No, not automatic. It depends on your insurance. I have Kaiser and they do not deal with outside discounts and do not handle those sorts of reimbursements. I had to apply to the program myself and had to pay Kaiser up front, then apply on my own and send in my EOB statements for every infusion. I was then reimbursed by Janssen directly. Once I reached my out of pocket maximum my Kaiser copay was $0, so no further reimbursements after that in that calendar year.
Once it was set up, it was easy. I could upload docs online, then they would send me a check.
Jan 