Eligibility

Do I Qualify For Assistance?

HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements:

• You are being treated for a disease that we currently cover.
• You have insurance and it covers your medication.
• Your income falls within our guidelines.
• You are receiving treatment in the United States.

Are you being treated for a disease that we currently cover?

Please make sure that HealthWell currently has a fund for your diagnosis/indication and that your medication is covered under that fund by visiting our Disease Funds list. If we do not have a fund that currently covers your diagnosis, please check back as we frequently open and reopen programs as funding becomes available.

The Foundation is able to help patients receiving treatment for indications for which we currently have an open fund. We can only assist with medications that have been prescribed to treat the disease/covered diagnosis. You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.

Do you have health insurance?

To qualify for assistance from HealthWell, you must have some form of health insurance (private insurance, Medicare, Medicaid, TriCare, etc.) that covers part of the cost of your treatment. Health Savings Accounts and Health Retirement Accounts are not traditional insurances and are considered on a case by case basis. Drug discount cards do not qualify as insurance. The Foundation will refer patients without prescription insurance to other programs, such as manufacturer patient assistance programs.

Does your income fall within our guidelines?

HealthWell assists individuals with incomes up to 400-500% of the Federal Poverty Level. The Foundation also considers the number in a household and cost of living in a particular city or state.

If you are the person with the diagnosis or a family member, parent, guardian, friend, or power of attorney of the patient then start the application process here.

If you are a health care provider, staff from a provider’s office, a pharmacy representative, or social worker, you can apply on behalf of your patient using our Provider Portal or Pharmacy Portal.