Frequently asked questions
What are example criteria to qualify for these programs?Each medication and program may have different requirements, but they may include: Income, Clinical Appropriateness (diagnosis/indication), Medical Necessity, Age Requirements.Related questions
What if my income is too high to qualify? Do I still have to work with Payer Matrix and go through the program?
What if my income is too high to qualify? Do I still have to work with Payer Matrix and go through the program?We recommend that all employees seeking coverage, regardless of income, go through the same process with Payer Matrix.Related questions
Do I have to provide financial information? Financial information may be required at times as part of the application process if there is an income threshold requirement for the manufacturer. Not all manufacturers request financials on the application. Typically, the...
How does Payer Matrix use my data?We use your prescription and treatment plan information in order to provide you with our advocacy services.Related questions
How does my employer work with Payer Matrix?Payer Matrix partners with employers to help lower the cost of prescription medications.Related questions
How will I receive and submit my enrollment paperwork?We prefer to send information to members via overnight mailing with signatures required. We will provide a prepaid label for any return documents.Related questions
How is my information protected? Payer Matrix follows industry-standard data security practices and has technical and organizational measures in place that are designed to protect your personal information.Related questions
Who do I contact with questions?Please contact Payer Matrix's Customer Service Team at (877) 305-6202. 9:00AM to 7:30PM EST.Related questions