Once a patient is fully approved in a fund, we can begin reimbursing for dates of service and prescription fill dates back to the grant start date (up to 30 days prior to the pre-approval date).
For patients who do not receive a HealthWell pharmacy card, you have the option of direct billing with HealthWell. This is helpful for many patients who cannot pay up front and wait for reimbursement. To direct bill with us, you simply complete a Reimbursement Request Form and submit it with the documentation as outlined on the form.
Please keep in mind we must receive a payable reimbursement request at least every 90 days to keep the patient’s grant open. If there is no payable reimbursement request for 90 days, the grant will close. If the grant closes, you or the patient may still submit for payment and we will do our best to process payment based on available funding.
Also, HealthWell may not reimburse any claim once the date of service or prescription fill date has passed 120 days.