Joyce,
OnePath Patient
Support Manager
Financial Assistance
When you’re prescribed a Takeda treatment, we’ll answer your questions, review your financial options, and walk you through the insurance process step by step. We’ll also work to find ways to help you save on your therapy.
Joyce,
OnePath Patient
Support Manager
Saving on your treatment
Co-pay assistance from OnePath can help you save on your prescribed Takeda treatment*
The program can cover up to 100% of your out-of-pocket co-pay costs, if you’re eligible. To be eligible for this program, you must:
Be prescribed a Takeda treatment for a condition it’s approved by the Food and Drug Administration (FDA) to treat. This is called an “approved indication.” Ask your healthcare provider if you’re not sure.
Have commercial insurance. This includes Health Insurance Marketplace plans.
- Commercial insurance does not include Medicare, Medicaid, Veterans Affairs (VA), or other federal or state health plans
- Be enrolled in OnePath.
Co-pay assistance of up to $20,000 per calendar year is available ($40,000 for hereditary angioedema treatment). If you reach the Program maximum before the end of the year, Takeda will help you identify programs and resources that may provide you with additional assistance with access to your prescribed Takeda treatment.
*IMPORTANT NOTICE: Takeda’s Co-pay Assistance Program ("the Program") provides financial support for commercially insured patients who qualify for the Program. Participation in the Program and provision of financial support is subject to all Program terms and conditions, including but not limited to eligibility requirements, the Program maximum benefit per claim and the annual calendar year Program maximum (“Annual Program Maximum”). The Annual Program Maximum for your prescribed Takeda product can be found by visiting: https://www.onepath.com/onepath_financial_assistance_options
By enrolling in the Program, you agree that the Program is intended solely for the benefit of you—not health plans and/or their partners. Further, you agree to comply with all applicable requirements of your health plan. The Program cannot be used if the patient is a beneficiary of, or any part of the prescription is covered by: 1) any federal, state, or government-funded healthcare program (Medicare, Medicare Advantage, Medicaid, TRICARE, etc.), including a state pharmaceutical assistance program (the Federal Employees Health Benefit (FEHB) Program is not a government-funded healthcare program for the purpose of this offer), 2) the Medicare Prescription Drug Program (Part D), or if the patient is currently in the coverage gap, or 3) insurance that is paying the entire cost of the prescription. No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third-party payer, whether public or private.
Some health plans have established programs referred to as ’co-pay maximizer’ programs. A co-pay maximizer program is one in which the amount of a patient’s out-of-pocket costs is adjusted to reflect the availability of support offered by a manufacturer’s co-pay assistance program. If you are enrolled in a co-pay maximizer program, your Annual Program Maximum may vary over time to ensure the program funds are used for your benefit (for the benefit of the patient). Takeda also reserves the right to reduce or eliminate the co-pay assistance available to patients enrolled in an insurance plan that utilizes a co-pay maximizer program.
If you learn your health plan has implemented a co-pay maximizer program, you agree to notify the Program immediately by calling 1-866-888-0660. It may be possible that you are unaware whether you are subject to a co-pay maximizer program when you enroll or re-enroll in the Program. Takeda will monitor program utilization data and reserves the right to discontinue assistance under the Program at any time if Takeda determines that you are subject to a co-pay maximizer, or similar program.
The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your insurance provider. If your insurance situation changes you must notify the Program immediately at 1-866-888-0660. Coverage of certain administration charges will not apply for patients residing in states where it is prohibited by law.
This Program offer is not transferable and is limited to one offer per person and may not be combined with any other coupon, discount, prescription savings card, rebate, free trial, patient assistance, co-pay maximizer, alternative funding program, co-pay accumulator, or other offer, including those from third parties and companies that help insurers or health plan manage costs. Not valid if reproduced.
By utilizing the Program, you hereby accept and agree to abide by these terms and conditions. Any individual or entity who enrolls or assists in the enrollment of a patient in the Program represents that the patient meets the eligibility criteria and other requirements described herein. You must meet the Program eligibility requirements every time you use the Program. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice, and other terms and conditions may apply.
Looking for insurance support? You’ve come to the right place.
Dealing with insurance can be overwhelming. Especially when a challenge arises. OnePath specialists are insurance experts who are ready to help. They will:
- Walk you through the insurance process step by step
- Help you understand what’s covered, what’s not, and what to do next
- Work to resolve any problems
Are you facing an insurance challenge? Call OnePath Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660. We’re happy to answer your questions. You can also learn more about our OnePath specialists here.
Medicare, Medicaid, or another government plan
If you have Medicare, Medicaid, or another government insurance plan and you have questions about coverage for your prescribed Takeda treatment, we’re here to help. You can call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660. You can also learn more by visiting one of the sites below.
The above links are provided as a resource. Takeda has no control over the content of any website not owned by Takeda.
Uninsured
If you have no insurance, or are underinsured, OnePath can direct you to programs that may assist you. For more information, call OnePath Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
Learn about Stacey’s experience with OnePath Co-Pay Assistance
Stacey is the mother of 2 daughters who are prescribed a Takeda treatment for type 1 Gaucher disease. Find out how OnePath Co-Pay Assistance has helped them.
