INSURANCE QUESTIONS AND ANSWERS

Have questions about your insurance? Use this helpful tool to find out if your plan covers HUMIRA, what to know if your plan changes, if you're eligible to save, and more. Here's how it works:
Image

1. Ask a question

Image
2. Tell us a little about your insurance
Image
3. Know more about your options

If you’re covered through the DC Health Link, government health plan, Veterans Affairs (VA), or TRICARE, or need a detailed breakdown of coverage, we recommend calling our Insurance Specialists at 1.800.4HUMIRA.

2034903-1940136

Which of the following questions do you have about your insurance?

Let’s find out if you’re covered.

We’ll need a little more information. Where do you get your current insurance?

This type of health insurance is offered through an employer or the Affordable Care Act.

Prescription drugs are covered under Medicare Supplemental (Part D) and most Medicare Advantage Plans (Part C). You must enroll in these plans.

Government funded plans cover federal employees, retirees, their families, and TRICARE. Veterans Affairs (VA) offers health care services for Veterans. 

Image

If you're unsure where you get your current insurance, call 1.800.4HUMIRA for help.

To find out how changes may affect you, we need a little more information.

Choose the statement that best describes you:

To see if you can save more, we need to know about your current plan.

Where do you get your insurance?

This type of health insurance is offered through an employer or the Affordable Care Act.

Prescription drugs are covered under Medicare Supplemental (Part D) and most Medicare Advantage Plans (Part C). You must enroll in these plans. 

Government funded plans cover federal  employees, retirees, their families, and TRICARE. Veterans Affairs (VA) offers health care services for Veterans.

Image

If you're unsure where you get your current insurance, call 1.800.4HUMIRA for help.

 

 

Check your coverage online

Confirm your insurance coverage by filling out the fields below.

Your privacy is important. We only ask for information we need to process your request. We will never share your email or information with anyone.

Please enter your full first and last name as used with your insurance provider.

MM/DD/YYYY

We ask for your date of birth to ensure that you are 18 years of age or older, and to help us recognize your registration record.

Your insurance information will be used to determine your eligibility for the HUMIRA Complete Savings Card.

*Health insurance you or a family member purchased privately or through an employer

**For example, Medicare, Medicaid, TRICARE, Department of Defense or Veterans Affairs programs

In order to confirm your identity, please enter the last four digits of your social security number. If you prefer not to at this time, please call 1.800.4HUMIRA (1.800.448.6472) to speak directly with an insurance specialist, who can provide you with a full explanation of your benefits.

Step 2 of 2: Please review the Authorization for Release of Health Information

A copy of your authorization will be sent to the email address you provided. 

A copy of your authorization will be sent to the email address you provided.
A copy of your authorization will be sent to the email address you provided.

I understand that the purpose of this authorization (“Authorization”) is to give my permission for the disclosure and use of my protected health information to the extent it is required under state and federal law. I hereby authorize my healthcare providers, healthcare insurers, and laboratory testing facilities that have provided treatment, payment, or services to me or for me (collectively, "Healthcare Companies") to disclose information about me, my medical condition, and my treatment, insurance coverage and payment information in relation to my use of AbbVie products (collectively, "Personal Information") to AbbVie, its affiliates, and agents/contractors (“AbbVie Partners”), in order for AbbVie and AbbVie Partners to use and disclose my Personal Information: (1) to provide me with HUMIRA related programs and services (“HUMIRA Services”); (2) to contact me about and provide me with informational and marketing materials and related to my condition or treatment by any means of communication; and (3) to help AbbVie internally improve, develop, and evaluate products, services, materials, programs, and treatment related to my condition or treatment. I understand that once AbbVie and the AbbVie Partners receive my Personal Information, they may communicate with my Healthcare Companies to provide the HUMIRA Services. AbbVie and the AbbVie Partners are hereby notified by the Healthcare Companies that they may use the disclosed Personal Information only for the purposes set forth above. I also understand that if my Healthcare Companies use or disclose my Personal Information for marketing purposes, they may receive financial remuneration.

