The DONNA CareLine provides specific case management services to patients, caregivers and/or their providers. The CareLine is staffed by a team of professional case managers with both nursing and social work backgrounds, and non-clinical case managers who have an insurance industry background with coding and billing expertise. Using their knowledge of reimbursement issues, this dedicated team will be able to help patients diagnosed with breast cancer with the following:
Access to care issues
- Lack of coverage resulting in no access to care
- Inability to afford medical and pharmaceutical co-payments and coinsurance
- Lack of access to required healthcare due to cost, transportation issues and coverage denials
Assist patients with insurance denials
- Experimental or investigational denials
- Medical necessity denials
- Benefit exclusion
- Review denial letter and provide direct insurance appeals for all levels of appeals available to a member
Other Assistance
- Assist with workplace and employment protections
- Review and educate on insurance plan language
- Employment challenges including loss of income and compromised benefits that impact access
- Medical debt crisis that has impacted or stopped required care
- Cost of living debt crisis that forces many to choose between paying for treatment or paying for their essential costs of living, often resulting in a decision to go off therapy
- Screening for the DONNA Financial Aid Fund providing small grants to help offset expenses related to care