Frequently Asked Questions about Reimbursement
Click on the questions below to view the answers.
Click here for Uses and Important Safety Information you should know about HUMIRA, and discuss it with your doctor.
Insurance Reimbursement Services Available through myHUMIRA
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myHUMIRA reimbursement counselors can help determine coverage for HUMIRA and identify your out-of-pocket costs. You will need your insurance card ready when speaking with the counselor.
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myHUMIRA reimbursement counselors at 1.800.4.HUMIRA (1.800.448.6472) can assist you with insurance coverage issues related to HUMIRA. Reimbursement counselors can contact your health insurance company to verify your benefits and determine whether HUMIRA is covered by your plan. In addition, they can provide prior authorization support, if needed. For patients with inadequate insurance coverage for HUMIRA, reimbursement counselors can search for alternate coverage options that may provide access to HUMIRA. In some situations, this could include referrals to the Abbott Patient Assistance Foundation's HUMIRA Patient Assistance Program or other independent assistance programs.
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myHUMIRA reimbursement counselors can research prior authorization requirements and help facilitate the process for your physician on your behalf.
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myHUMIRA reimbursement counselors can provide you with information about co-pay assistance options. In some situations, they can even provide a HUMIRA Protection Plan card that provides co-pay assistance to eligible patients or refer appropriate patients to independent, public charities for financial assistance.
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Typically, your pharmacy submits a claim to your insurance plan on your behalf. However, if you are required to submit a claim for reimbursement for HUMIRA, myHUMIRA Reimbursement Services can provide information about the claim submission process. myHUMIRA is not able to submit claims to insurance plans on your behalf.
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myHUMIRA reimbursement counselors can offer assistance with unfavorable coverage decisions. We can contact your insurance plan to determine why HUMIRA is not covered, research options to obtain coverage, and help facilitate this process with your physician. In the event that coverage for HUMIRA is still unavailable, reimbursement counselors can search for alternate coverage options that may provide access to HUMIRA. In some situations, this could include referrals to the Abbott Patient Assistance Foundation's HUMIRA Patient Assistance Program or other independent assistance programs.
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In some situations, the Abbott Patient Assistance Foundation may be available. The Abbott Patient Assistance Foundation provides HUMIRA at no cost to eligible patients who are typically uninsured and experiencing financial difficulties. In addition, independent third party charities may be able to help.
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Yes, Abbott donates to the Abbott Patient Assistance Foundation, which, in some situations, provides HUMIRA at no cost to eligible patients who are typically uninsured and experiencing financial difficulties.
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Accessing myHUMIRA Reimbursement Services
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You can reach a myHUMIRA reimbursement counselor by calling 1.800.4.HUMIRA (1.800.448.6472) Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.
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myHUMIRA reimbursement counselors are available to assist you Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.
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No. You are not required to register with myHUMIRA in order to begin treatment with HUMIRA. However, you will be required to provide myHUMIRA with information about your insurance plan if you would like help in understanding your insurance coverage for HUMIRA.
Enrolling in the myHUMIRA patient support program once you begin treatment with HUMIRA could provide you with services, tools and support to get the most from your HUMIRA treatment.
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You can obtain reimbursement assistance through myHUMIRA prior to treatment or at any point during treatment.
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You can obtain assistance through myHUMIRA Insurance and Coverage Services by calling 1.800.4.HUMIRA (1.800.448.6472) or by completing and submitting an enrollment form available at your physician's office.
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Patients who have insurance coverage that may provide coverage for HUMIRA should complete the myHUMIRA Benefit Verification and Statement of Medical Necessity for Insured Patients form. Patients who have no insurance coverage or who have confirmed that their insurance plan will not provide coverage for HUMIRA should complete the Abbott Patient Assistance Foundation's HUMIRA Patient Assistance Application. You will need to work with your physician to complete the appropriate enrollment form. For questions about the myHUMIRA enrollment form and the enrollment process, please contact a reimbursement counselor at 1.800.4.HUMIRA (1.800.448.6472). For questions about the HUMIRA Patient Assistance Program form, please contact a patient assistance counselor at 1-800-222-6885.
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The HUMIRA Patient Assistance Program can accept tax returns, paycheck stubs and social security statements for proof of income. Reimbursement counselors can provide additional information about acceptable proof of income documents.
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Payer Questions
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Many health insurance companies provide coverage for HUMIRA. However, some managed care organizations may require prior authorization for patients to obtain HUMIRA. myHUMIRA reimbursement counselors are available to help patients evaluate coverage options for HUMIRA.
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Most state Medicaid programs provide coverage for HUMIRA. To find out the specific coverage policy and guidelines for a particular state Medicaid program, please contact 1.800.4.HUMIRA (1.800.448.6472) to speak with a HUMIRA reimbursement counselor.
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Medicare allows patients the opportunity to enroll in prescription drug plans that may help pay for the cost of self-injectable biologic medicines like HUMIRA. Most Medicare Part D plans provide coverage for HUMIRA. To learn more about these changes to Medicare and what they can mean for you, please visit www.medicare.gov or call 1.800.4.HUMIRA (1.800.448.6472).
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Click here for Uses and Important Safety Information you should know about HUMIRA, and discuss it with your doctor.