The Wellness Center of South Florida
2929 NE 6th Ave., Wilton Manors, FL 33334

Phone:  954-612-3653
Fax: 954-612-3653
Email:
 
wcsflink@gmail.com

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Insurance/Meds Assistance




Broward County has been an established Eligible Metropolitan Area (EMA) providing Ryan White Part A Services through the Ryan White Care Act (Title I) since 1991. It is our goal to improve the availability of care for low income, uninsured and under-insured victims of AIDS and their families. The program is currently funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) under Part A of the Ryan White HIV/AIDS Treatment Modernization Act of 2006.


In 2009, Congress passed the Ryan White HIV/AIDS Treatment Extension Act, extending the Ryan White Care Act for an additional four years. It is under this Act that that the Broward County’s Ryan White Part A Program Office serves as the administrative entity responsible for the administration, contracting, monitoring and evaluation of the federal funding for low-income persons and families. Unlike Medicare and Medicaid, Ryan White Part A Programs are the “payer of last resort” that funds treatment when no other resources are available. 

Funds are awarded to agencies that provide our consumers with quality core medical and support services including:

  • Centralized Intake and Eligibility Determination
  • Local AIDS Pharmaceutical Assistance
  • Outpatient/Ambulatory Medical Care
  • Oral Health Care
  • Medical Case Management
  • Mental Health Services, Substance Abuse Services (Outpatient)
  • Food Bank
  • Medical Transportation
  • Legal Assistance
  • Outreach

Broward County also receives additional funding under the HIV/AIDS Treatment Modernization Act from the Ryan White Minority AIDS Initiative (MIA) to reduce disparities and improve health outcomes for eligible HIV+ persons from racial/ethnic minorities.

It is our hope that by providing a comprehensive system of care consumers residing in our community will live more healthier and productive lives.

If you are interested in services funded by the Ryan White Part A Program, contact us at 954-357-5390.

Intake and Eligibility 

Centralized Intake and Eligibility Determination Program (CIED)

Broward Regional Health Planning Council (BRHPC)
200 Oakwood Lane, Suite 100
Hollywood, FL  33020

Phone: 954-566-1417

This office is located in Oakwood Plaza (east of I-95) north of Sheridan Street next to the Oakwood Theater.

BRHPC is accessible via Broward County Transit (BCT) on Bus Routes 1, 6 and 12 and Tri-Rail (Sheridan Street Station). BCT’s Online Trip Planner can assist you in choosing the fastest route.

  • New clients are encouraged to schedule an initial intake appointment
  • Walk-ins are welcome during business hours, 8 a.m. - 5 p.m.
  • Service hours include evenings and Saturdays by appointment

Required Documentation

  • HIV Status
  • Broward County Residency
  • Income

Applicants must also provide documents related to any health and/or social service benefits they are currently enrolled in or are eligible to receive. For questions related to these particular documents, contact the BRHPC at 954-566-1417 and mention “client enrollment.” View Document Requirements (PDF).

During your appointment, BRHPC staff will determine your eligibility for Ryan White Part A services. 
In special circumstances, new clients may not have to visit BRHPC directly. Clients who are extremely ill and are unable to travel or leave their homes may request a home visit from BRHPC’s staff.

RETURNING CLIENTS

Annual Eligibility Recertification is required for all existing Ryan White Part A clients.

  • Returning clients will be contacted within 60 days of their annual recertification date to schedule an appointment
  • Clients who are within 30 days of their program expiration date should contact BRHPC directly to schedule a recertification appointment
  • If you have missed your recertification appointment or have lost eligibility for services, you must contact BRHPC to schedule another appointment

During the recertification appointment, clients will meet with a BRHPC staff at a medical office or service site where the client has previously received Part A services. The staff will assist clients to complete their Annual Eligibility Recertification.

Recertification Locations

Ryan White Part A Program Office:  
Broward Regional Health Planning Council, Inc. 
915 Middle River Drive, Suite 111
Fort Lauderdale, Florida 33304 (Located By Galleria Mall)
For More Information or Program Hours of Operation, Call:  954-566-1417
Centralized Intake And Eligibility Program To Assist Residents Living With HIV:  The Broward County Ryan White Part A Centralized Intake & Eligibility Determination Program Assists Residents Living With HIV With Health & Support Services Through:
* Eligibility Assessment
* Benefit Application Assistance
* Service Referrals and Information
* Recertification
Required Program Documentation Includes Proof of HIV Status, Broward County Residency and Income Which Must Be Provided During Each Appointment to Determine Eligibility For Ryan White Part A Services!
Additional Ryan White Part A Services:
* Pharmaceutical Assistance
* Outpatient / Ambulatory Medical Care
* Oral Health Care
* Medical Case Management
* Mental Health
* Substance Abuse
* Food
* Medical Transportation
* Legal Assistance
* Outreach

AICP Program


Are you HIV positive? Have you been laid off from your job? Are you worried about losing your health insurance? Is the thought of paying for your medical bills stressing you out?
  Take a deep breath and try to relax – the Wellness Center of South Florida may be able to help.
 