I understand that I am not required to sign this Authorization and that my Healthcare Companies will not condition my treatment, payment, enrollment or eligibility for benefits on whether I sign this Authorization. I understand that this Authorization will expire in 10 years or a shorter time period if required by state law, unless I cancel it sooner. However, I understand that if I do not sign this Authorization, I cannot participate in certain HUMIRA Services. I may cancel my Authorization by calling 800.888.6260 and by notifying my Healthcare Companies. Once AbbVie receives and processes my cancellation request, AbbVie will not use my Personal Information going forward. I understand that cancelling my Authorization will not affect any use of my Personal Information that occurred before my request was processed. I understand that my Personal Information released under this Authorization is subject to re-disclosure by AbbVie and AbbVie Partners and will no longer be protected by HIPAA.

California, Rhode Island, Minnesota and Florida Only: State law prohibits the person receiving my Personal Information from making further disclosure of it, unless another authorization for such disclosure is obtained from me or unless such disclosure is required or permitted by law. I expressly agree to enter into this Authorization in electronic format and to the use of affirmatively checking the box below as my electronic signature. By signing below, I agree to the statements above and that I am currently 18 years of age or older.

You May Be Covered Under Medicare

Check Your Insurance

HUMIRA may be covered under your plan.

Check now by filling out the online form.

or Call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472)

Medicare and Prescription Coverage

Prescriptions are covered under Supplemental (Part D) and many Medicare Advantage Plans (Part C). Call your specific plan to make sure HUMIRA is covered. Here’s more about the two plans.

Get details

Medicare and Prescription Coverage

Prescription coverage is available to everyone with Medicare, but you must enroll in one of the following:

  • Medicare Advantage (Part C) is a coverage option to Medicare Part A and Part B, both of which do not cover prescriptions. It allows private health care plans to provide benefits that may cover the cost of prescriptions—depending on the plan. 
  • Supplemental (Part D) is a stand-alone prescription drug plan that’s added to your Medicare Part A and Part B benefits to cover medications, such as HUMIRA.

Call your plan directly or call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472) to see if HUMIRA is covered under your plan.

For more general info about Medicare, download this helpful guide.

Download our Medicare guide

Check Medicaid Coverage Below
For Other Government Plans, call 1.800.4HUMIRA

Check Your Insurance

HUMIRA may be covered under your plan.

Check now by filling out the online form.

Or Call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472)

Understanding Medicaid

Your Medicaid coverage for HUMIRA varies depending on where you live. 

Find out how

Understanding Medicaid

State Medicaid programs can provide coverage for HUMIRA.

One of our HUMIRA Insurance Specialists can give you more information about the specific coverage policy and information for your state Medicaid program. 

If you have further questions about your Medicaid coverage, call 1.800.4HUMIRA (1.800.448.6472) to speak with one of our Insurance Specialists.

If you receive insurance through the DC Health Link, government health plan, Veterans Affairs (VA), or TRICARE one of our Insurance Specialists will be happy to help you.

Let’s See if We Can Help

Whether you need assistance paying for your prescription or you’re trying to find coverage, here’s what you need to know.

Help Paying for HUMIRA

Currently uninsured? You may be able to get help paying for your HUMIRA prescription through the AbbVie Patient Assistance Program.

Learn about Patient Assistance

Help Paying for HUMIRA

The AbbVie Patient Assistance Program provides HUMIRA at no additional cost to eligible patients who are typically uninsured and unemployed and meet certain income criteria.

See if you qualify

If you have questions call 1.800.222.6885 Monday–Friday, 7AM to 7PM CST.

Find a Health Care Plan

See different plans to fit your needs and budget in the Health Insurance Marketplace.

Find coverage
If Your Insurance Is Changing, Plan Ahead

Changes to your plan can lead to disruptions in coverage if you’re not prepared. Here’s what you need to know.

