



The AmeriPlan® Prescription Advocacy Program
The AmeriPlan® Prescription Advocacy Program (APAP) was created for the primary purpose of making the millions facing financial challenges in this country aware of Patient Assistance Programs being offered through pharmaceutical companies, and to assist eligible individuals who cannot afford their prescription medications due to limited income or other financial hardships. If you meet the eligibility criteria and are experiencing financial hardship with your prescription medications, let the AmeriPlan® Prescription Advocacy Program help you with the worry-free, ongoing management of your prescription assistance needs.
Do You Qualify?
Step 1: Annual Income Qualifications
Determine the income eligibility of you and/or your family:
Persons in Family Maximum Income
1 (single).................................................................$20,800
2 ..........................................................................$28,000
3...........................................................................$35,200
4...........................................................................$42,400
5...........................................................................$49,600
6...........................................................................$56,800
7...........................................................................$64,000
8...........................................................................$71,200
Step 2: Rx Coverage Status
No Rx coverage from insurance benefit or government assistance program (e.g. Medicaid, V. A., state assistance, etc.) or
Rx benefit has been exhausted or
Medication is specifically not covered under Rx formulary
Step 3: US Legal Resident
Must be a US Legal Resident to participate
Client Example #1
Medication Dosage Quantity Retail APAP
Advair®.......................250/50 mcg/1 disc............$190...................$0
Lipitor®.........................10 mg/30 tablets.............$85...................$0
Plavix®...........................75 mg/30 tablets...........$135...................$0
Nexium®......................40 mg/30 tablets..............$151...................$0
Singulair®.....................10 mg/30 tablets.............$106....................$0
Zoloft®...........................25 mg/30 tablets...........$89.....................$0
Total cost per month........................................ $756...................$82
Client #1 reduced his total monthly cost by over 89%, saving him $674 dollars per month. With APAP, he will save over $8000 dollars per year!
Your Cost?
ONE-TIME Application Fee...........................$25.00
Monthly Service Fee.................................$82.00
$25 Application Fee and first month’s service fee due upon Sign-Up ($107.00)
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For more information on any of the AmeriPlan® Health™ discount programs, call
Healthcareonomics™ @ (304)-596-0467 or send us an email today at: admin@healthcareonomics.com
To participate in the AmeriPlan® Prescription Advocacy Program a membership application must be submitted. To request your application please call (304)-596-0467. You can also send your request to: admin@healthcareonomics.com (Please allow 24 hrs response time.)
Note: Your application will either be faxed or emailed to you. We will not mail applications.