Good Days Patient Assistance Program Update & FAQs

As of 2025, the Good Days Patient Assistance program is facing insufficient funding which impacts our patients with Medicare and Medicare Advantage insurance plans.  Please continue reading below for more detailed information from our practice and the American Society of Retina Specialists (ASRS); or click the links below to download the PDF files.

We want to inform you of recent changes regarding the Good Days Program. In the past, Good Days, a national non-profit charitable organization, could help cover out-of-pocket costs (up to 20%) associated with the drug used for eye injections. As of 2025, Good Days does not have sufficient funding for this assistance. Unfortunately, they have not released information on when or if funding will become available again.

This specifically impacts our patients with Medicare and Medicare Advantage plans. As participating providers in the Medicare program, we are required by federal law to collect unmet deductible and coinsurance amounts for Medicare and Medicare Advantage plan beneficiaries. As a result, unless there is additional funding received, moving forward patients will be responsible for their coinsurance deductible amount at the time of their visit.

You have the choice to continue your current treatment or potentially switch to a different injectable medication if you cannot afford these out-of-pocket costs. You are welcome to discuss alternative medication options with your retina specialist at your next appointment.

Good Days Program

To check the availability of Good Days funding, you must contact Good Days directly. Additionally, if you have

any other questions regarding their assistance programs, their representatives can provide the most

up-to-date information. Please use the following contact details:

Program: Macular Disease

A phone call is necessary to confirm eligibility, funding availability, and to get answers to any other questions you may have about Good Days.

Insurance Information

To determine any out-of-pocket costs, including how your deductible and maximum out-of-pocket limits apply, you will need to contact your insurance provider directly. Please call the number on the back of your insurance card for detailed information. Provide the drug name and CPT code.

  • Eylea: J0178

  • Vabysmo: J2777P

  • Izervay: J2782

  • Eylea HD: J0177

  • Ozurdex: J7312

  • Syfovre: J2781

Many retina patients rely on assistance programs to cover treatment costs for chronic retinal disease. Good Days (also known as the Chronic Disease Foundation or CDF) is a widely used independent charitable organization. While the American Society of Retina Specialists (ASRS) is not affiliated with Good Days, this guide helps patients understand the program.

What is a patient assistance program?

These programs help patients facing financial hardship by covering some or all treatment costs when insurance is inadequate or unavailable.

What are the different elements of insurance coverage and what does Good Days cover?

  • Deductible: the amount of money an insurance beneficiary must pay before the insurer begins to pay for covered services.
  • Premium: the monthly fee the beneficiary pays to receive insurance coverage.
  • Co-pay: a set fee the beneficiary pays for receiving medical services.
  • Co-insurance: a percentage of the cost of medical services a beneficiary must pay after meeting the deductible.
  • Out-of-pocket maximum: a limit on the dollar amount a beneficiary pays in a year before the insurer pays for 100% of services.

Good Days provides assistance for a variety of needs, but retina patients most receive funds to help cover co-insurance costs.

Why do I need financial assistance if I have insurance?

Many Medicare Advantage (MA) or commercial insurance plans require co-insurance for medications used in retinal treatments. Due to high costs, the co-insurance amount can be unaffordable. Good Days helps cover these costs to ensure patients receive necessary care.

Who qualifies for Good Days?

Eligibility details are available at Good Days Eligibility. Generally, the program supports patients with incomes below 500% of the federal poverty level who have insurance covering at least half of treatment costs.

How was I enrolled in Good Days without knowing?

Often, a retina specialist's staff automatically enrolls patients during a benefits investigation. Check your enrollment status at mygooddays.org.

Why was I enrolled in Good Days instead of another program?

Federal law prohibits drug manufacturers from assisting Medicare beneficiaries directly. As an independent charitable organization, Good Days can provide this support.

Why didn't I receive expected assistance from Good Days?

Due to high demand, the Good Days fund has been significantly depleted. Long-standing enrollees may still receive funds, but newer applicants may not. Check your eligibility at the Good Days website.

What are my options if I can't access Good Days?

Speak with your retina specialist's office about other options. Some MA beneficiaries may be able to switch to Original Medicare with a Medigap plan that covers co-pays and co-insurance. Explore options at medicare.gov to see if a plan is more affordable than co-insurance for retinal treatment. ASRS Fact Sheet - Thinking About Switching from Medicare Advantage to Original Medicare?

Where can I get more information?

Visit the ASRS Foundation at ASRS Patient Assistance Resources or the Good Days website at www.mygooddays.org.