for reimbursement?

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You may submit all eligible expenses from the current calendar year dating back to Jan. 1 or the date the disease program opened. Eligible expenses for the previous benefit year are cut off at March 31.

Am I qualified to receive reimbursements?

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To be eligible for reimbursements, applicants must apply to one of our financial assistance disease programs. TAF does not issue reimbursements through our copay disease programs. To be eligible for our financial assistance disease programs, applicants must be U.S. residents and must have health insurance and a diagnosis of the disease named in the program to which they are applying. TAF will verify that the applicant meets financial requirements and is not currently receiving assistance from another 501(c)(3) organization.

What documentation is required to obtain reimbursements and how long is the reimbursement process?

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Eligible expenses must be supported by acceptable documentation. Proper documentation is dependent on the reimbursement item. See below for acceptable documentation:

Health insurance premiums: Master plan document, insurance plan detail, or employer benefit summary (to be submitted once a year), and proof of payment

Prescription copayments: Pharmacy prescription receipt and proof of payment

Medical incidentals: Explanation of benefits and proof of payment

Travel: Proof of treatment and proof of payment

Please allow up to six business days for review of your reimbursement documentation. If your reimbursement request is incomplete, you will receive a letter informing you of what additional documentation is required to validate the expense. If you do not submit the requested documentation within 30 days of the date of the letter, TAF will cancel the reimbursement request.

How will I receive my reimbursements?

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You will receive reimbursement through a TAF-issued debit card that is funded pursuant to TAF’s policies and procedures. If you are the parent or legal guardian of a patient under the age 18, the debit card may be issued in your name. The most efficient way to submit a reimbursement request is through our electronic document uploader at: https://TAFcares.org/upload .

You may also submit your reimbursement requests by fax at (833) 865-3757, or mail at:

4700 Millenia Blvd., Suite 410
Orlando, FL 32839

Waitlist

How do I accept my place on the disease program waitlist?

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When funding is available for a disease program, TAF will send you an invitation through your preferred communication method (voice call, text, or email) based on your position on the waitlist. When you receive the invitation, you must accept the invitation within 48 hours, or your invitation will expire. If you chose to receive a voice call, you will be able to accept your invitation by responding to the appropriate prompt. If you chose to receive a text or email, you will be able to click a link that will take you to the Waitlist Hub, where you can accept your invitation. Once you accept the invitation, you will be enrolled in the selected program.

If I receive an invitation to enroll in a TAF disease program, how long do I have to respond?

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If you receive an invitation to enroll in a TAF disease program, you must accept the invitation within 48 hours or your invitation will expire. If you receive a voice call, you will be able to accept your invitation by responding to an automated prompt. If you receive a text or email, you will be able to click a link that will take you to the Waitlist Hub, where you can accept your invitation. Once you accept the invitation, you will be enrolled in the selected program.

How can I update my waitlist application?

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If you need to make changes to your waitlist application, please contact a TAF Patient Advocate at (855) 845-3663.

How can I update my contact information or preferred communication method?

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If you need to make changes to your contact information or communication preferences, please contact a TAF Patient Advocate at (855) 845-3663.

How can I check my disease program waitlist status?

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TAF’s online Waitlist Hub provides real-time information on your waitlist status. To use the Waitlist Hub, enter your last name, date of birth, and waitlist personal identification number (PIN). You received your waitlist PIN when you applied for the waitlist.

What is my waitlist PIN?

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You received your waitlist personal identification number (PIN) when you applied for the disease program waitlist. Your PIN was displayed on the screen, and if you elected email or text as your preferred method of communication, it was provided in your waitlist enrollment confirmation. If you do not have access to your PIN, please contact a TAF Patient Advocate at (855) 845-3663

How can I remove myself from a disease program waitlist?

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You can remove yourself from a disease program waitlist by visiting TAF’s online Waitlist Hub. Enter your last name, date of birth, and waitlist personal identification number (PIN). You received your waitlist personal identification number (PIN) when you applied for the disease program waitlist. When your waitlist record is displayed, click “DECLINE” to be removed from the waitlist.

When should I expect to hear an update about my status on the waitlist?

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TAF will contact you when action is required or when your waitlist application expires. Otherwise, you can check your waitlist status online on TAF’s Waitlist Hub. To use the Waitlist Hub, enter your last name, date of birth, and waitlist personal identification number (PIN). You received your waitlist PIN when you applied for the waitlist.

Is an email address required to join a disease program’s waitlist?

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An email address is not required to join a disease program’s waitlist; however, you must select one method of communication (voice call, text, or email) when completing your waitlist application. TAF will use your preferred method of communication to contact you about required action or changes in your waitlist status. It is critical that you provide accurate contact information or you may not receive these communications.

Is a phone number required to join a disease program waitlist?

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Yes, a phone number is required to join a disease program waitlist.

Is TAF able to assist with medical expenses incurred during the waitlist period?

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Once you join the waitlist, if you are invited and accept enrollment, your coverage start date will be retroactive to the start of that calendar year (unless you are enrolling in a new disease program, in which case the start date will be the disease program’s launch date). You may submit covered expenses for reimbursement dating back to your coverage start date. Alternatively, your provider can submit outstanding claims dating back to your coverage start date.

I found assistance from another organization. What should I do?

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You can decline your position on the waitlist visiting the TAF Waitlist Hub. Enter your last name, date of birth, and waitlist personal identification number (PIN). You received your waitlist personal identification number (PIN) when you applied for the disease program waitlist. When your waitlist record is displayed, click “DECLINE” to be removed from the waitlist. If you do not have access to your PIN, please contact a TAF Patient Advocate at (855) 845-3663.

Is there anything patients on the waitlist can do to increase their chances of selection?

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No; each waitlist application is time- and date-stamped, and enrollment invitations are sent on a first-come, first-served basis when funding becomes available.

If I accept a waitlist invitation, will I be guaranteed financial assistance?

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Being placed on the waitlist does not guarantee disease program enrollment; however, if you receive and accept an enrollment invitation, you will be eligible for financial assistance if you continue to meet the disease program’s eligibility criteria.

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