Hodgkin's Lymphoma

Status

Do-not-Display (Accepting phone applications only)

Fund Type

Copay/Premium

Maximum Award Level

$2,500

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

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

Fund Alerts

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Treatments Covered

  • Adcetris
  • Adriamycin
  • Afinitor
  • Alkeran
  • Bendeka
  • Betamethasone
  • Bicnu
  • Bleomycin
  • Carboplatin
  • Chlorambucil
  • Cisplatin
  • Cortisone
  • Cyclophosphamide
  • Cytarabine
  • Dacarbazine
  • Decadron
  • Dexamethasone
  • Doxil
  • Etopophos
  • Etoposide
  • Everolimus
  • Evomela
  • Gemcitabine
  • Gemzar
  • Gleostine
  • Gliadel
  • Hydrocortisone
  • Ifex
  • Ifosfamide
  • Keytruda
  • Leukeran
  • Leukine
  • Matulane
  • Mechlorethamine
  • Melphalan
  • Mesna
  • Mesnex
  • Methylprednisolone
  • Mitoxantrone
  • Mustargen
  • Navelbine
  • Neupogen
  • Opdivo
  • Prednisolone
  • Prednisone
  • Procarbazine
  • Revlimid
  • Rituxan
  • Taperdex
  • Tepadina
  • Thiotepa
  • Toposar
  • Treanda
  • Triamcinolone
  • Valchlor
  • Vinblastine
  • Vincasar Pfs
  • Vincristine
  • Vinorelbine
  • Zarxio
  • Zortress

Fund Definition

.

Grant Utilization

HealthWell estimates that patients use an average of $2,650 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.

  • 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.

  • 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 Hodgkin’s Lymphoma

Hodgkin’s lymphoma is a cancer that affects the lymphatic system, which is part of the body’s immune system. According to the Leukemia & Lymphoma Society, Hodgkin lymphoma results from an injury to the DNA of a lymphocyte, a type of white blood cell, and is one of the most curable forms of cancer. Source: Leukemia & Lymphoma Society