Know how your coverage works

What you need to do:

• Schedule your appointment with your doctor, whose office arranges to acquire a supply of EXDENSUR.
• Depending on your insurance, you may or may not have out-of-pocket costs.

 

How insurance covers this:

• Your doctor will bill your treatment under your insurance.
• Insurance plans vary. Together with EXDENSUR can help you understand the estimated costs before your visit. 

 

After you get there:

• Your doctor administers EXDENSUR during your appointment.
• The doctor’s office sends a bill to your insurance for the cost of EXDENSUR and its administration. Your insurance then processes the claim and pays the doctor.
• Depending on your coverage, you may be responsible for a copay, which you would pay directly to the doctor’s office at your visit or after receiving a bill. If you are enrolled in the EXDENSUR Copay Program, your doctor’s office will collect your copay card information to apply to any out-of-pocket responsibility.

What you need to do:

• You and your doctor decide that you’ll receive EXDENSUR at a different location (an “alternate site of care”).
• The ASOC may be an infusion center or other location in your health plan’s network where you can receive injections.
• Make an appointment at an ASOC that administers EXDENSUR. Together with EXDENSUR can help you and your doctor find a suitable location.
• Go to the ASOC on the scheduled day for your treatment.

 

How insurance covers this:

• ASOCs will usually bill your treatment under your insurance, just like your doctor's office would.
• Insurance plans vary. Together with EXDENSUR can help you understand the estimated costs before your visit.

 

After you get there:

• A healthcare professional at the ASOC will administer EXDENSUR.
• The ASOC sends a bill to your insurance for the cost of EXDENSUR and its administration. Your insurance then processes the claim and pays the ASOC.