Neurocognitive Disease with Psychosis - Medicare Access (Medicare patients only)

Status

Open

Fund Type

Copay
Premium (Medicare Part B only)

Maximum Award Level

$10,000

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

  • Abilify
  • Abilify Discmelt
  • Abilify Maintena
  • Abilify Mycite
  • Adasuve
  • Aristada
  • Aristada Initio
  • Ativan
  • Carbatrol
  • Chlorpromazine Hcl
  • Chlorpromazine Hcl Avpak
  • Clozaril
  • Droperidol
  • Epitol
  • Equetro
  • Fanapt
  • Fluphenazine Decanoate
  • Fluphenazine Hcl
  • Geodon
  • Haldol
  • Haldol Decanoate
  • Invega
  • Invega Sustenna
  • Invega Trinza
  • Latuda
  • Loxapine
  • Molindone Hcl
  • Nuplazid
  • Perphenazine
  • Perseris
  • Pimozide
  • Prudoxin
  • Reserpine
  • Rexulti
  • Risperdal
  • Risperdal Consta
  • Risperidone M-tab
  • Saphris
  • Secuado
  • Seroquel
  • Seroquel Xr
  • Silenor
  • Tegretol
  • Tegretol -xr
  • Thioridazine Hcl
  • Thiothixene
  • Trifluoperazine Hcl
  • Versacloz
  • Vraylar
  • Ziprasidone Hcl
  • Ziprasidone Mesylate
  • Zonalon
  • Zyprexa
  • Zyprexa Intramuscular
  • Zyprexa Relprevv
  • Zyprexa Zydis

Fund Definition

Assistance for the treatment of psychosis in patients previously diagnosed with any one of the following neurocognitive diseases: • Alzheimer’s/ Dementia • Parkinson’s Disease • Diffuse Lewy Body Disease • Frontotemporal Lobar Degeneration • Huntington’s Disease • Prion/Creutzfeldt-Jakob Disease • Traumatic Brain Injury.

Grant Utilization

HealthWell estimates that patients use an average of $4,345 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 premium 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 Neurocognitive Disease with Psychosis

Psychosis can be a common co-occurrence in association with cognitive impairments from conditions such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and other neurocognitive diseases, according to the American Academy of Neurology (AAN). Symptoms can include hallucinations, delusions, depression, paranoia, or manic behavior, as well as others. The impact of these symptoms extends beyond the patient, to caregivers and family members who often struggle to cope with the impact on their loved ones’ behavior and mood.  Source: American Academy of Neurology (AAN).

Additional Educational Resources

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