What are the next steps after I submit my enrollment form?

After you have submitted your online enrollment form, the next steps are as follows:

1. We will review the enrollment form by putting it through our pre-qualification process. (After completing the online enrollment form, we typically pre-qualify you within 2 business days.)
2. Then we will notify you if your enrollment was pre-qualified or not.
3. If you are pre-qualified, we will request documentation from you and your healthcare provider.
4. When we receive all the required documentation, we will then enroll you in the appropriate patient assistance program for your needs.

Frequently Asked Questions

How do I follow up on the status of my enrollment form?

You can follow up on the status of your enrollment by simply logging into your account.

What do I do next if I get denied?

If you get denied access to the patient assistance program, you will receive an email stating your denial. You can resubmit your enrollment form if your personal circumstance changes in the future.