


Get Started
Jerry, living with LEMS
Enrollment Is Easy
Watch the Getting Started video for simple, step-by-step instructions for enrolling in the Catalyst Pathways® program.
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.
-
Coinsurance: The patient’s portion of the cost of a covered healthcare service after their deductibles have been met.
-
Copay: The fixed amount patients pay for a covered healthcare service. A person’s copay 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 medication.
-
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 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 the mail.
-
Titration: The process of steadily increasing your medication dose according to a regular schedule prescribed by your doctor.