Frequently Asked Questions

Our current program is designed for eligible Medicare Part D patients with qualifying autoimmune and inflammatory conditions who face out-of-pocket prescription costs.

Eligibility also considers household income, diagnosis, prescribed medication, residency, and other program requirements.

Eligible patients may receive up to $2,100 per calendar year.

The maximum is not an automatic award amount. Individual awards may vary based on eligible need, program requirements, and available funding.

Use the medication search on the Patient Assistance page to search by brand or generic name.

A medication appearing in the search does not by itself establish eligibility or guarantee payment of a particular claim.

Application availability changes based on available funding and program capacity. Please check back for the current status, or reach out and we can let you know when availability changes.

Applicants may be asked to provide information about their:

• Medicare Part D coverage
• Household size and income
• Diagnosis
• Prescribed medication
• Prescribing healthcare provider

Additional documentation may be requested when needed to verify eligibility.

Yes. A caregiver, family member, healthcare provider, or other authorized person may assist with the application.

Assistance is not paid directly to patients as cash.

Approved patients receive instructions for applying their benefit toward eligible prescription costs after Medicare Part D coverage is processed.

Yes. Eligibility is reviewed each year under the program requirements then in effect, and assistance remains subject to available funding.

Providers and care teams can help patients understand eligibility requirements, gather application information, and provide clinical verification when requested.

Triple Aim makes all final eligibility and award determinations.

We may ask for information needed to confirm a patient’s:

• Diagnosis
• Prescribed medication
• Prescriber information
• Other clinical information relevant to eligibility

Yes, when appropriately authorized by the patient.

Providers may also submit information directly when Triple Aim requests verification during application review.

No.

Medication information is only one part of the eligibility review. The patient must meet all applicable insurance, financial, diagnosis, residency, and program requirements.

Application availability changes based on funding and program capacity. Please reach out to us for the current application status.

Donations help fund patient assistance and the infrastructure required to operate the program responsibly and independently.

Individuals, foundations, healthcare organizations, and companies can all support our work.

Contributions support Triple Aim’s charitable mission, including direct patient assistance and the operations required to review applications, administer awards, process assistance, and maintain the program.

No.

Triple Aim independently determines patient eligibility and award amounts. Donors do not select individual patients or influence individual assistance decisions.

Yes.

We welcome conversations with philanthropic, corporate, and healthcare partners whose support aligns with Triple Aim’s mission and independence requirements.

Yes. Triple Aim Health Foundation is a 501(c)(3) nonprofit organization.

Contributions may be tax-deductible to the extent permitted by law. Donors should consult their tax adviser regarding their individual circumstances.

Yes. Supporters can also:

• Introduce Triple Aim to potential philanthropic partners
• Share the program with patients and healthcare professionals
• Support fundraising and awareness efforts
• Explore institutional or corporate partnership opportunities