During this time of extremely high call volume, our team is working diligently to respond to inquiries as quickly as possible on the day they are received. 

  

If you have not received a response from our team or your submitted documents show as pending in your portal, please know these are in queue to be reviewed in the order they are received. Submitting multiple emails, portal messages, or phone calls adds time to the review process for our team and results in additional delays in our ability to respond to inquiries.  

  

To help us better assist you, please utilize one of the following options: 1. Visit your respective patient, provider, or pharmacy portal to enroll, re-enroll, or check grant status. It takes approximately 10 minutes to apply on average, and your application is acted on in real time: https://healthwellfoundation.my.salesforce-sites.com/patients.  2. Email grants@healthwellfoundation.org if your inquiry cannot be answered via the portals. 3. Request a callback through our interactive voice response system and a representative will respond to your inquiry on the same day it is received (note, this may be outside of normal business hours). 

  

We understand the importance of timely and complete responses and serving you is our number one priority. Please help us help you by submitting one inquiry only.  

  

Thank you for your patience during this time. 

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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
  • 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
  • Hashimoto’s Thyroiditis
  • Heart Disease
  • Hepatic      Hemangioendothelioma
  • HIV Infection
  • Hypotonia
  • Kidney Disease
  • Lung Disorder
  • Muscular Dystrophy
  • Neonatal Hepatitis
  • Obsessive Compulsive      Disorder
  • Obstructive Sleep Apnea
  • Pancreatic Insufficiency
  • Panuveitis
  • Pervasive Developmental      Disorders
  • Psychosis
  • Retinoblastoma of Eye
  • Scoliosis
  • Seizure Disorder
  • Severe Acne
  • Severe Concussion
  • Short Bowel Syndrome
  • Spina Bifida
  • T-Cell Leukemia
  • Thyroid Cancer
  • Vasculitis
  • Williams Syndrome

Fund Definition

Assistance with prescription drug or biologic therapies, devices or other treatment cost shares related to various diseases.

Grant Utilization

HealthWell estimates that patients use an average of $1,880 during their 12-month grant period for this disease area.

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:

  • 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.

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

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

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