California man thought co-pay card would cover his $5,000 medication — then a big surprise bill exposed a costly insurance loophole

The surprise bill exposed how insurance rules can still leave Americans paying for costly prescriptions.
The American Journal of Managed Care

Breaking Down Co-Pay Accumulators, Maximizers and the Impact on Patients

Co-pay accumulators and maximizers are 2 programs that insurers have started implementing to help them redirect financial assistance from the patient, said Kimberly Westrich, MA, chief strategy ...
Medscape

As Copay Aid Recedes, Retina Treatment ‘Unsustainable’

A funding shortfall for a key copay assistance program to help make eye injections more affordable for low-income patients has caused widespread disruption in treatment, researchers have found. The ...
MM&M

He needs an expensive drug. A copay card helped — until it didn’t.

Over the course of 2025, Jayant Mishra of Mission Viejo, California, progressively developed scaly, itchy red patches on his skin. Then came the pain and swelling in the joints of his hands, making it ...
ascopubs.org

Drug Recovery and Copay Assistance Program in a Community Cancer Center: Charity and Challenges

The cost of cancer care is escalating dramatically, in part because of the rising expense of systemic cancer therapy. This creates financial dilemmas for patients and insurers and potential economic ...
Medscape

Drugmakers Are Limiting Cancer Patients’ Access to Financial Lifelines. Why?

When Gury Doshi, MD, learned that a patient’s insurance didn’t cover her breast cancer medication, Doshi had a potential workaround. The patient could try to bypass the insurer and access the drug at ...