Benefits Verification Checklist for Arthritis Medications

Having access to your prescription medications is key to treating arthritis. This checklist will help you get started.

Benefits Verification Checklist for Arthritis Medications
Getting access to your prescription medications is critical to managing your arthritis. Depending on your health plan, there are important steps you’ll need to take to ensure you get the drugs you need in a timely manner. Use this checklist as a guide to help you prepare.
  • Check Your Formulary: Review the list of approved medications in your benefits booklet or on your insurer’s website.  If your medications aren’t included, talk to your doctor right away. It may be necessary to work together to file an appeal so you can get access to the drug.  
  • Check Your Requirements: Review your health plan’s summary of benefits carefully. It will outline the policies that affect the drugs you use e.g. step therapy or prior authorization requirements. Then you should follow up with your doctor’s office as soon as possible to start the paperwork or online submission process.
  • Check Your Out-of-pocket Cost Obligation: Your summary of benefits will outline how much you need to pay for your medications. It will confirm if you need to pay a co-pay or co-insurance amount, and whether you must satisfy a deductible before your insurer begins to pay their portion of the cost. It’s important to know that some plans have a health plan deductible for medical care and a separate medication deductible. If this information is not available on your summary of benefits or you have questions, contact your insurer.
  • Check Your Pharmacy Requirement: Your health plan may require you to use a specific pharmacy or receive your medications by mail. This information should be included in your summary of benefits.
In some cases, you may need to complete an online benefits verification form on your insurer’s website. In other cases, it’s the responsibility of your doctor’s office to submit the form. If you have changed insurance plans, medications or doctors, you can use this sample letter to get the doctor’s office to begin the process as soon as possible. Many pharmaceutical companies provide benefit verification assistance for their medications. You should contact their customer service department.
Stay in the Know. Live in the Yes.

Join the Live Yes! Arthritis Network. Tell us a little about yourself and you will receive emails packed with the latest information and resources to live your best life and connect with others.

I Want to Contribute
I Need Help
  • Donate

    Every gift to the Arthritis Foundation will help people with arthritis across the U.S. live their best life.

  • Volunteer

    Join us and become a Champion of Yes. There are many volunteer opportunities available.

  • Live Yes! INSIGHTS

    Take part to be among those changing lives today and changing the future of arthritis.

  • Partner

    Proud Partners of the Arthritis Foundation make an annual commitment to directly support the Foundation’s mission.


Make a Donation

Help millions of people live with less pain and fund groundbreaking research to discover a cure for this devastating disease. Please, make your urgently-needed donation to the Arthritis Foundation now!

Become a Member

Become an Arthritis Foundation member today for just $20. You'll receive a year's worth of Arthritis Today magazine, access to helpful tools, resources, and more.

Make a Honor or Memorial Gift

Honor a loved one with a meaningful donation to the Arthritis Foundation. We'll send a handwritten card to the honoree or their family notifying them of your thoughtful gift.


Volunteer Opportunities

The Arthritis Foundation is focused on finding a cure and championing the fight against arthritis with life-changing information, advocacy, science and community. We can only achieve these goals with your help. Strong, outspoken and engaged volunteers will help us conquer arthritis. By getting involved, you become a leader in our organization and help make a difference in the lives of millions. Join us and become a Champion of Yes.

More About Volunteering


Give Just 10 Minutes.

Tell us what matters most to you. Change the future of arthritis.

By taking part in the Live Yes! INSIGHTS assessment, you’ll be among those changing lives today and changing the future of arthritis, for yourself and for 54 million others. And all it takes is just 10 minutes.

Your shared experiences will help:

- Lead to more effective treatments and outcomes
- Develop programs to meet the needs of you and your community
- Shape a powerful agenda that fights for you

Now is the time to make your voice count, for yourself and the entire arthritis community. 

Currently this program is for the adult arthritis community.  Since the needs of the juvenile arthritis (JA) community are unique, we are currently working with experts to develop a customized experience for JA families. 

How are you changing the future?

By sharing your experience, you’re showing decision-makers the realities of living with arthritis, paving the way for change. You’re helping break down barriers to care, inform research and create resources that make a difference in people’s lives, including your own.

Get Started



Meet Our Partners

As a partner, you will help the Arthritis Foundation provide life-changing resources, science, advocacy and community connections for people with arthritis, the nations leading cause of disability. Join us today and help lead the way as a Champion of Yes.


Our Trailblazers are committed partners ready to lead the way, take action and fight for everyday victories. They contribute $2,000,000 to $2,749,000


Our Visionary partners help us plan for a future that includes a cure for arthritis. These inspired and inventive champions have contributed $1,500,00 to $1,999,999.


Our Pioneers are always ready to explore and find new weapons in the fight against arthritis. They contribute $1,000,000 to $1,499,999.


Our Pacesetters ensure that we can chart the course for a cure for those who live with arthritis. They contribute $500,000 to $999,000.


Our Signature partners make their mark by helping us identify new and meaningful resources for people with arthritis. They contribute $250,000 to $499,999.


Our Supporting partners are active champions who provide encouragement and assistance to the arthritis community. They contribute $100,000 to $249,999.

More About Partnerships