| Program Name | HealthWell Foundation |
| Program Address | P.O Box 4133 Gaithersburg, MD 20878 |
| Phone Number |
800-675-8416 |
| Fax Number | 800-282-7692 |
| info@healthwellfoundation.org | |
| Diseases | Porphyria, Age-Related Macular Degeneration, Anemia associated with Chronic Renal Insuffiency or Chronic Renal Failure, Ankylosing Spondylitis, Asthma (Moderate to Severe), Breast Cancer, Carcinoid Tumors and Related Symptoms, Chemotherapy Induced Anemia, Chemotherapy Induced Neutropenia, Colorectal Carcinoma, Cytomegalovirus, Idiopathic Thrombocytopenia Purpura (ITP), Cutaneous T-Cell Lymphoma*, Dupuytren's Disease, Glioblastoma Multiforme and Anaplastic Astrocytoma*, Head and Neck Cancer*, Hepatitis B and C, Hodgkin's Disesase*, Immunosuppressive Treatment for Solid Organ Transplant Recipients, Iron Overload as a Result of Blood Transfusions*, Multiple Myeloma*, Myelodysplastic Syndromes*, Non-Hodgkin's Lymphoma, Non-Small Cell Lung Cancer*, Post Menopausal Osteoporosis, Psoriasis, Psoriatic Arthritis, Rheumatoid Arthritis, Secondary Hyperparathyroidism, Wilms' Tumor * These programs are currently closed to new applicants. Visit their website for updates. |
| Services Provided | Insurance Copays, Insurance Payments, Insurance Premium, Medications, |
| Details | This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of your insurance premium. |
| Eligibility Guidelines | The Foundation considers an individual's financial, medical, and insurance situation when determining who is eligible for assistance. Families with incomes below 400% of the Federal Poverty Level may qualify. Cost of living in a particular city or state is also taken into account. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. The medication is dispensed in the U.S. Patients can re-enroll every twelve months as long as the patient still requires assistance and meets the program criteria. |
| How To Apply | Call the above number to get an application or apply online. After completing the application, applicant must also send: 1) a Statement of Treatment form, which must be completed and signed by a physician; and 2) a copy of applicant's most recent federal tax form or other proof of income. |
| Area of Service | National | Web Site | Go to Website |
| Languages | English |
| Last Updated | July 07, 2010 |
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