Under the AIDS Insurance Continuation Program (AICP) you can continue with your current insurance. The friendly staff at the Wellness Center can provide you with details and enrollment.  AICP is a publicly funded statewide program that pays the monthly or quarterly health insurance premiums for clients who are eligible. The AICP does not provide health insurance policies to clients. It merely allows them to continue with their current health insurance.
 
“There is help available for those who need it. In these difficult economic times, it’s important that everyone in our area knows about the AICP program.  This resource can help save lives.” says Arthur Levinson, Director of Marketing for the Wellness Center of South Florida.

To be eligible, you must meet all of the following requirements:
  •     Florida resident.
  •     Diagnosis of AIDS or HIV+ with symptoms.
  •     Annual income of no more than $41,600 (for one person)
  •     Currently covered by private health insurance.  (Includes COBRA, group, family or individual policies).
  •     Willing to sign all forms and provide eligibility information.

There are 3 types of assistance programs that help with the cost of medications for people with HIV; AIDS Drug Assistance Program-ADAP; Patient Assistance Programs-PAP, and HIV Medication Co-pay Programs. All three are covered in this page and tailored to Broward County when appropriate.

ADAP is paid through the Broward County Health Department. PAP or Patient Assistant Programs are sponsored by the various drug companies to supply drugs for people with lower incomes. Co-pay Programs help with the insurance co-pays for any income level, but are only available for those with private insurance and cannot help with co-payments for Medicare Part D, Medicaid or any other government program.


ADAP

http://www.doh.state.fl.us/disease_ctrl/aids/care/adap.html

Broward County – ADAP Waiting List(Sheila_Reimer@doh.state.fl.us)
10-01-2010 – 342 Patients
09-24-2010 – 321 Patients
09-17-2010 – 307 Patients
09-10-2010 – 292 Patients
09-03-2010 – 282 Patients
08-27-2010 – 271 Patients

On September 1, 2010 Florida ADAP removed all medications that were not Antiretrovirals or Opportunistic Infection Medications. ADAP is paid for by Ryan White Part B funds that are through the Broward County Health Department (a Florida state agency). Ryan White Part A prescriptions are still filled at the Broward County Health Department, but are covered by Ryan White Part A that is funded by Broward County. It is true that they will not be able to bill the State for these drugs, but Broward County has agreed to cover them through this extension until November 30, 2010. I had thought this was a “Done Deal”, but apparently not since the Health Department Rep did not attend the meeting and information has not reached the pharmacies. The medications removed from the ADAP Formulary were given this extension by Broward County and they should be covered by Ryan White Part A pharmacy(instead of ADAP) during this transition. The State does fully expect that clients actively seek assistance for these drugs from Patient Assistance Programs. If they have not done so already, clients should meet with the Patient Assistance Plan “Navigator” at the St. Road 84 location. Call the appointment line at (954) 713-3196 and ask for an appointment to get help applying for Patient Assistance Programs. They do not currently have an employee in this position at either the Pompano or the Hollywood pharmacy locations. If you encounter problems or need to advise ADAP of problems keeping an appointment or picking up medications, please call (954) 467-4700 ext. 5630.

Patient Assistance Programs

https://www.poz.com/basics/hiv-basics/drug-assistance-programs

http://www.aidsmeds.com/articles/PAPs_Copays_19740.shtml

Help Paying for Meds

Do you lack health insurance but make too much money to qualify for government assistance? Are your prescription co-payments so high that you can’t afford other basic necessities? This chart lists the patient assistance programs (PAPs) and co-pay programs that may be able to help.

Click here to learn more about HIV patient assistance and co-pay programs.

