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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Cancer-Related Behavioral Health Fund

Covered treatments (must be related to a cancer diagnosis):

  • Prescriptions
  • Counseling services
  • Psychotherapy
  • Transporation

Fund Definition

Assistance with prescription drugs, counseling services, Cognitive Behavioral Therapy, and transportation needed to manage cancer related behavioral health issues.

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 a cancer related behavioral health condition.

    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 insurance and it covers your treatment.

    To qualify for assistance from HealthWell, you must have some form of health insurance (private insurance, Medicare, Medicaid, TriCare, etc.) that covers part of the cost of your treatment. The Foundation will refer patients without prescription insurance 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.
  • 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 HealthWell’s Cancer-Related Behavioral Health Fund

HealthWell’s Cancer-Related Behavioral Health Fund was established to assist individuals in need of cancer-related behavioral health treatments. The Fund provides financial assistance to individuals with a diagnosis of cancer to help with cost-shares for covered services prescribed by behavioral health providers (psychiatrists, psychologists and licensed social workers).

Additional Resources

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