How to Onboard a New Member
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In Just 3 Easy Steps
Create new member card
When you click the button below, a PDF form will open. Enter new member name and cardholder ID in the PDF and simply print the card for the new member to use at any participating pharmacy.
Ask the patient the following questions:
Assess for prescription drug coverage
Do you have prescription insurance and, if so, who is the insurance through?
Uninsured patients will likely be a good candidate.
Insured patients: gather information on income below to determine eligibility.
Evaluate patient financial status
What is your total household income and how many people are in your household?
Recommend qualified patients need to be at or below 400% of FPL to qualify for this card.
Identify medication adherence opportunity
Have you skipped doses of prescription medications due to a financial hardship and/or had difficulty paying for prescription medications in the last 12 months?
Yes would indicate a patient who would most likely qualify for charity card, especially if income level is at or below 400% of FPL.
No, depending on answers above, may not be a good candidate.
If the patient meets all qualifications, log into RxAgile to add our new member.
Need clarification? Review the training program or contact:
Sr. Manager, Ascension Patient Medication Assistance Program (APMAP)
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