Choosing the Right Plan

When choosing a new insurance plan, it’s important to be as informed as possible.

Things to consider

Choosing the Right Plan

When choosing a new insurance plan, it’s important to be as informed as possible.

Things to consider

Here’s your health plan checklist: 

  • What’s Covered   
    • Make sure your preferred doctors, hospitals and medical services are within the plan’s network. 
    • Check that your existing medications are covered. Be sure to let the insurance provider know that you take HUMIRA.
  •  Compare the following and decide based on your health needs which plan is the best option for you:

Once you’ve narrowed down your options, use our Insurance Comparison chart to help you see how each plan stacks up side-by-side. 

Have more questions? Speak with one of our Insurance Specialists today at 1.800.4HUMIRA (1.800.448.6472).
 

Avoid Disruptions

Changing your insurance plan may cause a disruption in your HUMIRA coverage.

What you need to know

Avoid Disruptions

A new insurance plan may change your prescription costs and require pre-approvals that your previous plan did not.

Here are 3 things to remember:

  1. Speak with one of our Insurance Specialists, or ask your Ambassador to help you understand what to consider when switching your insurance.
  2. You may be eligible for the HUMIRA Complete Savings Card. Find out here
  3. If you have a Savings Card, make sure your pharmacy has the information on file.

Have more questions? Speak with one of our Insurance Specialists now at 1.800.4HUMIRA (1.800.448.6472). 

Switching to Medicare

Make sure you’re prepared when changing from commercial coverage to Medicare. 

Medicare and Prescription Coverage

Prescriptions are covered under Supplemental (Part D) and many Medicare Advantage Plans (Part C). Call your specific plan to make sure HUMIRA is covered. Here’s more about the two plans. 

Get details

Medicare and Prescription Coverage

Prescription coverage is available to everyone with Medicare, but you must enroll in one of the following:

  • Medicare Advantage (Part C) is a coverage option to Medicare Part A and Part B, both of which do not cover prescriptions. It allows private health care plans to provide benefits that may cover the cost of prescriptions—depending on the plan.
  • Supplemental (Part D) is a stand-alone prescription drug plan that’s added to your Medicare Part A and Part B benefits to cover medications, such as HUMIRA.

Call your plan directly or call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472) to see if HUMIRA is covered under your plan.

For more general info about Medicare, download this helpful guide.

Download our Medicare guide

Switch to Medicare Without Disruptions 

Changing from your current insurance to Medicare may cause a disruption in your HUMIRA coverage if you don’t plan ahead.

How to avoid disruptions

Switch to Medicare Without Disruptions 

Changing from a commercial insurance plan to Medicare may cause changes in your coverage.

Here are 3 things to remember:

  1. Speak with one of our Insurance Specialists, or ask your Ambassador to help you through the insurance switching process.
  2. Prescription coverage is available under Supplemental (Part D), and some Medicare Advantage Plans (Part C), but you must enroll in these plans separately.
  3. You will no longer be eligible for the HUMIRA Complete Savings Card, but you may qualify to receive extra help through low-income subsidies or other assistance.

Have more questions? Speak with one of our Insurance Specialists now at 1.800.4HUMIRA (1.800.448.6472). 

Open Enrollment Can Bring Changes

Changing to a different plan or within your current plan can lead to disruptions in coverage if you’re not prepared. Here’s what you need to know.

Changes to Your Coverage

Whether you’re considering switching to a different insurance plan, or sticking with your current plan, it’s important to be as informed as possible.

If you’re keeping your existing plan:

Keep in mind, your health care plan can change from year-to-year. Be sure to double check that your prescription medications or medical services are still covered.

If you’re considering switching to a new plan, consider:

  1.   What medical expenses do you anticipate for the upcoming year?
  2.   Are your current doctors, hospitals and other medical facilities in the plan’s network?
  3.   Are there limits on coverage for certain conditions?
  4.   Are your prescription medications, including HUMIRA, covered?

