Category: Uncategorized

Services

The Migraine CareLine is designed to provide individualized case management assistance for those living with or needing screening for migraine disease. The Migraine Careline will provide assistance with navigating eligibility and enrollment in disability benefits and overcoming insurance coverage and financial burdens that impact their access to care.

• Facilitate access to migraine treatment, screening and preventive services
• Provide help to uninsured patients, ensuring access to care and enrollment into private insurance, Medicaid and/or charity care programs, when appropriate.
• Navigate through the insurance reimbursement system, including interpretation of the patient’s benefit language
• Provide clinical trials education and conduct clinical trials screening and enrollment
• Provide direct appeals assistance for insurance denials
• Help understand workplace and employment protections available
• Provide education and assistance with the social security and employer sponsored disability process, application and eligibility and appeal assistance
• Network patients to all known local, state and/or national resources for financial assistance
• Provide referrals and linkage to appropriate community and non-profit educational resources

All services are provided at no charge. All services are provided through phone and/or email communication. .

Resources

Patient Advocate Foundation shares its expertise surrounding the challenges those with migraine disease experience when it comes to financial burdens, access issues, insurance barriers and employment protections. Migraine Matters is an interactive online educational tool that combines the best resources from top nonprofits and clinical experts in the field of migraine treatment and research. You’ll find an ever-expanding collection of downloadable articles, videos, on-demand webinars, infographics, and tools with topics that include accessing treatment, understanding insurance coverage, migraine and the workplace, caring for a migraine patient and more.

Program Disclaimer

PAF’s Migraine CareLine provides one-on-one assistance with a professional case manager to help qualified patients and caregivers resolve financial, job-related, and healthcare access issues that may be the result of a patient’s migraine diagnosis. In order to qualify for case management assistance, the patient must have migraine diease or are seeking screening for migraine disease, and must be receiving active treatment for the disease, must have received treatment for the disease within the last six (6) months, or will begin treatment in the next 60 days. PAF’s Migraine CareLine provides assistance with resolving a broad variety of patient and caregiver concerns including: (1) access to care (e.g., assistance in obtaining prior authorization approvals; second opinions, insurance appeals; insurance plan review); (2) cost of care (e.g., co-pay assistance, premium assistance); (3) cost of living expenses (e.g., rent, utility, transportation, food/nutrition assistance programs);(4) safety net program support (e.g. SSDI, LIS, Extra Help enrollment assistance) and (5) employment-related issues (e.g., FMLA, short-term and long-term disability). PAF’s Migraine CareLine identifies sources of assistance, including other charitable organizations and government-sponsored programs, and assists patients in enrolling in these services as appropriate.

PAF will not consider the identity of any physician, provider, supplier of items or services, donor, drug therapy, services or supplies being utilized, or the referral source when assessing whether an applicant is qualified for assistance through PAF’s Migraine CareLine. Further, assistance through the Migraine CareLine is not dependent on the use of a particular drug, particular supplies, or particular provider or suppliers and patients are free to switch drug therapies, treating physicians, pharmacies, and suppliers at any time without affecting their continued eligibility for assistance from PAF.

Qualifying patients are provided one-on-one assistance by PAF’s Migraine CareLine until their access to care, cost of care, cost of living, or employment-related issues are resolved. Assistance is provided to the extent the Migraine CareLine has capacity to provide assistance with no preference being given to patients from any one referral source.
Patients’ contact information may be used in the future to share printed and/or electronic communications from Patient Advocate Foundation and the PAF Case Management program (including the CareLine). If the patient does not wish to receive print and/or electronic communications from PAF, he/she may contact the program at (1-866-688-3625) and request to have his/her contact information removed from the mailing list.

Patients’ data may also be used in de-identified aggregated reports. This means that information patients provide to the Migraine CareLine may be combined with other patients’ data to prepare reports analyzing patient needs and the Migraine CareLine. PAF will only use de-identified patient data, i.e., patient data where all identifying data terms like the patient’s name, identifying numbers, etc. have been removed.