Multiple Sclerosis - Medicare Access (Medicare patients only)
Maximum Award Level
$8,000Pharmacy Card Fund
Yes
Minimum CopayReimbursement Amount
Minimum Copay Reimbursement Amount
We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.
None
We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.
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
We encourage you to please submit monthly reimbursement claims (even if your premium is paid on a bi-weekly basis).
Household Income Limit
500% of the Federal Poverty Level(adjusted for household size and high
cost of living areas)
Treatments Covered
- Acetylcarnitine
- Amantadine
- Ampyra
- Armodafinil
- Aubagio
- Avonex
- Azathioprine
- Baccilus Of Calmette And Guerin
- Baclofen
- Bafiertam
- Betaseron
- Botox
- Botulinum Toxin Injection
- Briumvi
- Carbamazepine
- Carimune
- Cladribine
- Copaxone
- Cosyntropin
- Cyclophosphamide
- Daclizumab Soln
- Depo Medrol
- Diroximel Fumarate
- Dronabinol
- Extavia
- Fleqsuvy
- Gabitril
- Gammagard
- Gammaplex
- Gamunex-c
- Gilenya
- Glatiramer Acetate Injection
- Glatopa
- H.p. Acthar Gel
- Inosine Pranobex
- Interferon Alfa-2b
- Interferon Beta
- Isoniazid
- Kesimpta
- Lemtrada
- Leustatin
- Lofepramine
- Maprotiline
- Mavenclad
- Mayzent
- Methotrexate
- Mitoxantrone Hydrochloride
- Modafinil
- Muromonab-cd3
- Natalizumab
- Nuedexta
- Nuvigil
- Ocrevus
- Ondansetron
- Pediaderm Ta
- Penicillamine
- Pentoxifylline
- Pirfenidone
- Plegridy
- Ponvory
- Prednisolone
- Progabide
- Provigil
- Rebif
- Rebif Rebidose
- Rituxan
- Rituxan Hycela
- Rituximab
- Rituximab-pvvr
- Ruxience
- Siponimod
- Solu Medrol
- Sulfasalazine
- Symmetrel
- Tecfidera
- Tetrazepam
- Tiagabine Hydrochloride
- Triamcinolone
- Truxima
- Tyruko
- Tysabri
- Verapamil Hydrochloride
- Vumerity
- Zeposia
- Zinbryta
Fund Definition
Assistance with the prescription drugs and biologics used in the treatment of multiple sclerosis.
Grant Utilization
HealthWell estimates that patients use an average of $5,400 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:
-
1.
You are being treated for Multiple Sclerosis.
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 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.
-
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 Multiple Sclerosis
Multiple sclerosis is a disease in which the immune system attacks the central nervous system (brain, spinal cord, and optic nerves) and is thought to be triggered, in genetically susceptible individuals, by a combination of one or more environmental factors. People living with MS may experience a range of symptoms such as numbness in the limbs, paralysis, or loss of vision. Symptoms of the disease can also go undetected, making it difficult to diagnose. Source: National Multiple Sclerosis Society
Additional Resources
- National Multiple Sclerosis Society (Educational Resource Only)
- Can Do Multiple Sclerosis (Educational Resource Only)
- The Consortium of Multiple Sclerosis Centers
- Multiple Sclerosis Association of America
You may also visit our Resource List to view other copayment organizations that may provide assistance.