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Medication Bridge Program Application
Individuals who are not yet members of CAREAssist and need emergency coverage for prescription medications related to their HIV care may be eligible for up to a 90-day supply through the Medication Bridge Program. This program can also assist with medical visits and lab work necessary to determine appropriate HIV treatment regimens.
Coverage is available to Primary Care Providers establishing the client's ongoing medical needs. Payments for specialty care referrals are not available at this time, although exceptions will be considered with prior authorization. The Medication Bridge Program Application must be completed by a physician.
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CAREAssist Application and Instructions
The CAREAssist program is designed for HIV positive individuals who need financial help to pay for their HIV medications ongoing. CAREAssist can pay for medications and medical services for those who qualify.
Once you have downloaded the application, please take a minute to review the instructions. Most of the questions are easy to understand, but some may need an explanation. You may also have to gather information from your personal records.
If you need assistance with any part of the application, please call 971-673-0144 (from Portland) or 1-800-805-2313 (from outside Portland).
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HIV Verification Form - you must ask your health care provider to sign this document and submit with your application.
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NEW! - Solicitud confidencial de CAREAssist & Instrucciones
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| CAREAssist Eligibility Review Instructions and Form |
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Cost Share Adjustment Request
If you are a CAREAssist member and your income changes by 25% or more, you may be eligible to apply for a cost share adjustment. Please complete this form and submit to the CAREAssist Program
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NEW! - Pedido de ajuste en la coparticipacion
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