Use our Insurance Comparison chart to help you see how each plan stacks up side-by-side. 

Have more questions? Speak with one of our Insurance Specialists today at 1.800.4HUMIRA (1.800.448.6472). 

Avoid Disruptions

Changing your insurance plan may cause a disruption in your HUMIRA coverage.

What you need to know

Avoid Disruptions

A new insurance plan may change your prescription costs and require pre-approvals that your previous plan did not.

Here are 3 things to remember:

  1. Speak with one of our Insurance Specialists, or ask your Ambassador to help you understand what to consider when switching your insurance.
  2. You may be eligible for the HUMIRA Complete Savings Card. Find out here
  3. If you have a Savings Card, make sure your pharmacy has the information on file.

Have more questions? Speak with one of our Insurance Specialists now at 1.800.4HUMIRA (1.800.448.6472). 

Triage 8
You Could Save on HUMIRA

With most private insurance plans, you can save more with the HUMIRA Complete Savings Card. Find out below. 

Save on HUMIRA

If you have private insurance, you may be able to save with the HUMIRA Complete Savings Card.

Start saving

Your HUMIRA Complete Savings Card

  • RxBin:
  • RxPCN:
  • RxGrn:
  • RxID:
  • Suf:
Saving Card

To start saving, you will need to provide the pharmacy.

OPUSHEALTH

  • RxBin:
  • RxPCN:
  • RxGrn:
  • RxID:
  • Suf:

To start saving, you will need to provide the pharmacy.

1.800.4HUMIRA

humira

Things to remember:

1. Give the pharmacy all the information found on the front of your Savings Card

2. Remind the pharmacist about this savings benefit

3. Keep your card in a safe place. It can help you save on every HUMIRA prescription

Your card is on the way!

We'll send your HUMIRA Complete Savings Card to:

Check Your Email

We just sent a copy of your HUMIRA Complete Savings Card to your email address.

{{svng.userEmail}}

savingsCard

If you have any questions or if your insurance information changes, please call us at 1.800.4HUMIRA (1.800.448.6472).

Terms and Conditions apply. This benefit covers HUMIRA® (adalimumab) alone or, for rheumatology patients, HUMIRA plus one of the following medications: methotrexate, leflunomide (Arava®), or hydroxychloroquine (Plaquenil®). Eligibility: Available to patients with commercial prescription insurance coverage for HUMIRA who meet eligibility criteria. Copay assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the HUMIRA Complete Savings card and patient must call HUMIRA Complete at 1-800-4HUMIRA to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from the HUMIRA Complete Program from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance. Please see full Terms and Conditions.

Arava® and Plaquenil® are registered trademarks of their respective owners.

Sorry, we do not recognize the email address

Not yet enrolled in HUMIRA Complete?

Sign up to get resources from HUMIRA Complete.


Have questions?

Call 1.800.4HUMIRA (1.800.448.6472) for assistance.

Receive a copy of your card in mail

 

 

Your mailing address

Before we can send your card, we need a little more information

What kind of health insurance coverage do you have?

*Health insurance you or a family member purchased privately or through an employer.

**For example, Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs.

 

Save on HUMIRA

Good news. Private insurance holders may be eligible to receive the HUMIRA Complete Savings Card. It allows you to pay as little as $5* per month, every month, for your HUMIRA prescription.

If your pharmacy does not accept the HUMIRA Complete Savings Card or you’re no longer able to use it to receive instant savings at the pharmacy, you may still be able to get HUMIRA for as little as $5 a month using the HUMIRA Complete Prescription Rebate. Simply call 1.800.4HUMIRA (1.800.448.6472) and speak to one of our Insurance Specialists to see if this option is right for you.

Savings apply whether you take HUMIRA alone or, for rheumatology patients, HUMIRA plus one of the following medications: methotrexate, leflunomide (Arava®), or hydroxychloroquine (Plaquenil®). Please call 1.800.4HUMIRA (1.800.448.6472) for details.

All trademarks are properties of their respective companies.

