Once a patient is approved in a fund, we can begin reimbursing for dates of service and prescription fill dates falling within the enrollment period.
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.
In order for patient grants to remain active, we must receive the first complete reimbursement request within 90 days of the date on their approval letter, and continue to receive a complete reimbursement request at least every 90 days. After 90 days of inactivity on a grant (i.e., no payment activity), the grant will close. If the grant closes, you may still submit eligible payments requests, however, we cannot guarantee funding will be available and payment made.
HealthWell kindly asks that payment requests be submitted to us within 120 days from the date of service. After 120 days, HealthWell will consider payment on a case-by-case basis depending on circumstances relative to the delay.
Minimum Reimbursement Amount
HealthWell has always had a minimum dollar requirement in place for reimbursement requests. For most HealthWell funds, the minimum reimbursement amount is $25.00. This will be applied to each prescription fill or individual charge.
What This Means for Our Grant Recipients
HealthWell will only process eligible payment requests of the fund's minimum reimbursement amount or higher. For most funds, the minimum reimbursement amount is $25.00 so payment requests for less than $25.00 will not be reimbursed. This includes both prescriptions filled through the HealthWell Pharmacy Card and those sent to HealthWell for processing.
Charges must be itemized, they cannot be combined. For example, when the fund's minimum reimbursement amount is $25.00, if a pharmacy fills three prescriptions on the same day and each is for $10.00, the three charges cannot be combined to meet the $25.00 minimum.