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Writer's pictureDr. Chris Phillips

How We Help Our Patients Navigate the (Complex) Healthcare System



Navigating the healthcare system can be complex and challenging, particularly for patients living with a rheumatic disease. Our team at Paducah Rheumatology offers a comprehensive and patient-centered approach to help our patients overcome the hurdles of the healthcare landscape.

Here are 4 ways Paducah Rheumatology helps our patients navigate the healthcare system:

We Empower Our Patients through Precert Coordination

Paducah Rheumatology understands that obtaining insurance approvals for tests and treatments can be daunting for patients. To alleviate this burden, we have a dedicated precert coordinator who actively works on our patients’ behalf with insurance providers. By liaising with both patients and insurers, the coordinator ensures a smooth and efficient process for obtaining approvals and scheduling necessary tests and treatments.

We Facilitate Copay Assistance Programs

Some rheumatological treatments can be expensive, creating financial challenges for patients. Paducah Rheumatology's precert coordinator assists patients in navigating copay assistance programs that may alleviate the financial burden of certain medications. By helping patients access these programs, we can help ensure that cost does not hinder access to vital treatments.

We Advocate in the Face of Formulary Changes and Copay Accumulator Programs

Formulary changes and copay accumulator programs can disrupt patients' access to stable treatments. When patients encounter these barriers, Paducah Rheumatology's team steps in to advocate on their behalf. The practice actively engages in appeals with payers to maintain patients' current treatments or explores alternative treatments when necessary. This unwavering commitment to patient wellbeing ensures that the best possible treatment options are explored to achieve optimal health outcomes.

We Help Our Patients Access Infusion Treatment When Needed

For some patients, infusions are an important treatment for their rheumatic disease. We empower these patients by encouraging open dialogue regarding any changes in insurance coverage. The practice helps patients understand how different insurance plans, such as Medicare Advantage, may impact their access to treatment. By providing this critical information, patients can make informed decisions that ensure continuity of care.

Here at Paducah Rheumatology, our team is dedicated to providing a patient-centered approach. To do this, we help navigate the healthcare system, emphasize support, empower our patients, and advocate for our patients every step of the journey.

We are here to help our patients access copay assistance programs, apply for financial relief and enhance treatment adherence.

Our hope is that every patient is provided with the support and tools to navigate the complexities of the healthcare system with confidence.

As always, our team at Paducah Rheumatology is ready to help you manage your rheumatic disease. Give us a call today at 270-408-6100 to set up an appointment or ask questions about insurance coverage. Please know that a physician's referral is required for new patients.


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