What to Expect
Diagnosis of a chronic disease can cause a lot of anxiety for patients and their families—suddenly, the future seems so uncertain. Catalyst Pathways® was designed to bring clarity to the treatment journey. Here’s what you can expect upon enrollment in the program.
You will receive a phone call from a Care Coordinator within 24 hours of your enrollment. The Care Coordinator will welcome you into the program and explain next steps, including:
- Introducing you to your dedicated Patient Access Liaison (PAL)
- Explaining insurance coverage and benefits
- Finding sources of financial assistance, if needed
- Coordinating shipment of your medication
If you need to reach a Care Coordinator, call:
Other Care Team Members
Important Terms
Appeal: A request from a patient’s insurance company to review the denial of coverage.
Benefits: Services covered under a health insurance plan.
Co-insurance: The patient’s portion of the cost of a covered healthcare service after their deductibles have been met.
Co-payment: The fixed amount patients pay for a covered healthcare service. A person’s co-payment amount depends on their insurance plan.
Deductible: The most money a patient pays each year for healthcare services before their health insurance plan begins to pay.
Excluded Services: Healthcare services not covered by a patient’s insurance.
Insurance: A policy that covers all or a portion of a person’s medical expenses and/or medicines.
Medically Necessary: Healthcare services or medicine needed to prevent, diagnose, or treat a disease or its symptoms.
Neurological: Related to the nerves and the nervous system within the body.
Neuromuscular: Related to the nerves and muscles within the body.
Out-of-Pocket Costs: Costs for medical care that aren’t covered by insurance and must be paid by the individual.
Out-of-Pocket Maximum: The most money a patient will pay for covered healthcare services each year.
Prior Authorization: Approval from a patient’s insurance company before they will cover the cost of a healthcare service or medication.
Specialty Pharmacy: A pharmacy that delivers specialty medications directly to patients through FedEx.