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.
Status
OpenCovered Treatments(must be related to behavioral health services)
PrescriptionsCounseling servicesPsychotherapyTransportation
Assistance Type
Prescription Drug CopayMaximum Award Level
Payment Type
Pharmacy CardMinimum Copay Reimbursement Amount
We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.
Minimum TransportationReimbursement Amount
- Mileage reimbursement for travel between patient's home and provider of service (examples - counseling location, infusion center, provider's office)
- Parking expense incurred related to travel to provider
- Public transportation, taxi, Uber/Lyft expense related to travel from patient's home to provider of service or product
Household Income Limit
500% of the Federal Poverty Level(adjusted for household size and high cost of living areas)
Medications Covered
- 5-hydroxy-l-tryptophan
- 5-mthf
- Abilify
- Abilify Discmelt
- Abilify Mycite
- Abilify Mycite Maintenance Kit
- Adhansia Xr
- Alprazolam
- Amitriptyline And Chlordiazepoxide
- Amitriptyline And Perphenazine
- Amitriptyline Hcl
- Amoxapine
- Anafranil
- Aplenzin
- Aptensio Xr
- Aripiprazole
- Aristada
- Ativan
- Auvelity
- Brexpiprazole
- Brisdelle
- Bucapsol
- Bupropion And Dextromethorphan
- Bupropion Hydrobromide
- Bupropion Hydrochloride
- Buspirone Hcl
- Butabarbital Sodium
- Butisol Sodium
- Calcium L-5-methyltetrahydrofolate
- Cariprazine
- Celexa
- Chlordiazepoxide Hcl
- Chlorpromazine Hydrochloride
- Citalopram
- Clidinium And Chlordiazepoxide
- Clobazam
- Clomipramine Hcl
- Clonazepam
- Clorazepate Dipotassium
- Cognitive Behavioral Therapy
- Compro
- Concerta
- Corgard
- Cotempla Xr-odt
- Counseling Services
- Cymbalta
- Cytomel
- Daytrana
- Desipramine Hydrochloride
- Desvenlafaxine
- Desvenlafaxine Succinate
- Diazepam
- Doral
- Doxepin Hcl
- Drizalma Sprinkle
- Droperidol
- Duloxetine
- Duloxetine Hcl
- Effexor Xr
- Elavil
- Eldepryl
- Elfolate
- Emsam
- Equagesic
- Escitalopram Oxalate
- Esketamine
- Estazolam
- Eszopiclone
- Exxua
- Fetzima
- Fluoxetine
- Flurazepam Hydrochloride
- Fluvoxamine Maleate
- Forfivo
- Fusepaq Fanatrex
- Gabapentin
- Geodon
- Gepirone
- Gralise
- Halcion
- Hemangeol
- Hydroxyzine Hyrochloride
- Hydroxyzine Pamoate
- Imipramine Hydrochloride
- Imipramine Pamoate
- Inderal La
- Inderal Xl
- Innopran Xl
- Irenka
- Isocarboxazid
- Jornay Pm
- Ketalar
- Ketamine Hcl
- Khedezla
- Klonopin
- L-methylfolate
- L-methylfolate Calcium
- L-tryptophan
- Latuda
- Levomefolate
- Levomilnacipran
- Lexapro
- Librax
- Liothyronine
- Lithium
- Lithium Carbonate
- Lithium Citrate
- Lithobid
- Lorazepam
- Loreev Xr
- Loreev Xr (oral)
- Lunesta
- Lurasidone Hydrochloride
- Lyrica
- Maprotiline
- Marplan
- Meprobamate
- Metadate Cd
- Metadate Er
- Methylin
- Methylphenidate
- Methylphenidate Hydrochloride
- Midazolam
- Milnacipran
- Minipress
- Mirapex
- Mirtazapine
- Modafinil
- Nadolol
- Nardil
- Nayzilam
- Nefazodone Hcl
- Neurontin
- Norpramin
- Nortriptyline
- Nortriptyline Hydrochloride
- Olanzapine
- Olanzapine And Fluoxetine
- Olanzapine Pamoate
- Onfi
- Opana
- Opipza
- Oxazepam
- Oxymorphone Hydrochloride
- Pamelor
- Parking Fee
- Parnate
- Paroxetine Hydrochloride
- Paroxetine Mesylate
- Paxil
- Paxil Cr
- Pexeva
- Phenelzine Sulfate
- Pramipexole Dihydrochloride
- Prazosin Hcl
- Pregabalin
- Pristiq
- Prochlorperazine
- Prochlorperazine Edisylate
- Prochlorperazine Maleate
- Propranolol
- Protriptyline Hcl
- Provigil
- Prozac
- Psychotherapy
- Quazepam
- Quetiapine
- Quetiapine Fumarate
- Quillichew Er
- Quillivan Xr
- Relexxii
- Remeron
- Remeron Soltab
- Restoril
- Rexulti
- Risperdal
- Risperidone
- Ritalin
- Ritalin La
- Ritalin Sr
- S-adenosylmethionine
- Sam-e
- Sam-e 200
- Sam-e 400
- Sarafem
- Savella
- Selegiline
- Selegiline Hydrochloride
- Seroquel
- Sertraline Hydrochloride
- Silenor
- Spravato
- Symbyax
- Sympazan
- Talk Therapy
- Telehealth Fees
- Temazepam
- Thioridazine Hydrochloride
- Tofranil
- Transcranial Magnetic Stimulation
- Transportation
- Tranxene T-tab
- Tranylcypromine Sulfate
- Trazodone
- Triazolam
- Trifluoperazine Hcl
- Trimipramine Maleate
- Trintellix
- Valium
- Venlafaxine Hcl
- Viibryd
- Vilazodone Hydrochloride
- Vistaril
- Vortioxetine Hydrobromide
- Vraylar
- Wellbutrin
- Wellbutrin Sr
- Wellbutrin Xl
- Xanax
- Xanax Xr
- Ziprasidone Hcl
- Zoloft
- Zyban
- Zyprexa
- Zyprexa Intramuscular
- Zyprexa Relprevv
- Zyprexa Zydis
Fund Definition
Assistance with prescription drugs, counseling services, Cognitive Behavioral Therapy, and transportation needed to manage cancer related behavioral health issues.
Grant Utilization
HealthWell estimates that patients use an average of $760 during their 12-month grant period for this disease area.
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:
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To qualify for copayment 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. Please note that in order to qualify for premium assistance through this fund, you must have Medicare Part B. The Foundation will refer patients without prescription insurance to other programs, such as manufacturer patient assistance programs.
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HealthWell assists individuals with incomes up to 300-500% of the Federal Poverty Level. The Foundation also considers the number in a household and cost of living in a particular city or state.
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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.
Need A Ride?
HealthWell has partnered with Ride Health to provide transportation services to eligible grant recipients. Through this service, we hope to eliminate the need for grant recipients to pay up-front for rides to and from appointments relating to their treatment. Fees for services are deducted directly from the patient’s grant. To learn more and to determine if you are eligible to utilize this resource, contact a HealthWell representative at 800-675-8416 or call us at least 2 business days in advance of your eligible appointment to schedule this service.
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 Educational Resources
- American Psychosocial Oncology Society
- Anxiety and Depression Association of America
- Cancer Support Community
- Mental Health America
- The REACH Institute
- Triage Cancer
You may also visit our Resource List to view other copayment organizations that may provide assistance.