Attention: The HealthWell Foundation has changed its P.O. Box! Our new address is: P.O. Box 489, Buckeystown, MD 21717. Please update your records now to avoid future delays in processing.
For immediate receipt, upload your documents thru HealthWell’s Pharmacy and Provider portals. You may also fax your documents to us at 800-282-7692.
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Request for a New Disease Fund

Thank you for sharing your feedback on what disease areas you would like to see us cover. We value your input as we continue to expand our programs.

Please submit requests for NEW disease funds only, not funds on our open or closed disease funds lists.

  • If "Other" was selected, please add the disease(s) below:
  • This field is for validation purposes and should be left unchanged.