Tools and resources for your practice
RESOURCES TO SUPPORT REIMBURSEMENT
Letter of medical necessity
Use this letter template to document your rationale for a patient’s treatment.
Appeals letter
Utilize this letter template to request a review of a denied insurance benefit or payment.
Billing & coding guide
A resource to assist with billing-related inquiries.
SUPPORT PROGRAM RESOURCES
myBeOne Support HCP brochure
An overview of the services myBeOne Support provides to practices and their patients.
myBeOne Support enrollment form
The digital version of the enrollment form in an interactive PDF format.
myBeOne Support FAQs
FAQs about myBeOne Support and our Oncology Nurse Advocates.
TEVIMBRA® (tislelizumab-jsgr) payer map
Explore TEVIMBRA coverage within your state—including commercial, Medicare (both Part D and Prescription Drug Plan), and Medicaid—by using this interactive map.
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Resources for your patients
myBeOne Support patient brochure
An overview for patients and caregivers of the services available through the myBeOne Support program.
GC/GEJC Patient and Caregiver Brochure
An overview of treatment for people and caregivers of people prescribed TEVIMBRA. This brochure contains lists of side effects, questions to ask your doctor, how to prepare for infusion, and tips for caring for someone with GC/GEJC.
ESCC Patient and Caregiver Brochure
An overview of treatment for people and caregivers of people prescribed TEVIMBRA. This brochure contains lists of side effects, questions to ask your doctor, how to prepare for infusion, and tips for caring for someone with ESCC.
Patient Advocacy Resources
Gastric Cancer Foundation
The Gastric Cancer Foundation is a national nonprofit organization dedicated to improving the lives of people affected by gastric cancer and working with leading researchers to find a cure. The Foundation website – gastriccancer.org – provides a centralized and reliable resource of information and resources to make the cancer journey less mysterious and lonely.
Hope for Stomach Cancer
Hope for Stomach Cancer is a 501(c)(3) nonprofit organization that provides resources to patients, caregivers, and loved ones while promoting early detection and prevention to the general and medical communities.
Hope creates and facilitates programs that enable those affected by stomach cancer to take actionable steps to live the best possible life through each phase of the disease. Our vision is to bridge the gap between research and patient care. Find out more at stocan.org
Esophageal Cancer Action Network (ECAN)
ECAN is a national nonprofit organization that works toward the day when nobody has to die of esophageal cancer. ECAN’s mission is to save lives by:
- increasing awareness about the link between reflux disease and cancer
- promoting early detection
- advocating for medical innovation to prevent, detect, treat, and cure esophageal cancer
- providing patients and families with the latest, most reliable medical information and compassionate support
Find out more at ecan.org.
Cancer Support Community (CSC)
The Cancer Support Community is a global nonprofit that uplifts and strengthens people impacted by cancer. We provide professionally led support and navigation services, along with social connections and award-winning education — when, where, and how impacted individuals prefer throughout their cancer experience. These resources are available at over 200 Cancer Support Community, Gilda’s Club, and healthcare partner locations as well as online and over the phone — all at no cost.
American Cancer Society® (ACS)
The American Cancer Society’s mission is to improve the lives of people with cancer and their families through advocacy, research, and patient support, to ensure everyone has an opportunity to prevent, detect, treat, and survive cancer. ACS provides information, answers, and support such as transportation and lodging, to people in every community who have been touched by cancer. ACS can be reached 24 hours a day, 7 days a week at cancer.org or 800-227-2345.
CancerCare®
Founded in 1944, CancerCare is the leading national organization providing free, professional support services and information to help people manage the emotional, practical, and financial challenges of cancer. CancerCare’s comprehensive services include resource navigation, counseling, and support groups over the phone, online, and in-person; educational workshops; publications; and financial and co-payment assistance. All CancerCare services are provided by master’s-prepared oncology social workers and world-leading cancer experts. To learn more, visit cancercare.org or call 800-813-HOPE (4673).
National Comprehensive Cancer Network® (NCCN®)
nccn.org/patientresources/patient-resources
The NCCN is devoted to patient care, research, and education, and is dedicated to improving and facilitating quality, effective, efficient, and accessible cancer care so patients can live better lives.
Caregiver Action Network (CAN)
Caregiver Action Network (CAN) is the nation’s leading family caregiver organization. It works to improve the quality of life for tens of millions of family caregivers. These Americans care for loved ones with chronic conditions, disabilities, or diseases. CAN also supports those meeting the living needs of older adults.
Independent third-party organizations have their own rules for eligibility. BeOne Medicines has no involvement in their decision-making or eligibility criteria. This information is non‑exhaustive and not meant as an endorsement from BeOne Medicines.