Attention: The HealthWell Foundation has changed its P.O. Box! Our new address is: P.O. Box 489, Buckeystown, MD 21717. Please update your records now to avoid future delays in processing.
For immediate receipt, upload your documents thru HealthWell’s Pharmacy and Provider portals. You may also fax your documents to us at 800-282-7692.
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AutoImmune - Medicare Access (Medicare patients only)

Status

Closed

Fund Type

Copay

Maximum Award Level

$2,800

Pharmacy Card Fund

Yes

Household Income Limit

400% of the Federal Poverty Level
(adjusted for household size and high cost of living areas)

Treatments Covered

  • Acitretin
  • Aclovate
  • Actemra
  • Active Injection Kit D
  • Anaprox-ds
  • Apexicon E
  • Arava
  • Arestin
  • Arthrotec
  • Asmanex
  • Asmanex Hfa
  • Astagraf Xl
  • Avage
  • Azasan
  • Azathioprine
  • Azulfidine En-tabs
  • Betaloan
  • Betamethasone
  • Calcipotriene
  • Calcipotriene And Betamethasone
  • Calcitrene
  • Cambia
  • Capex
  • Cataflam
  • Celebrex
  • Celestone
  • Cellcept
  • Chlorambucil
  • Cimzia
  • Clinoril
  • Clobex
  • Clocortolone
  • Clodan
  • Cloderm
  • Cordran
  • Cordran Tape
  • Coremino
  • Cormax Scalp
  • Corticosteroid
  • Corticotropin
  • Cortisone
  • Cosentyx
  • Cuprimine
  • Cutivate
  • Cyclophosphamide
  • Cyclosporine
  • Cytoxan
  • Daypro
  • Deltasone
  • Depen Titratabs
  • Depo-medrol
  • Derma-smoothe/fs
  • Dermatop
  • Desonate
  • Desonide
  • Desowen
  • Desoximetasone
  • Dexamethasone
  • Dexpak
  • Diclofenac
  • Diclofenac And Misoprostol
  • Diclofenac Potassium
  • Diflorasone Diacetate
  • Diflunisal
  • Diprolene
  • Disalcid
  • Dovonex
  • Drithocreme
  • Droxia
  • Duexis
  • Ec-naprosyn
  • Elidel
  • Elocon
  • Enbrel
  • Enstilar
  • Envarsus
  • Epifoam
  • Etodolac
  • Fabior
  • Feldene
  • Fenoprofen
  • Fenortho
  • Fluocinolone Acetonide
  • Fluocinonide
  • Flurandrenolide
  • Flurbiprofen
  • Fluticasone
  • Frotek
  • Gengraf
  • Gentak
  • Gentamicin
  • Gold Sodium Thiomalate
  • Halobetasol
  • Halog
  • Humira
  • Hydrea
  • Hydrocortisone
  • Hydroxychloroquine
  • Hydroxyurea
  • Imuran
  • Indocin
  • Indomethacin
  • Inflectra
  • Infliximab-qbtx
  • Ixifi
  • Kenalog
  • Ketoprofen
  • Kevzara
  • Kineret
  • Leflunomide
  • Leukeran
  • Locort
  • Lodine
  • Maxidex
  • Meclofenamate Sodium
  • Medrol
  • Meloxicam
  • Methotrexate
  • Methoxsalen
  • Methylprednisolone
  • Millipred
  • Minocin
  • Minocycline
  • Mobic
  • Mometasone
  • Mycophenolate
  • Myfortic
  • Nabumetone
  • Nalfon
  • Naprelan
  • Naprosyn
  • Naproxen
  • Neoral
  • Neosar
  • Novacort
  • Ocufen
  • Olumiant
  • Olux
  • Olux-e
  • Omnipred
  • Orapred
  • Orencia
  • Otezla
  • Otrexup
  • Oxaprozin
  • Oxsoralen-ultra
  • Ozurdex
  • P-care D40
  • P-care D80
  • Pamidronate
  • Pediapred
  • Penicillamine
  • Piroxicam
  • Plaquenil
  • Pramosone
  • Pramox Hc
  • Prednicarbate
  • Prednisolone
  • Prednisone
  • Profeno
  • Prograf
  • Protopic
  • Psorcon
  • Rasuvo
  • Rayos
  • Remicade
  • Renflexis
  • Restasis
  • Ridaura
  • Rituxan
  • Rocaltrol
  • Salsalate
  • Sandimmune
  • Selrx
  • Sernivo
  • Siliq
  • Simponi
  • Simponi Aria
  • Solodyn
  • Solu-medrol
  • Soriatane
  • Sorilux
  • Stelara
  • Sterapred
  • Sulfazine
  • Sulindac
  • Synalar
  • Tabloid
  • Taclonex
  • Tacrolimus
  • Taltz
  • Targretin
  • Tazarotene
  • Tazorac
  • Temovate
  • Temovate-e
  • Tersi Foam
  • Tolectin
  • Tolmetin Sodium
  • Topicort
  • Tremfya
  • Trexall
  • Triamcinolone Acetonide
  • Trianex
  • Triderm
  • Tridesilon
  • Ultravate
  • Vanos
  • Vectical
  • Verdeso
  • Veripred 20
  • Vimovo
  • Vivlodex
  • Voltaren
  • Voltaren-xr
  • Xatmep
  • Xeljanz
  • Xeljanz Xr
  • Zilretta
  • Zipsor
  • Zithranol
  • Zodex
  • Zonacort
  • Zorvolex
  • Zyflo
  • Zyflo Cr
  • Zypram

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:

  • 1.You are being treated for AutoImmune.

    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.

  • 2.You have Medicare.

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

  • 3.Your income falls within our guidelines.
    HealthWell assists individuals with incomes up to 400-500% 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.
  • 4.You are receiving treatment in the United States.

    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 AutoImmune Disease

An autoimmune disease is a condition in which a person’s immune system mistakenly attacks their body. Normally, the immune system can tell the difference between foreign cells and the person’s own cells, but in an autoimmune disease, the immune system mistakes part of the person’s body — like their joints or skin — as foreign. There is no cure for these diseases, only treatment, and the causes are also unknown. Source: Healthline

Our Autoimmune fund covers the following disease states: Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA),  Psoriasis (PsO), and Ankylosing Spondylitis (AS).