HIV and AIDS Wasting Syndrome and Anorexia due to HIV or AIDS - Medicare Access (Medicare patients only)

Status

Do-not-Display (Accepting phone applications only)

Fund Type

Copay/Premium

Maximum Award Level

$8,000

Pharmacy Card Fund

Yes

Minimum Copay
Reimbursement Amount

Minimum Copay Reimbursement Amount

We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.

None

Minimum Premium
Reimbursement Amount

Minimum Premium Reimbursement Amount

We encourage you to please submit monthly reimbursement claims (even if your premium is paid on a bi-weekly basis).

None

Household Income Limit

500% of the Federal Poverty Level
(adjusted for household size and high
cost of living areas)

Fund Alerts

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Treatments Covered

  • Anadrol
  • Anadrol-50
  • Andro-l.a
  • Androderm
  • Androgel
  • Aveed
  • Axiron
  • Delatestryl
  • Depo-testosterone
  • Dronabinol
  • Ec-rx Testos
  • First - Testosterone
  • Fortesta
  • Genotropin
  • Humatrope
  • Marinol
  • Megace
  • Megace Es
  • Megace Oral
  • Megestrol
  • Megestrol Ac
  • Nandrolone
  • Nandrone Decanoate
  • Natesto
  • Norditropin
  • Norditropin Flexpro
  • Norditropin Nordiflex
  • Nutropin Aq
  • Nutropin Aq Nuspin
  • Omnitrope
  • Oxandrin
  • Saizen
  • Saizenprep
  • Serostim
  • Somatropin
  • Striant
  • Syndros
  • Testim
  • Testoderm
  • Testone Cik
  • Testopel
  • Testosterone
  • Testosterone Cypionate
  • Testosterone Enanthate
  • Testosterone Propionate
  • Tev-tropin
  • Thalomid
  • Triumeq
  • Virilon
  • Vogelxo
  • Zomacton
  • Zorbtive

Fund Definition

Assistance with the prescription drugs and biologics used in the treatment of HIV and AIDS Wasting Syndrome or Anorexia due to HIV or AIDS.

Grant Utilization

HealthWell estimates that patients use an average of $5,300 during their 12-month grant period for this disease area.

Consider Premium Assistance

Under this fund, HealthWell can assist with premium costs. Medicare supplemental policies can help with cost shares related to many aspects of your health care. Using a HealthWell grant to cover premiums may be a better option than treatment-specific cost shares.

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:

  • 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.

  • 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.

  • 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. If you believe you qualify for assistance, you may begin the application process here.
  • 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 HIV and AIDS Wasting Syndrome and Anorexia due to HIV or AIDS

Wasting syndrome is a common problem among HIV-infected people. Wasting syndrome is defined as unintended and progressive weight loss often accompanied by weakness, fever, nutritional deficiencies and diarrhea. The syndrome, also known as cachexia, can diminish the quality of life, exacerbate illness and increase the risk of death for people with HIV. HIV wasting syndrome is diagnosed in HIV-infected people who have unintentionally lost more than 10 percent of their body weight. Most patients with advanced HIV disease and AIDS eventually experience some degree of wasting.

Anorexia can result from a variety of factors caused by HIV infection itself, secondary infection and treatments for either. It is a common problem in HIV infection and occurs via several mechanisms, including local pathology in the oral cavity or esophagus, central nervous system disease affecting eating mechanics or the perception of hunger, or secondary anorexia due to system infections, malabsorption, or medications, or to nonmedical factors such as psychosocial problems, poverty, and isolation. Sources: National Institute of  Allergy and Infectious Diseases, National Institutes of Health

 

Additional Educational Resources

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