* Terms and Conditions apply. This benefit covers HUMIRA® (adalimumab) alone or, for rheumatology patients, HUMIRA plus one of the following medications: methotrexate, leflunomide (Arava®), or hydroxychloroquine (Plaquenil®). Eligibility: Available to patients with commercial prescription insurance coverage for HUMIRA who meet eligibility criteria. Copay assistance program is not available to patients rece iving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the HUMIRA Complete Savings card and patient must call HUMIRA Complete at 1-800-4HUMIRA to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from the HUMIRA Complete Program from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance. Please see full Terms and Conditions.

Arava® and Plaquenil® are registered trademarks of their respective owners.

Restrictions apply

 

Already a member? Get your card.

HUMIRA Complete Savings Card

It appears you may not be eligible for the HUMIRA Complete Savings Card. However, there may be ways to save on HUMIRA. If you are receiving Medicare, a range of savings options may be available depending on your coverage.

Call 1.800.4HUMIRA (1.800.448.6472) for assistance.

Has your insurance changed? Update your information at any time.

HUMIRA Complete Savings Card

It appears you may not be eligible for the HUMIRA Complete Savings Card. However, there may be ways to save on HUMIRA, including support from an independent foundation such as myAbbVie Assist.

Call 1.800.4HUMIRA (1.800.448.6472) for assistance.

Has your insurance changed? Update your information at any time.

Check Your Insurance

HUMIRA may be covered under your plan.

Check now by filling out the online form.

or Call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472)

How to Save With Medicare

To save on out-of-pocket cost of prescriptions, shop and compare different Supplemental (Part D) and/or Medicare Advantage Plans (Part C) to see which one offers the most savings on prescriptions. If you’re looking for more savings you may be eligible for assistance. 

Medicare and Prescription Coverage

Prescriptions are covered under Supplemental (Part D) and many Medicare Advantage Plans (Part C). Call your specific plan to make sure HUMIRA is covered. Here’s more about the two plans.

Get details

Medicare and Prescription Coverage

Prescription coverage is available to everyone with Medicare, but you must enroll in one of the following:

  • Medicare Advantage (Part C) is a coverage option to Medicare Part A and Part B, both of which do not cover prescriptions. It allows private health care plans to provide benefits that may cover the cost of prescriptions—depending on the plan. 
  • Supplemental (Part D) is a stand-alone prescription drug plan that’s added to your Medicare Part A and Part B benefits to cover medications, such as HUMIRA.

Call your plan directly or call our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472) to see if HUMIRA is covered under your plan.

For more general info about Medicare, download this helpful guide.

Download our Medicare guide

Assistance beyond Medicare

You may qualify to receive extra help through low-income subsidies or other assistance.

See if you qualify

Assistance beyond Medicare

Extra help includes:

  • With a low-income subsidy, you would currently pay $8.35 per prescription.
  • Not eligible for a low-income subsidy? HUMIRA may be available to you at no additional cost to you through the AbbVie Patient Assistance Program at www.abbviepaf.org.

Check eligibility:

*Eligibility restrictions apply. Eligibility determined by Medicare; not eligible for assistance with the HUMIRA Complete Savings Card.

To learn more about Medicare and what it can mean for you, please visit www.medicare.gov or call 1.800.4HUMIRA (1.800.448.6472). 

 

Medicaid: What You Should Know

Understanding Medicaid

Your Medicaid coverage for HUMIRA varies depending on where you live. 

Find out how

Understanding Medicaid

State Medicaid programs can provide coverage for HUMIRA.

One of our HUMIRA Insurance Specialists can give you more information about the specific coverage policy and information for your state Medicaid program. 

If you have further questions about your Medicaid coverage, call 1.800.4HUMIRA (1.800.448.6472) to speak with one of our Insurance Specialists.

Image

For other government funded insurance plans, speak with our Insurance Specialists at 1.800.4HUMIRA (1.800.448.6472) to discuss changes to your plan.