So many reasons to
Choose wellclarity
Our advocates are trained, knowledgeable individuals who work on the participant's behalf to secure discounted pricing on prescription drugs and resolve any eligibility and billing issues. This service reduces burden, confusion and increases their satisfaction.
Expanded Coverage
Lower Plan Cost
Lower Copays
What To Expect
Consistent Coverage
Provider Engagement
Provider Engagement
WellClarity seeks to expand coverage not reduce or change it.
Provider Engagement
Provider Engagement
Provider Engagement
We work with you and your clinical team to complete all necessary paperwork.
Savings
Provider Engagement
Savings
Our services reduce costs for employers, labor unions and their members.
Reasons to get started
Our prescription savings advocates are experts that:
- manage the entire process and communications with participants, providers and suppliers to educate and ensure a smooth transition
- work with pharmacy benefit managers (“PBMs”) and health plans to design an approved specialty drug list (formulary) and point of sale exception process to maximize savings
- performs data collection, outreach and initial application, while educating the consumer on alternative forms of funding for select high-cost medications
- coordinates specialty drugs access and delivery (shipping tracking, fill pick-up, Dr’s office) monthly
Both employer groups and labor unions are struggling to deliver a robust health benefits package to members while simultaneously managing long-term solvency. WellClarity helps control costs and better allocate resources to achieve improved health outcomes and control costs, while participants receive knowledgeable, professional service at every interaction. Our services support both self-funded and fully insured benefit programs. We can seamlessly integrate with existing health insurance programs making a transition to WellClarity identified resources and ongoing benefits, reporting and communication easy and accurate.
We are a highly professional team of caring and concerned people dedicated to making the process easy and comfortable for the participant, provider and PBMs. We’re 100% committed to making pharmacy coverage more affordable. We analyze trends, monitor drug prices and anticipate pharmacy network decisions to simplify benefit administration.
Let us show you how easy it is to get started!
Frequently Asked Questions
Please contact us if you cannot find an answer to your question.
Health care providers play a crucial role in spreading the word that patients in need may be eligible for various forms of assistance in obtaining their medications, including some free or nearly free options. Physicians, nurses and other health care providers worth with WellClarity to get information on available resources for the patients under their care. Additionally, many assistance programs require physicians to sign and fill out portions of program enrollment forms, including adding patient prescription information. Some programs also require the physician to mail or fax the enrollment form on behalf of the patient.
Each assistance program has its own eligibility criteria. Some are specifically for those who are uninsured or underinsured (lacking adequate coverage with the insurance they currently have). Some require commercial insurance coverage. Others exclude those who are eligible for government sponsored programs or allow them under certain circumstances.
Each program we identify has its own enrollment and renewal requirements. Many programs require you to re-apply every year. When identifies programs based on criteria provided by the user, the user can typically find its specific requirements on the program’s web page or application form. Some programs require you to call them to get program details.
No. Eligibility criteria vary from program to program and may even vary by medicines within a program. Eligibility most commonly depends on factors related to income, prescription medicines, residence location, age and current prescription drug coverage. Please consult the program’s terms and conditions for more information.
WellClarity does not handle or process applications however most programs promote a 4-6 weeks duration. Complete applications go much faster. Please contact the program’s provider to inquire about the status of an application.
Although no two programs are exactly the same, many require an application. The amount of information required varies. Some programs require detailed medical and financial information, others very little. All require a doctor's signature. Certain programs require the doctor complete a portion of the form while others only need a signed prescription. Most of the programs send the medicines to the patient's home, while some send the medicine to the doctor's office for distribution to the patients, and a few send the medicine to a pharmacy or issue a certificate to the patient to give to the pharmacist.
WellClarity Inc.
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