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ELIQUIS

ELIQUIS is a prescription drug that helps: Reduce the risk of stroke and blood clots in people who have atrial fibrillation (AFib), a type of irregular heartbeat, not caused by a heart valve problem. Treat blood clots in the veins of the legs (deep vein thrombosis – DVT) or lungs (pulmonary embolism – PE), and reduce the risk of them occurring again. Reduce the risk of forming a blood clot in the legs (DVT) and lungs (PE) of people who have just had hip or knee replacement surgery.

1.) www.bmspaf.org | 1-855-Eliquis

Eligibility:
• You live in the United States, Puerto Rico or the US Virgin Islands, and
• You are being treated by a US licensed prescriber, and
• You are being treated with the medicine as an outpatient, and
• You do not have insurance coverage for a medicine listed on this site,
and
• You were prescribed Eliquis or Orencia, and your annual household
income is at or below $43,740 for a single person or $59,160 for a family of two. (Income limits are adjusted for larger families), or
• You were prescribed a BMS medicine for cancer, ulcerative colitis, multiple sclerosis, plaque psoriasis, obstructive hypertrophic cardiomyopathy, or kidney transplant (even if your income is higher than the limits listed above).

Instructions:
• Go to website www.bmspaf.org
• Click on Check Your Eligibility
• Click on Start Assessment


2). Prescription Bliss

www.prescriptionbliss.com

Eligibility:
• Each program has different requirements, but many of our
patients come to us who are on Medicare and have a Part D plan and are unable to afford their copays or find themselves in the coverage gap of their prescription plan.
• If your insurance company has denied paying for your prescriptions or you have a high copay or coinsurance responsibility.

Instructions:
• Call 1-877-792-5477 or go to the website prescriptionbliss.com to apply
• Click on Apply Now
• Click on Begin Application


3.) RX Assistant

www.rxassistantprograms.com

Eligibility:
Its best to call to see if you qualify.
• U.S. citizen or resident
• Does not have insurance or insurance doesn't cover medication.
• On Medicare or in donut hole/coverage gap

Instructions:
• Go to rxassistantprograms.com to fill out online form
• Call 1-888-344-8915

5124 S. 108th St, Hales Corners WI 53130 contact@collinsinsurancegroup.com  |  414.359.1790

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Not affiliated with the U. S. government or federal Medicare program.

We do not offer every plan available in your area. Currently, we represent six organizations which offer fifty products in your area. Please contact Medicare.gov1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Privacy Policy

At Collins Insurance Group, LLC, we hold your privacy in the highest regard. We assure you that your personal information is not shared with any third parties. This privacy policy is designed to clearly outline how we collect, use, and protect the information you provide.

Information Collection:
We collect only the information necessary to provide and improve our services. This may include name, email address, etc. We do not sell, rent, or share this information with third parties.

How We Use Your Information:
The information collected is used solely for communicating with the intended party. We may use the information provided to communicate with you via phone, text (SMS), and email. We do not share your information with external parties for marketing or other purposes.

Your Choices:
Your control over your information is important to us. You have the right to access, correct, or delete your information. If you have any concerns or questions about your data, please feel free to contact us at contact@collinsinsurancegroup.com.

Policy Changes:
We may update our privacy policy from time to time. Any changes will be communicated to you, and your continued use of our services implies your acceptance of the revised policy.

You agree to the terms outlined in this privacy policy by using our services.

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