Warning: Avoid Copay Accumulator in Open Enrollment

Here’s the first thing every patient should check before picking a health insurance plan during open enrollment: Does the plan have a copay accumulator?

Open Enrollment: Beware These Insurance Barriers & PBM Schemes

Here’s what every patient should look for during open enrollment to protect themselves from insurance companies and pharmacy benefit managers.

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for yourself – for others

Help us advocate for the rights of patients with chronic and life-threatening illnesses. Work with us at community, state and federal levels in support of reforms and legislation aimed at advancing patient access to and affordability of healthcare.

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Issues & Actions

Current & New
Bipartisan bill to eliminate co-pays, expand patient access to biosimilars

Increase Access to Biosimilar Drugs

Patients need access to affordable and innovative treatments. That includes biosimilars, which are almost exact copies of biologic drugs. Like biologics, biosimilars can be used to treat many diseases such as cancers, colitis and a variety of autoimmune disorders,...

More Issues & Actions

Study: Patient out-of-pocket costs up 4x in 12 years

If you’re feeling the pinch of skyrocketing out-of-pocket health care costs, you aren’t alone. Across the country, millions of patients with “good” health insurance are being hit with higher out-of-pocket costs every time they go to access their health care. By one...

Share your story

Help us get your voice heard. Your personal story is a powerful call to action.

What to share

Tell us whether your insurance company is not responding to your needs, the health care maze is bringing you down, or share your success in solving a patient problem.

Why Stories Matter

We use patient stories to bring attention to patient access issues at the federal level and in state houses around the country. We’ll let policy makers and elected officials know patients are rising now.

Be personal this is your story, focus on your experience, what has impacted you.
Be specific the most powerful stories include real-world examples.
Be concise try to communicate your story clearly so everyone can understand.

On Social Media

Follow Patients Rising Now on social media to stay up-to-date on advocacy issues, actions & news.
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Patients Rising Now, a national non-profit organization fighting for patient access and affordability to health care, strongly opposes H.R. 3708, which would place unnecessary burdens on the practice of direct primary care. https://t.co/j7wPbFw8PL

"ICER poses a threat to patient access to new therapies. Its cost-effectiveness determinations have been so reliably friendly to insurers..."

#ICERWatch https://t.co/kGyDK6p1Bh

Advocacy News

From Our Patient Advocates

As a patient, I expect to be able to access the health care services I need.

“Medicare refuses to cover my tube feeds. Since my doctor is unable to show proof that I will need my feeding tube forever, they don’t deem it as necessary. Reality is, without my feeding tube I wouldn’t be here today. I need it to survive. The rules and regulations are a one-size-fits-all model for humans who are complex and unique.”

Carolanne Monteleone

Gastroparesis Patient, Pennsylvania

As a patient, health care decisions will remain between me and my doctor.

“It is essential to find a doctor or team who not only listens to and believes you but also respects you, it’s all too easy to get overlooked, ending up with your insurance company dictating your care. I owe my parents everything for taking me to a psychiatrist when I was six or seven and unable to function due to my intrusive thoughts and obsessive tendencies. I can’t imagine how much more painful my childhood might have been otherwise. Access to the right kind of medical care can be not only the difference between life and death, it can also be the difference between misery and a life worth living.”

Hannah Page

Borderline Personality Disorder, New York, NY

As a patient, additional health care costs will be limited by my health insurance company.

“Insurance should protect me from catastrophic costs as that’s the purpose of insurance. My costs should be a reflection of my care, not the cost of a company doing business. I will not be charged unreasonable or unexpected out-of-pocket costs for services after I have paid my premiums. Why should patients like me pay coinsurance based off the list price and not the negotiated rebate price? My insurance company should work to minimize my out of pocket costs and concentrate on providing care to me and my family.”

Bob Tufts

Multiple Myeloma, New York, NY