REMINDER: Our hotline team is working remotely and focusing their time on helping our patients.  We kindly ask pharmacies, providers, and their staff to use our Pharmacy and Provider Portals. Please note: if you are contacting us about a payment or grant, it is faster to email us at grants@healthwellfoundation.org. We appreciate your continued patience and look forward to continuing to serve you. Wishing you all safety and good health during this difficult time. The HealthWell Team

 

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Neurocognitive Disease with Psychosis - Medicare Access (Medicare patients only)

Status

Open

Fund Type

Copay/Premium

Maximum Award Level

$10,000

Pharmacy Card Fund

Yes

Household Income Limit

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

Treatments Covered

  • Abilify
  • Abilify Discmelt
  • Abilify Maintena
  • Abilify Mycite
  • Adasuve
  • Aristada
  • Aristada Initio
  • Ativan
  • Carbatrol
  • Chlorpromazine Hcl
  • Chlorpromazine Hcl Avpak
  • Clozaril
  • Droperidol
  • Epitol
  • Equetro
  • Fanapt
  • Fluphenazine Decanoate
  • Fluphenazine Hcl
  • Geodon
  • Haldol
  • Haldol Decanoate
  • Invega
  • Invega Sustenna
  • Invega Trinza
  • Latuda
  • Loxapine
  • Molindone Hcl
  • Nuplazid
  • Perphenazine
  • Perseris
  • Pimozide
  • Prudoxin
  • Reserpine
  • Rexulti
  • Risperdal
  • Risperdal Consta
  • Risperidone M-tab
  • Saphris
  • Secuado
  • Seroquel
  • Seroquel Xr
  • Silenor
  • Tegretol
  • Tegretol -xr
  • Thioridazine Hcl
  • Thiothixene
  • Trifluoperazine Hcl
  • Versacloz
  • Vraylar
  • Ziprasidone Hcl
  • Ziprasidone Mesylate
  • Zonalon
  • Zyprexa
  • Zyprexa Intramuscular
  • Zyprexa Relprevv
  • Zyprexa Zydis

Fund Definition

Assistance for the treatment of psychosis in patients previously diagnosed with any one of the following neurocognitive diseases: • Alzheimer’s/ Dementia • Parkinson’s Disease • Diffuse Lewy Body Disease • Frontotemporal Lobar Degeneration • Huntington’s Disease • Prion/Creutzfeldt-Jakob Disease • Traumatic Brain Injury.

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 Neurocognitive Disease with Psychosis

    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 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. 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.

Apply/Re-EnrollSolicitar

 

About Neurocognitive Disease with Psychosis

Psychosis can be a common co-occurrence in association with cognitive impairments from conditions such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and other neurocognitive diseases, according to the American Academy of Neurology (AAN). Symptoms can include hallucinations, delusions, depression, paranoia, or manic behavior, as well as others. The impact of these symptoms extends beyond the patient, to caregivers and family members who often struggle to cope with the impact on their loved ones’ behavior and mood.  Source: American Academy of Neurology (AAN).

Additional Resources

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

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