|Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.
HealthWell Foundation Copay ProgramThis is a copay assistance program @if>
Provided by: HealthWell Foundation
English, Others By Translation Service
Program Applications and Forms
|May have insurance
|Those with Part D Eligible?
|Yes, but contact program for details
|FDA Approved Diagnosis - See Program Website for Details
|US Residency Required?
|Must reside in the US
|Call or complete online
|Complete section and sign
|Complete section, sign, attach required documents
|3-5 business days
|Automatically sent out
|Contact the program for details
|New application every 12 months
|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 insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease.
Call for most recent medications as the list is subject to change.
|Updated February 15, 2024