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Pediatric Assistance Fund

Partial List of Diseases
and Conditions

  • Acute Lymphoid Leukemia
  • Alopecia Areata
  • Anorexia Nervosa
  • Aplastic Anemia
  • Attention Deficit Hyperactivity      Disorder
  • Autism
  • Autoimmune Encephalitis
  • Autoimmune Hepatitis
  • Behcet’s Disease
  • Bilateral Hearing Loss
  • Bipolar Disorder
  • Cerebral Palsy
  • Chronic Bronchitis
  • Cleft Palate
  • Common Variable Immune      Deficiency
  • Crohn's Disease
  • Depression Disorder
  • Diabetes - Type 1
  • Diabetes-Type 2
  • Down Syndrome
  • Ehlers-Danlos Syndrome
  • Endometriosis
  • Eosinophilic Esophagitis
  • Epilepsy
  • Epitheliod Hemangioendothelioma
  • Ewing Sarcoma
  • Gastrointestinal Disease
  • Gender Identity Syndrome
  • General Anxiety Disorder
  • Glaucoma
  • Growth Hormone Deficiency
  • Hashimoto’s Thyroiditis
  • Heart Disease
  • Hepatic      Hemangioendothelioma
  • HIV Infection
  • Hypopituitarism
  • Hypotonia
  • Juvenile Arthritis
  • Kidney Disease
  • Lung Disorder
  • Lupus Nephritis
  • Muscular Dystrophy
  • Neonatal Hepatitis
  • Obsessive Compulsive      Disorder
  • Obstructive Sleep Apnea
  • Pancreatic Insufficiency
  • Panuveitis
  • Pervasive Developmental      Disorders
  • Precocious Puberty
  • Psoriatic Arthritis
  • Psychosis
  • Pulmonary Hypertension
  • Retinoblastoma of Eye
  • Scoliosis
  • Seizure Disorder
  • Severe Acne
  • Severe Concussion
  • Short Bowel Syndrome
  • Sickle Cell Anemia
  • Spina Bifida
  • T-Cell Leukemia
  • Thyroid Cancer
  • Turner's Syndrome
  • Ulcerative Colitis
  • Vasculitis
  • Williams Syndrome

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.Your child is being treated for a chronic or life-altering condition.

    To find out if you are eligible for HealthWell’s Pediatric Assistance Fund, please contact us at (800) 675-8416 to speak with a HealthWell representative. 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 insurance and it covers your medication.

    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.

  • 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, please call (800) 675-8416 to speak with a HealthWell representative.
  • 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.


To apply for a grant through our Pediatric Assistance, you must contact a HealthWell representative at 1-800-675-8416. We wish we could say “yes” to every family that comes to us, however, funding is limited. Families must meet HealthWell’s standard income and insurance eligibility criteria to qualify for a grant. Grants are awarded on a case by case basis through the Pediatric Assistance Fund. To apply for a grant, call 1-800-675-8416 anytime Monday through Friday, 9:00 a.m. to 5:00 p.m. (ET). Online applications are not offered or accepted for this fund.

About HealthWell’s Pediatric Assistance Fund

HealthWell’s Pediatric Assistance Fund helps children access the medical treatments they need, regardless of disease type or condition. Through the fund, HealthWell is able to assist families in meeting their cost-sharing obligations to help their child start or continue medical treatments they otherwise would not be able to afford. Learn more about HealthWell’s Pediatric Assistance Fund.

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

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