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Your personally assigned Janssen CarePath Care Coordinator can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for SIMPONI®
- Identify options that may help make SIMPONI® more affordable, if needed
- Connect you with a nurse at Janssen Nurse Support to answer questions about treatment with SIMPONI®*
- Offer treatment education support. We also invite you to learn more at Simponi.com
- Identify and coordinate with a pharmacy to arrange shipment of your Janssen medication, if applicable
*Janssen Nurse Support is limited to education about your Janssen medication, its administration, and/or the condition it treats. It is not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.
Need Help? Please call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday - Friday, 8:00 AM to 8:00 PM ET. Multilingual phone support is available.
Get started with a Janssen CarePath Account
Sign Up or Log In to your personal Janssen CarePath Account, so you can learn about your insurance coverage for SIMPONI®; if eligible, enroll in the Janssen CarePath Savings Program and manage program benefits; and sign up for treatment support that may help you start and stay on track with your Janssen medication.
If your health plan does not approve SIMPONI® treatment
Sometimes you may not be able to obtain the medication that your doctor has ordered for you. For example, your health plan might not cover the medication because it is not on the plan’s drug list (formulary), or the cost is higher than you think you should have to pay. In these situations, you and your doctor have the right to ask the health plan to explain its decision and to consider making the medication available to you as an exception to its policies.
Delay and Denial Support
Janssen offers eligible patients SIMPONI® (golimumab) at no cost until their commercial insurance covers the medication. See program requirements below.
Program Requirements
You are eligible if you have:
- a SIMPONI® prescription for an FDA-approved use
- commercial insurance with biologics coverage
- a delay of more than 5 business days or a denial of your medication from your insurance.
In addition, for you to be eligible, your Prescriber must submit a program enrollment form* and a coverage determination form to your insurance.
If your medication is denied, your Prescriber must also submit a letter or appeal to your insurance within 90 days of when you become eligible for you to stay in the program.
You are not eligible if:
- you use any state or federal government-funded healthcare program to cover medication costs. Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration
- your coverage is denied due to non-FDA-approved use, missing information on coverage determination form, or invalid clinical rationale.
Delay and Denial Support requires a periodic check of your insurance coverage status to confirm your continued eligibility. You remain eligible until your commercial insurance covers your medication.
Delay and Denial Support covers the cost of medication only—not associated administration cost. You cannot submit the value of the free product as a claim for payment to any health plan. Program good only in the United States and its territories. Void where prohibited, taxed, or limited by law. Program terms may change.
*You may need to sign a Patient Authorization form for enrollment in Delay and Denial Support.
Injection Support
A nurse is just a phone call away
Even after you’ve been trained by a healthcare professional to give yourself an injection, you may still have questions. Janssen Nurse Support* can help answer questions about giving yourself an injection at home with the SmartJect® autoinjector or prefilled syringe, preparing your injection site prior to self-injecting, and properly disposing of your used SmartJect® autoinjector or used syringe.
Connect with Janssen Nurse Support at 877-CarePath (877-227-3728), available Monday-Friday, 9:00 AM to 8:00 PM ET. At all other times, a nurse will typically return your call in 15 minutes.
*Janssen Nurse Support is limited to education about your Janssen medication, its administration, and/or the condition it treats. It is not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.
Step-by-step injection demonstration videos
At Janssen CarePath, we've created tools to help you when self-injecting SIMPONI®, including these demonstration videos:
- For these approved indications: moderate to severe rheumatoid arthritis, active psoriatic arthritis, or active ankylosing spondylitis, click here
- For the approved indication of moderate to severe ulcerative colitis, click here
Injection practice
Additionally, we've created the SmartJect® autoinjector reusable trainer. With no needle or medicine inside, the SmartJect® autoinjector reusable trainer may be a helpful way to practice giving yourself an injection as often as you like. Visit Simponi.com to order a reusable trainer and/or a treatment preparation mat that is printed with step-by-step instructions for using your autoinjector.
Health Insurance Open Enrollment Guide
Even if you keep the same health plan year to year, your benefits can change. This guide can help you review your coverage and make changes if needed during the open enrollment period so you can stay on treatment in the new benefit period, usually beginning January 1.
Get Open Enrollment Guide [PDF]
If you’re enrolled in Medicare and using Medicare insurance to pay for your medications, our Medicare Resource Guide provides important information to consider as you are selecting your insurance coverage.