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Benefit Investigation

INSUPPORT® can help patients understand their insurance coverage
How to request a benefit investigation

Enrolling the patient in INSUPPORT®

For patients who enroll in "Benefit Coverage Information" through INSUPPORT®, INSUPPORT® can conduct a benefit investigation of the patient's insurance coverage for SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use (CIII), for the patient's current site of care. INSUPPORT® can also provide information on the prior authorization and/or appeals requirements, confirm product acquisition requirements from the patients insurance provider, and determine eligibility and enroll an eligible patient in the Copay Assistance Program for SUBLOCADE, where applicable.

For patients enrolled in "Transition of Care Support", INSUPPORT® can help in the transition process by providing benefit coverage information and important dates to the new site of care, as well as text reminders to patients for upcoming dates with the new provider. Learn more about Transition of Care Support for your patients.

Getting started is simple. First select a tab to view steps for your preferred method of enrollment.

Step 1: Complete the Patient Enrollment Form

On the INSUPPORT® Patient Enrollment Form, select the patient's requested program option(s) and complete the required steps as outlined on page one of the form. Please ensure all required fields are completed (marked with asterisk) and that the patient has reviewed, completed, signed and dated the Patient Authorization prior to submitting to INSUPPORT®.

Download Patient Enrollment Form
English form Spanish form

Need help understanding the form? See a sample form below

Sample form

If you require assistance in other languages, then please call INSUPPORT® at 1-844-INSPPRT (1-844-467-7778).

Step 2: Submit the completed form to INSUPPORT®

Once the required steps have been completed for the requested program option(s), fax all pages of the completed form directly to INSUPPORT® at 1-844-814-0669.

What is the INSUPPORT® Portal?

The INSUPPORT® Portal allows healthcare providers to electronically enroll patients in any program option offered by INSUPPORT®. It also provides the ability for patient authorization to be requested, completed and submitted by the patient to INSUPPORT® via DocuSign.

Step 1: Go to the INSUPPORT® Portal

Once on the portal, 1) select a product, 2) select healthcare provider as the user type, 3) enter the required HCP information, and 4) indicate the requested program option(s) for your patient. Please note that INSUPPORT® will determine eligibility and enroll and eligible patient into the Copay Program if the Benefit Coverage Information option is selected. No registration is required to use the portal.

Go to INSUPPORT® Portal 

Step 2: Complete the Patient Enrollment Form

Once you have selected the requested program option(s) for the patient, you must complete the required sections and fields in the enrollment form, including your electronic signature and date for the Provider Attestation. You will then be able to initiate a request via email to the patient for him/her to complete the Patient Authorization via DocuSign and submit it to INSUPPORT®. Once the Patient Authorization is received from the patient, INSUPPORT® will begin to process the enrollment request.

Need help completing the form? See a sample form now

English form

If you require assistance in other languages, then please call INSUPPORT® at 1-844-INSPPRT (1-844-467-7778).

Completing your own benefit investigation

You or your office staff can choose to conduct a benefit investigation yourself.

Information about how to conduct a benefit investigation

WATCH VIDEO about how to conduct a benefit investigation

How INSUPPORT® can help patients who opt-in to receive additional information

Patients who enroll in "Benefit Coverage Information" can opt-in to receive a review of their insurance coverage by requesting a call from INSUPPORT® on the Patient Authorization Form. A benefit summary call can also allow patients to ask questions and obtain information on next steps from their INSUPPORT® Case Manager.

Patients may also elect to receive a written benefit summary via mail which documents the benefit coverage information obtained from the patient's insurance provider.

Patients who are transitioning to a new healthcare setting and are enrolled in Transition of Care Support may opt-in to receive text reminders for their initial next injection due date and/or appointment date with their new provider.

Have questions?

Receive information from a local Patient Access Specialist (PAS) regarding your access and reimbursement questions.

FIND A PAS IN YOUR AREA

X
John Doe
INSUPPORT® Patient Access Specialist
Phone: 1 (888) 888-8888

FAQs

Why is it necessary to obtain the patient's signature on the Patient Authorization Form?

INSUPPORT® cannot take any action until a written or electronic patient signature has been obtained. In addition, INSUPPORT® cannot contact the patient directly to obtain authorization. Any form with an incomplete Patient Authorization will be returned to the HCP for the patient to complete all required fields.

What if the patient's insurance provider does not provide coverage for SUBLOCADE?

If a medication is not covered by the patient's insurance provider or coverage is "Undetermined", there may be steps that you can take to request that the insurance provider re-evaluate the patient's coverage decision. You may contact the patient's insurance provider for more information.

Complete a Letter of Medical Necessity

You or your office staff may complete a Letter of Medical Necessity to provide further information about the patient and request coverage for SUBLOCADE.

View a Sample Letter of Medical Necessity

DOWNLOAD SAMPLE

Alternate Funding Information

INSUPPORT® may also be able to provide contact information on potential alternate funding programs for which the patient may qualify. The patient will be responsible for contacting the programs to determine their eligibility and funds available, if applicable.

Information on potential alternate sources of funding is provided as part of the "Benefit Coverage Information" option when there is no coverage reported for the medication from the patient's insurance provider.