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-Advocacy

 

 

 
Indiana
 

 

The following NHF chapter is available in your state:

 

Hemophilia of Indiana, Inc.

www.hemophiliaofindiana.org

Hemophilia of Indiana

5170 E. 65th St., Suite 106

Indianapolis, IN 46220

Phone: (317) 570-0039

Toll Free: (800) 241-2873

Fax: (317) 570-0058

 

The following HTC is available in your area:

 

Indiana Hemophilia and Thrombosis Center

8402 Harcourt Road, Suite 420

Indianapolis, IN 46260

Phone: (317) 871-0000 ext. 207

Fax: (317) 871-0010

 

 

This section contains information about insurance resources and assistance available in your state.

 

Government Programs

 

Medicaid

Medicaid provides medical assistance for individuals and families who meet certain income and eligibility requirements set by the State and Federal governments.  It pays for health care costs, including doctor's visits and prescription drug coverage.

 

For more information, visit Indiana Medicaid at http://www.IN.gov/fssa/ or call (800) 889-9949.

 

Medicare & Medigap

Medicare is a fee-for-service health insurance plan for seniors who are at least 65 years old and individuals who have certain disabilities.  Medicare is a three-part program.  Part A pays for necessary medical care and services given in Medicare-certified hospitals, skilled nursing facilities, home health agencies, and hospices.  Part B helps pay for doctors, outpatient hospital care, ambulance transportation, and a variety of other tests and services.  Part D, which was changed in 2006, covers the cost of prescription drugs.   Clotting factor products are covered under Parts A & B.

 

Medicare cover services when an individual is sick or injured.  It does not, however, cover all of the health care costs including co-insurance, co-payments, and deductibles.   To limit such costs to Medicare beneficiaries, the Federal government created what is called Medigap policies as a supplement to help pay some of the costs that Medicare does not cover.  Medigap policies are sold by private insurance companies and beneficiaries may be able to choose from 12 different policies. 

 

For more information on Medicare and Medigap, Illinois residents may visit the State Health Insurance Counseling and Assistance Program (SHIP) website at http://www.state.in.us/idoi/shiip/index.html or call (800) 452-4800, (765) 608-2318.  Individuals can also visit the Centers for Medicare & Medicaid Services website at http://www.medicare.gov/ or call (800) MEDICARE. 

State Child Health Insurance Program (SCHIP)  

Hoosier Healthwise provides health insurance at modest fees or at no cost to children under age 19 who does not qualify for Medicaid and have limited or no health insurance.

 

For more Hoosier Healthwise, visit the Indiana Family and Social Services Administration website at http://www.IN.gov/fssa/ or call (800) 889-9949.

 

High-Risk Insurance Pool Program
The Indiana Comprehensive Health Insurance Association (ICHIA) runs the state high risk insurance pool program.  The program provides access to health insurance coverage for individuals who are denied coverage or deemed “uninsurable” because of a pre-existing medical condition.  The premiums under this plan may be higher than the rates for other comparable plans, and a pre-existing condition period may apply.  In addition, there is no lifetime benefit cap. 

For more information on ICHIA, visit http://www.onlinehealthplan.com/ or call (800) 552-7921 or (317) 614-2000.

General Health Insurance Information
While State law allows insurers to turn down applicants with pre-existing health conditions for individual health coverage, an individual who is eligible for benefits under an employer group health plan cannot be denied coverage because of a health condition.  In Indiana, as in most other states, Hemophilia and other bleeding disorders can be construed as high cost by insurance carriers and as such applicants may be denied coverage.  Any individual that is turned down for insurance can receive coverage through ICHIA or other private insurer.  Those considering coverage through private insurers should be aware that there are no limits on what price they may be asked to pay.

For more information on state-regulated health plans or to file a complaint, visit the Indiana Department of Insurance at http://www.ai.org/idoi/ or call (800) 622-4461.

 

Other health programs

Indiana also offers pharmaceutical assistance through its Hoosier Rx program to help certain residents purchase low cost drugs.  For more information, visit the Hoosier Rx website at http://www.in.gov/fssa/elderly/hoosierrx/ or call (866) 267-4679.

 

Non-government Programs

The major factor producers have programs in place to provide factor, at no cost, to hemophilia patients who are without insurance and who meet certain eligibility requirements.  To find out about assistance programs being offered providers, go to the following company websites below:

·         Bayer Reimbursement Helpline

http://www.kogenatefs.com/, click on Patients & Caregivers

http://www.hemophiliabayer.com

(800) 288-8374

·         Baxter Reimbursement Support

http://www.hemophiliagalaxy.com

http://www.factorassist.com

http://www.advate.com

(800) 548-4448

·         Grifols Reimbursement Department

http://www.grifolspatientcare.com

(888) GRIFOLS

·         Novo Nordisk SevenSECURE Program

http://www.us.novoseven.com/, click on SevenSECURE

(877) NOVO-777

·         Wyeth Reimbursement Information Line

http://www.hemophiliavillage.com/

(888) 999-2349

·         ZLB Behring AssuranceSM Program

http://www.cslbehring-us.com, click on Patients and Families

http://www.zlbbehringassurance.com.com

http://www.humatep.com

(800) 676-4266

 

Assistance Programs

HANDI
HANDI is the National Hemophilia Foundation (NHF) information resource center and the first stop for consumers seeking information on hemophilia, von Willebrand, and the other bleeding and clotting disorders.  The unit answers consumer’s questions, provide quality educational publications, and make referrals to additional sources of assistance.  For more information, visit www.hemophilia.org, or call (800) 42-HANDI or (212) 328-3700, or send an email to handi@hemophilia.org. 

 

Advocating for Chronic Conditions, Entitlements and Social Services (A.C.C.E.S.S.)

The A.C.C.E.S.S. program assists persons with chronic medical illnesses, including hemophilia patients, with state and federal entitlement programs, eligibility for group health insurance under federal law (COBRA and HIPAA), and health insurance through state high-risk pools and other alternatives.  The program is administered by Accredo Health, Incorporated and its affiliates, Hemophilia Health Services, Inc. and Accredo Therapeutics, Inc.  For more information, visit http://www.accredotx.com/access/access.html or call 888-700-7010.

 

Patient Services Incorporated (PSI)

PSI assists persons with chronic medical illnesses, including hemophilia patients, in accessing health insurance and pharmacy co-payment assistance programs.  For more information, visit http://www.uneedpsi.org/ or call 800-366-7741.