Hypercholesterolemia - Medicare Access (Medicare patients only)

Status

Open

Fund Type

Copay
Premium (Medicare Part B only)

Maximum Award Level

$2,500

Pharmacy Card Fund

Yes

Minimum Copay
Reimbursement Amount

Minimum Copay Reimbursement Amount

We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.

None

Minimum Premium
Reimbursement Amount

Minimum Premium Reimbursement Amount

We encourage you to please submit monthly reimbursement claims (even if your premium is paid on a bi-weekly basis).

None

Household Income Limit

500% of the Federal Poverty Level
(adjusted for household size and high
cost of living areas)

Fund Alerts

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Treatments Covered

  • Acetylsalicylic Acid
  • Altoprev
  • Antara
  • Asprin (prescription, Non Otc)
  • Caduet
  • Colestid
  • Colestid Flavored
  • Crestor
  • Evkeeza
  • Ezallor
  • Ezetimibe
  • Fenoglide
  • Fibricor
  • Flolipid
  • Inclisiran
  • Juxtapid
  • Kynamro
  • Leqvio
  • Lescol Xl
  • Linseed Oil (none Otc)
  • Lipitor
  • Lipofen
  • Livalo
  • Lopid
  • Nexletol
  • Nexlizet
  • Niacin Er
  • Niacor
  • Niaspan
  • Numoisyn
  • Praluent
  • Pravachol
  • Prevalite
  • Psyllium
  • Questran
  • Questran Light
  • Repatha
  • Tricor
  • Triglide
  • Trilipix
  • Vascepa
  • Vytorin
  • Welchol
  • Zetia
  • Zocor
  • Zyncol
  • Zypitamag

Fund Definition

Assistance with the prescription drugs and biologics used in the treatment and management of Hypercholesterolemia.

Grant Utilization

HealthWell estimates that patients use an average of $1,230 during their 12-month grant period for this disease area.

Do I Qualify?

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:

  • 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 listing. 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.

  • This is a Medicare Access Fund. In order to qualify for assistance through this fund, you must have Medicare Part B. The Foundation will refer patients without Medicare to other programs, such as manufacturer patient assistance programs.

  • HealthWell assists individuals with incomes up to 300-500% 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 believe you qualify for assistance, you may begin the application process here.

  • If you are receiving treatment in the U.S. and have met the eligibility criteria as listed, you are ready to apply! Please note that you will be asked to provide a Social Security Number in order to create a grant. This information is gathered to eliminate duplicate applications and is kept secure and confidential.

 

About Hypercholesterolemia

According to the National Institutes of Health (NIH), hypercholesterolemia is a condition characterized by high levels of cholesterol in the blood. Hypercholesterolemia occurs when low-density lipoprotein (LDL) receptors are unable to remove cholesterol from the blood effectively. Individuals living with hypercholesterolemia have a high risk of developing coronary artery disease, which occurs when excess cholesterol in the bloodstream is deposited in the walls of blood vessels, particularly in the arteries that supply blood to the heart (coronary arteries). Abnormal buildup of cholesterol forms plaque that narrows and hardens artery walls. Plaque can clog the arteries and restrict blood flow to the heart. Buildup of plaque greatly increases a person’s risk of having a heart attack. It is estimated that more than 34 million American adults have elevated blood cholesterol levels. Source: National Institutes of Health

 

Additional Educational Resources

You may also visit our Resource List to view other copayment organizations that may provide assistance.