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I am interested in PSI Assistance

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PSI programs are diagnosis specific. Our assistance programs, listed by insurance type, and their status is located on the Patient Programs section of our website. 

Do you have to be a US citizen to apply?

To be eligible for PSI assistance, you must legally reside in the US or one its territories and receive treatment from a US provider.

How can I apply for assistance?

You may apply:

How can I submit my documents to PSI?

Documents may be submitted via:

How can I check the status of my application?

You may check the status of your application(s) through the patient portal or speak with a representative at 1-800-366-7741.

I submitted my application and required documentation. When will I know if I am approved?

PSI will send a determination of patient eligibility via postal mail or patient portal account once documentation has been reviewed.

I am a PSI patient. How do I maintain my assistance?

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PSI programs are diagnosis specific. Our assistance programs, listed by insurance type, and their status is located on the Patient Programs section of our website. 

Do I have to do anything to keep my PSI assistance active?
PSI periodically reviews each patients’ assistance to verify that eligibility criteria is still met. The review timeframe may vary by program. Notification will be sent to the patient 30 days prior to the due date.

*Any changes to address, household income and/or health insurance should be immediately reported to PSI.

How do I obtain my remaining amount of assistance?

You may view pay history and remaining assistance amount through your patient portal. This information may also be available by speaking with a representative at (800) 366-7741.

I may not need to use my assistance very often. What should I do?
If PSI has not made a payment on your behalf in four (4) months, your assistance will close. Once your assistance closes, you will need to reapply.

Payments

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PSI programs are diagnosis specific. Our assistance programs, listed by insurance type, and their status is located on the Patient Programs section of our website. 

How are assistance payments made?
  • For Copayment assistance, a PSI pharmacy benefit card is mailed to you upon approval. To request another copy, call us at (800) 366-7741. In addition to your PSI ID number, below is the information that is on your pharmacy benefit card and needed for your pharmacy to process a claim
  • For all other assistance, a VISA assistance card will be provided for you to pay eligible vendors and/or providers directly. If you are unable to use your payment card, we may be able reimburse you or pay the vendor directly via check.
How long do I have to submit claims?

Claims must be submitted within 4 months from the date of service to be considered for payment.

If you have any additional questions or concerns, please contact us directly at 1-800-366-7741

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To apply, you will need:

Patient Demographic Information (address, date of birth, phone number, etc.)

Health Insurance Details

Estimated Household Income and Dependents

Once we receive your application, we may need:

Supporting Income Documentation

Medical Statement to Confirm Diagnosis

Health Insurance Cards

Social Security Number or Alien ID

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