The role of the oncology benefit counselor is to guide patients who may potentially face financial toxicity when going through the hardship of chemotherapy. Our highly trained counselors will guide patients through the insurance process and obtain any available assistance that may meet their needs.
Our benefit counselors will meet one-on-one or with patient’s families to educate all parties on their current insurance and the type of coverage it entails. They will review the patient’s deductible, out-of-pocket, co-insurance, co-pays, and estimated cost of treatment. The benefit counselors will provide documentation and guidance on all available insurance options ranging from Medicare, Medicare Advantage, Medicare Supplemental Plans, Medicaid, and NY Exchange Plans that are not only cost effective but also offer greater coverage then they may currently have.
Counselors will not only guide patients in the area of insurance but also research available grants through non-profit organizations or potential free drug programs through pharma companies that they may qualify for. The counselor will walk the patient through this process step by step until a determination is made on either side.
Common organizations that our Benefit Counselors can assist in applying for a grant include but are not limited to:
Leukemia & Lymphoma Society
Patient Access Network
Patient Advocate Foundation
Patient Services Inc.
We also work closely with pharma companies and their co-pay and/or free drug programs for patients medications where applicable.