Apply for Patient
Physicians, Social Workers, Nurses, Office Personnel, and Advocates - We Are Here For You! The HealthWell Foundation stands ready to work with you to assist your patients! As a provider, we know you are busy with your patients throughout the day, which is why we want to make your HealthWell experience as easy and efficient as possible.
Providers and patient advocates can apply on behalf of a patient two ways:
Before you begin the application process, please have the following information handy:
We must receive ALL the required documentation within 30 days of approval or the patient's grant will be closed. The patient can re-apply, however the grant start date will reset. Dates of service and costs incurred prior to the most recent start date will not be eligible for reimbursement.
We will not call or send letters requesting any missing required documentation. It is the responsibility of the patient and provider to ensure we received the required documentation within 30 days of the pre-approval.
For the fastest service, please fax these items to us at (800) 282-7692. You will receive an automatic fax back confirmation which includes the number of pages received. In order for our fax confirmation to get to you, your fax machine number must be programmed into your machine.
To check on the status of a grant, you can register and use our secure online provider portal. To get started, please click on the MY PATIENTS-MY PORTAL button below:MY PATIENTS-