Reimbursement Process

See where Lilly PatientOne support fits in the reimbursement process.

You See Your Doctor

Step 1

Your diagnosis is made and your treatment is prescribed.

You Provide Your Insurance Information

Step 2

Your coverage is verified by your doctor's office, your financial responsibility (co-pay or coinsurance) is determined, or a prior authorization (preapproval) is submitted if needed.

Lilly PatientOne offers benefits investigation and prior-authorization guidance that may help your doctor confirm coverage for your prescribed Lilly Oncology medication. If your coverage is denied, we can help your doctor's office file an appeal on your behalf.

You Receive Treatment

Step 3

Once your coverage is confirmed, you'll see your doctor to begin treatment. At that time, the office will file a claim with your insurance company or give you a prescription to take to your pharmacy.

  • If you're covered, your doctor or pharmacy will receive payment
  • If you have a co-pay or coinsurance, your doctor or pharmacy will bill you for your out-of-pocket costs
  • If these costs are higher than you can afford, Lilly PatientOne can provide information on additional financial assistance options you may be eligible for
  • If you are not covered, or your claim is denied after all appeals have been exhausted, there may be other options your doctor will discuss with you, including options under the Patient Protection and Affordable Care Act

Download a Lilly PatientOne application or a checklist of the documentation you'll need to apply.

Download PatientOne Application
Download Application Checklist

Applying for Lilly PatientOne support does not guarantee coverage or assistance in any way. While we make every effort to help you navigate complex insurance processes, it is up to you and your doctor to file for prior authorizations and denied claim appeals.