Health Insurance Premium Assistance | HealthWell Foundation
Resource Name:Health Insurance Premium Assistance | HealthWell Foundation
Eligibility
18 years of age and older; Being treated for a covered disease; Have some form of health insurance that covers part of the prescription cost; Income falls within guidelines; Receiving treatment in the United States
Required documents
Reimbursement request form
Diagnosis verification forms
Proof of income
Insurance documents
Additional documents may be required.
Hours
Monday to Friday, 8:00 am - 4:00 pm
800-282-7692
Fax
·Fax
800-675-8416
Voice
·Main
Languages
English
Application process
(1) Visit website to check if you qualify (2) Call or go online to apply for services
Fees
No Fees
Service area
All ZIP Codes, All States
Provides financial assistance to eligible individuals to cover insurance premiums, coinsurance, copayments, and deductibles for certain medications and therapies. Also helps pay pediatric treatment costs, travel costs and behavioral health services.
Last Assured
09/25/2025
What's Here
Providing organization
HealthWell Foundation
Provides financial assistance to eligible individuals to cover insurance premiums, coinsurance, copayments, and deductibles for certain medications and therapies. Also helps pay pediatric treatment costs, travel costs and behavioral health services.