Systemic Lupus Erythematosus

Status Fund Type
Closed Copay

Maximum Award Level Pharmacy Card Fund
$15,000

No
Minimum Copay
Reimbursement Amount 
Minimum Premium
Reimbursement Amount 
$5

N/A

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

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 Diseases and Medications 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 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.

  • 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 Systemic Lupus Erythematosus

SLE is a serious autoimmune disease where the body’s immune system attacks and destroys healthy tissue. The disease can affect many parts of the body including the skin, heart, lungs, kidneys, brain, and joints. Source: Lupus Foundation of America

Additional Resources

American Autoimmune Related Diseases Association, Inc.American Autoimmune Related Diseases Association, Inc.
Lupus Foundation of AmericaLupus Foundation of America
Lupus Research InstituteLupus Research Institute

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