Insurance Coverage and Copays

Our team works with your insurance company to help get your specialty prescription covered. You may have to pay a copay each time a medicine is filled. We will tell you the exact amount you need to pay. The copay amount for a specialty pharmacy medication may still be high, despite having your insurance company pay for most of the cost. Our team will research various financial assistance programs available to possibly lower your medication therapy cost. We may ask you to fill out a patient medication assistance program authorization form in order to provide these services. Download our welcome packet for more information.

 

Prior Authorization

Some medicines need documentation for costs to be covered. This process is called prior authorization. Our team has the expertise to process this paperwork, which may take a few business days to complete. Our team keeps you and your provider informed throughout the process, especially if there are expected delays. If insurance denies coverage for your medicine, our team can help your provider file an appeal.

 

Out-Of-Network

If your insurance plan considers our Denver Health Pharmacy an out-of-network pharmacy, we will inform you of the cost to fill your medicine with us in writing. Our staff will transfer your prescription to an in-network pharmacy if there is a cost savings to you.

 

Payment Plans

Any balances must be paid prior to your next refill. We accept credit/debit cards, cash, personal checks and most flexible spending accounts. If you get a check from your insurance company, you should call our specialty pharmacy service team to review the explanation of benefits (also known as the EOB) and to coordinate the check to a Denver Health Pharmacy. If you have any questions regarding this, please call us at 303-602-8726. If you need help arranging a payment plan for the balance you owe, we will be happy to help you set up a payment plan. Please call us to discuss your situation.