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Navigating Payer Challenges

This website contains information for health care providers and office administrators on state, US territory, and other ancillary insurance laws, rules, and regulations that may facilitate how to access, submit claims, and seek reimbursement for EYLEA® (aflibercept) Injection in order to secure their patients’ access to EYLEA.

Click on the topics below for more information.

Reimbursement
Time Frames

Time frames that payers must follow for reimbursing services rendered by health care providers within the 50 states, US territories, ERISA, and Medicare Advantage

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Gold Card Act
Legislation

Status of state and federal
legislation, aimed at alleviating some of the steps associated with prior authorization to help prevent delays in care

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Ancillary
Flash Cards

Information about identifying patients’ insurance plans and potential examples of EYLEA access and reimbursement issues related to Medicare, ERISA, and skilled nursing facilities

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ERISA = Employee Retirement Income Security Act.

This material is provided for informational purposes only, is subject to change, and should not be construed as legal or medical advice. Use of this information to challenge or appeal a coverage or reimbursement delay and/or denial by a payer is the responsibility of the provider.