dx + tx
Aspect of a RVO you can treat with high cost medication
What is macular edema?
When a patient sets up another insurance plan to pay for what the first insurance doesn't pay for.
What is a secondary insurance?
Insurance that we can't use high cost meds for.
What is Medicaid?
When a physician has a contract with a patient's insurance provider and plan
What is in network?
Medication option only available for diabetic retinopathy.
What is Lucentis 0.3?
The percentage the insurance agrees to pay once the patient meets their deductible
What is co-insurance?
Assistance program that is functionally self pay
What is MAP basic?
The age at which patients can apply for Medicare
What is 65 years old?
High cost medication we can use for myopic CNV
What is Lucentis 0.5?
The flat amount a patient has to pay with doctor visits or prescriptions
What is a co-pay?
Insurance that requires prior auth for injections
What is Blue Cross Blue Shield?
A program set up by the drug company to get free medication to patients without insurance
The patient's personal financial responsibility for a medical visit or treatment
What is out-of-pocket?
Conditions treatable with Vabysmo
What are DME, WAMD, and RVO+ME?
The monthly payment the patient has to make
What is a premium?
Insurance that requires prior authorization for lasers
What is MAP?
A free medication provided by the drug company that can be assigned to anyone
What is a sample?
Examples of VA insurance
What are Triwest, Tricare?
Conditions for PDT
What is wAMD and CSR?
The amount the patient has to pay before insurance will start paying
What is a deductible?
Three factors needed for PAP
What is income, diagnosis, no insurance?
The process of getting a patient pre-authorized for treatment with a high cost medication
What is benefits investigation?