Get Started
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.
- 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 medicine.
- Specialty Pharmacy: A pharmacy that delivers specialty medicines direct to patients through FedEx.
- Titration: Titration is the process of steadily adjusting your medicine to obtain maximum benefit with manageable side effects as prescribed by your doctor.
Keep a list of these terms handy for quick reference.
Download