Personalized tools to help you stay organized
Use the OnePath Mobile App and Portal to conveniently update insurance information. With the App, you can upload photos of new insurance cards directly to OnePath. It’s that simple.
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Frequently asked questions
OnePath offers out-of-pocket co-pay costs for your prescribed Takeda treatment, if you’re eligible.* To be eligible for one of these programs, you must:
Be prescribed a Takeda treatment for a condition it’s approved by the Food and Drug Administration (FDA) to treat. This is called an “approved indication.” Ask your healthcare provider if you’re not sure.
Have commercial insurance. This includes Health Insurance Marketplace plans.
Commercial insurance does not include Medicare, Medicaid, Veterans Affairs (VA), or other federal or state health plans
Be enrolled in OnePath.
See below for terms and conditions.
*IMPORTANT NOTICE: Takeda’s Co-pay Assistance Program ("the Program") provides financial support for commercially insured patients who qualify for the Program. Participation in the Program and provision of financial support is subject to all Program terms and conditions, including but not limited to eligibility requirements, the Program maximum benefit per claim and the annual calendar year Program maximum (“Annual Program Maximum”). The Annual Program Maximum for your prescribed Takeda product can be found by visiting: https://www.onepath.com/onepath_financial_assistance_options
By enrolling in the Program, you agree that the Program is intended solely for the benefit of you—not health plans and/or their partners. Further, you agree to comply with all applicable requirements of your health plan. The Program cannot be used if the patient is a beneficiary of, or any part of the prescription is covered by: 1) any federal, state, or government-funded healthcare program (Medicare, Medicare Advantage, Medicaid, TRICARE, etc.), including a state pharmaceutical assistance program (the Federal Employees Health Benefit (FEHB) Program is not a government-funded healthcare program for the purpose of this offer), 2) the Medicare Prescription Drug Program (Part D), or if the patient is currently in the coverage gap, or 3) insurance that is paying the entire cost of the prescription. No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third-party payer, whether public or private.
Some health plans have established programs referred to as ’co-pay maximizer’ programs. A co-pay maximizer program is one in which the amount of a patient’s out-of-pocket costs is adjusted to reflect the availability of support offered by a manufacturer’s co-pay assistance program. If you are enrolled in a co-pay maximizer program, your Annual Program Maximum may vary over time to ensure the program funds are used for your benefit (for the benefit of the patient). Takeda also reserves the right to reduce or eliminate the co-pay assistance available to patients enrolled in an insurance plan that utilizes a co-pay maximizer program.
If you learn your health plan has implemented a co-pay maximizer program, you agree to notify the Program immediately by calling 1-866-888-0660. It may be possible that you are unaware whether you are subject to a co-pay maximizer program when you enroll or re-enroll in the Program. Takeda will monitor program utilization data and reserves the right to discontinue assistance under the Program at any time if Takeda determines that you are subject to a co-pay maximizer, or similar program.
The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your insurance provider. If your insurance situation changes you must notify the Program immediately at 1-866-888-0660. Coverage of certain administration charges will not apply for patients residing in states where it is prohibited by law.
This Program offer is not transferable and is limited to one offer per person and may not be combined with any other coupon, discount, prescription savings card, rebate, free trial, patient assistance, co-pay maximizer, alternative funding program, co-pay accumulator, or other offer, including those from third parties and companies that help insurers or health plan manage costs. Not valid if reproduced.
By utilizing the Program, you hereby accept and agree to abide by these terms and conditions. Any individual or entity who enrolls or assists in the enrollment of a patient in the Program represents that the patient meets the eligibility criteria and other requirements described herein. You must meet the Program eligibility requirements every time you use the Program. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice, and other terms and conditions may apply.
If you or someone you care for is prescribed a Takeda treatment, a OnePath insurance expert can help you choose a plan that’s right for you. Our experts can help you understand what’s covered, what’s not, and what to do next. Your Patient Support Manager (PSM) can connect you to an insurance specialist. Call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
If you or someone you care for is prescribed a Takeda treatment and have questions or concerns about a change in your insurance coverage, OnePath is here to help. OnePath insurance experts can help you find the answers you need. Your Patient Support Manager (PSM) can connect you to an insurance expert. Call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
If your insurance plan does not cover your prescribed Takeda treatment, a OnePath insurance expert can help you understand what’s covered and what’s not. Your Patient Support Manager (PSM) can connect you to an insurance expert. Call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
If you or someone you care for is prescribed a Takeda treatment and facing a loss of insurance, OnePath is here to help. OnePath insurance experts can help answer questions and provide information about options that may help cover your prescribed Takeda treatment costs. Your Patient Support Manager (PSM) can connect you to an insurance expert. Call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
As you get closer to age 65 and near retirement, there are many things to consider about your insurance coverage. OnePath insurance experts can help answer your questions. Your Patient Support Manager (PSM) can connect you to an insurance specialist. Call us Monday through Friday, 8:30 AM to 8:00 PM ET, at 1-866-888-0660.
Information about insurance coverage options when you turn 65 can be found here.