-www.NeedyMeds.org

- www.rxhope.org 1-877-267-0517
- www.PParx.org 1-877-267-0517
- www.rxassist.org
- www.Togetherrxaccess.com 1-800-444-4106

-www.PatientAssistance.com 1-888-477-2669
- www.rxoutreach.com 1-800-769-3880 (Generics at deep discounts)
- www.xubex.com 1-866-699-8239 (Generics at deep discounts)
Also:  DiscountedLabs.com

FPL = Federal Poverty Levels

The Federal Poverty Guidelines which will remain the same in 2011 are listed below:

150% <$16,245 for Household of 1, <$21,885 for Household of 2 (this is the cut-off for Medicare part D clients to receive Low Income Subsidy)

200% <$21,660 for Household of 1, <$29140 for Household of 2

250% <$27,075 for Household of 1, <$29,285 for Household of 2

300% <$32,490 for Household of 1, <$43,710 for Household of 2

400% <$43,320 for Household of 1, <$51,141 for Household of 2 (This is the current cut-off for ADAP Eligibility. Could be lowered in future).

500% <$54,150 for Household of 1, <$58,570 for Household of 2 (Very few Patient Assistance Programs will help at this income level)

Patient assistance programs look at these as GROSS Income, the amount before any taxes or deductions are subtracted. Unlike ADAP currently, many Patient Assistance Programs also look at your assets such as mutual funds, stocks, bonds, etc…your primary home and car and not included

Even if you think you are not eligible, please call the program for inquiries and/or apply anyway.
PAP’s may want tax returns, proof of income and possibly assets when considering application which may be more stringent than ADAP eligiblity.
All Applications are reviewed case by case and subject to change without notice and at any time.

Unless specially noted, “Resident” just means you live in the U.S. Ones that require U.S. Citizenship or Legal Residency are underlined below.

HIV Medication Co-pay Programs (Co-pay Programs are only available for those with private insurance and cannot help with co-payments for Medicare Part D, Medicaid or any other government program).

Abbott: Positive Partnership Plus Card- This includes 12 months of co-pay savings and covers Kaletra plus up to 2 other ARVs, no income or co-pay eligibility criteria. Patients can save up to $50 per month toward their Kaletra co-pay, plus up to $100 of the cost of other HIV medications (up to $50 for each additional ARV with a $100 limit total-must be part of a Kaletra regimen. Patients must get their card from their provider. Call 1-800-556-8317 or visit www.kaletra.com for more info.
Now there is a new Norvir co-pay card available. Patient pays the first $25 of their co-pay and Abbott will pay up to $75 additional per month. Please call 1-800-556-8317.

Boehringer Ingelheim: Viramune Co-Pay Savings Card-card is valid for amount of patient’s out-of-pocket cost up to $50 per month for 12 months. Patients must get card from their healthcare provider. The card is a Mastercard debit card, and must be activated at www.viramune.com or by calling the toll-free number on the card.

Bristol-Myers Squibb: Reyataz and Sustiva Co-Pay Benefit Program-Covers Reyataz and Sustiva up to $200 per month for each drug. Patient can obtain card from their healthcare provider, by calling 1-888-281-8981, or print their card at www.bmshivcopayprogram.com.

BMS and Gilead Sciences: Atripla Co-Pay Assistance Program changed July 1, 2010. Co-pay assistance will now cover co-payments up to $200 per prescription. Requirement that Patient pay the first $50 has been eliminated. If provider does not have the card, call toll free 1-866-784-3431 and one will be mailed. Visit www.atripla.com.

Gilead Sciences: Covers Truvada, Viread and Emtriva. As of July 1, 2010, program has enhanced eligibility and will pay up to $200 per month for each prescription. Please call toll-free 1-888-358-0398 for a card to be mailed to you or ask your health care provider.

Merck & Co: Isentress Patient Savings Coupon Program-patient is responsible for the first $30 of out-of-pocket cost per month, after which the coupon provides savings up to a maximum of $400 per prescription. Visit www.Isentress.com or call 1-866-350-9232.

Tibotec: Tibotec Therapeutics Patient Savings Program for Prezista and Intelence. This program has new enhanced eligibility critieria. If patient meets eligibility criteria, patient pays $5 per prescription and Patient Savings Program card covers up to $100 per month per prescription. The new criteria are brand new and generous. Please call 1-866-961-7169 for more details.

ViiV Healthcare: My Support Card covers all GSK and Pfizer HIV medications with no income criteria. Medications covered are Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Viracept and Ziagen. The card is valid for the amount of the patient’s actual out-of-pocket cost up to a maximum of $100 per each prescription. You can get the card from your provider or print the card online at www.mysupportcard.com, or call 1-888-825-5249.



Help Paying for Meds: Patient Assistance and 
Co-Pay Programs for HIV and Viral Hepatitis Drugs:  http://www.aidsmeds.com/articles/PAPs_Copays_19740.shtml
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