Understanding the insurance coverage process
The insurance verification process can be complicated, and that’s why Millennium, maker of VELCADE® (bortezomib), is here to help. In this section, you’ll find tips to help you understand the coverage process and how to get financial access to VELCADE.
At any time during your treatment, contact a dedicated VELCADE case manager from 8 am to 8 pm ET, Monday through Friday at 1-866-VELCADE (835-2233), option 2.
Step 1: Talk with your doctor
If you have any questions about treatment and how it might impact your out-of-pocket expenses, talk with your doctor and the office staff.
They’re a resource for knowing what to expect from your treatment and how insurance coverage may impact different treatment regimens. They can also refer you to other useful resources.
Step 2: Provide insurance information to your doctor’s office
Make sure that your doctor's office has all of your current insurance information. They’ll need to verify your coverage and provide your insurance company with treatment information.
Your doctor's office will research your insurance coverage to determine if VELCADE (bortezomib) will be covered. They’ll also check whether other documents will be needed and how much you will need to pay for your treatment.
- If your insurance company covers VELCADE, you will move on to the payment and scheduling processes outlined in steps 3 and 4.
- If your insurance company requests more information, your doctor may need to submit a letter that states the reason(s) why you need to be treated with VELCADE. The insurance company will notify both you and the doctor about its decision. If coverage is approved, you will move on to the payment and scheduling processes outlined in steps 3 and 4.
- If your insurance company requests more information and does not approve your treatment based on what your doctor has provided, then you may be able to get assistance through the VELCADE Reimbursement Assistance Program (VRAP)
Step 3: Understand the payment process
Depending on the details of your insurance coverage, your out-of-pocket expense will vary. It is important to understand these details and to know where you can go for help.
Following the insurance verification process, you and your doctor's office will know whether you have coverage for your treatment with VELCADE (bortezomib). You’ll also know how much you will be responsible for paying, according to your insurance policy.
If your insurance company covers VELCADE and you have either a supplemental policy or can self-pay to cover the co-payment, then treatment will begin as soon as it can be scheduled.
If you are unable to afford your co-payment, then you can apply to a co-payment foundation for assistance. You will need to fill out an enrollment form in order to be evaluated for assistance by the foundation. Case managers from the VELCADE Reimbursement Assistance Program (VRAP) can help you identify the foundations that cover your diagnosis, and they can assist you with the form.
Your doctor's office may also be able to help you with this process. If you are approved for assistance from the co-payment foundation, the foundation will notify you of the amount they will give you for your treatment.
If you have no insurance coverage, you may be eligible for the VELCADE Patient Assistance Program (VPAP). You or your doctor's office can call VPAP for a prescreening to see if you qualify for the program. You and your doctor will have to fill out a 1-page form, provide financial documentation, and fax the information to VPAP. Within 48 hours, you will know whether you can get the medication free for your treatment.
For more information about the VELCADE Patient Assistance Program, click here.
Step 4: Schedule your treatment
Once you have determined how you will be able to pay for VELCADE (bortezomib), contact your doctor's office to schedule your treatment.
Once your insurance coverage for VELCADE has been verified, you will set up an appointment to receive your therapy. VELCADE is given as a subcutaneous shot (under the skin), usually into your abdomen or thigh. VELCADE can also be given as a 3- to 5-second intravenous (IV) injection into a vein. Both ways are given in your doctor’s office or clinic.
Need additional resources?
Other resources can assist you and your caregiver throughout treatment. These resources can provide assistance with treatment costs, identifying support groups for you and other family members, and partnering with your doctor and insurance company to get treatment coverage.
For a listing of additional resources, click here.