Patient Assistance

Need help affording
prescribed treatment?

Financial barriers should not put
prescribed care out of reach.

Even with insurance, qualifying out-of-pocket costs can make prescribed treatment difficult to afford. Triple Aim Health Foundation provides financial assistance to eligible patients.

Already receiving assistance? Contact Triple Aim

Applications Are Closed

The program is not currently accepting new applications. Enter your email to be notified when availability changes.

Eligibility

See if you may qualify

To qualify, a patient generally must meet all of the following requirements:

01

Are you enrolled in Medicare Part D?

You must be enrolled in Medicare Part D and meet the program’s insurance requirements.

02

Do you have an eligible diagnosis and prescribed treatment?

You must have a qualifying diagnosis and a valid prescription for an eligible specialty treatment.

03

Does your household income fall within our guidelines?

Household income must generally be at or below 300% of the Federal Poverty Level.

View Current Federal Poverty Guidelines
04

Do you live and receive treatment in the United States?

You must reside and receive treatment in the United States or a U.S. territory. U.S. citizenship is not required.

05

Are you responsible for qualifying out-of-pocket costs?

You must be responsible for qualifying out-of-pocket costs associated with the prescribed treatment.

Meeting eligibility requirements does not guarantee approval. Final eligibility is determined after review of a complete application and required supporting documentation. Assistance is subject to available funding.

Treatment lookup

Is your prescribed treatment potentially eligible?

Search for your prescribed treatment to see whether it has previously been supported. A treatment’s appearance in the results does not guarantee eligibility.

Try a generic name, such as infliximab, or a brand name, such as Remicade.

Treatment Information

Specialty treatments we may support

Treatments previously supported by Triple Aim have been used across several areas of care, including:

  • Rheumatologic and autoimmune conditions
  • Inflammatory bowel diseases
  • Immunologic conditions
  • Allergic and inflammatory conditions
  • Osteoporosis and certain bone-health conditions

This list is not exhaustive and does not establish eligibility.

What you'll need

Preparing to apply

When applications are open, you may be asked to provide:

Personal information

  • Name and contact information
  • Residence information

Insurance and financial information

  • Medicare Part D and other relevant insurance information
  • Household income and supporting documentation

Treatment and provider information

  • Qualifying diagnosis
  • Prescribed treatment
  • Prescribing healthcare provider’s name and contact information

Applications are currently closed. View Application Status for future availability.

View Application Status
The process

How Triple Aim assistance works

1

Review the requirements

Review current eligibility requirements and application availability.

2

Submit an application

When applications are open, a patient or authorized person may submit the required information and supporting documentation.

3

Triple Aim reviews eligibility

Triple Aim reviews completed applications under the program’s eligibility requirements.

4

Receive assistance

If approved, a patient may receive financial assistance toward qualifying out-of-pocket costs, subject to award terms and available funding.

Approval does not guarantee payment of every treatment expense. Assistance is limited to eligible expenses and the available award amount.

Your treatment decisions remain yours

Triple Aim Health Foundation does not prescribe treatment or make medical decisions. Those decisions remain between patients and their healthcare providers. Triple Aim independently determines eligibility and assistance awards under established program requirements and available funding. Donors do not select individual recipients or determine eligibility or award amounts.

Questions

Frequently asked questions

The current patient assistance program is intended for eligible patients enrolled in Medicare Part D.

Insurance eligibility is only one part of the application review. Patients must also meet all other applicable program requirements.

Household income must generally be at or below 300% of the Federal Poverty Level. The applicable guidelines are updated annually.

Income eligibility alone does not guarantee approval. Patients must meet all applicable program requirements, and assistance is subject to available funding.

View Current Federal Poverty Guidelines

You cannot submit a new application while applications are closed. You may still review eligibility and treatment information and sign up for updates about future availability.

You may continue to review eligibility requirements and treatment information and check the fund status for future changes in availability.

View Application Status

No. Treatment eligibility is only one part of the review. You must meet all applicable program requirements, and assistance is subject to available funding.

Having an eligible prescribed treatment is only one part of the eligibility review. Your diagnosis, insurance coverage, household income, treatment costs, and other applicable program requirements are also considered.

Assistance is subject to available funding.

Eligible patients may receive up to $2,100 in annual assistance, subject to program requirements, award terms, and available funding.

Yes. Your healthcare provider or care team may help you understand the requirements, prepare documentation, and provide relevant diagnosis, prescription, and treatment information. Triple Aim makes the final eligibility determination.

When applications are open, follow the instructions provided with the application for submitting information on a patient’s behalf.

Treatment decisions remain between you and your healthcare provider. Triple Aim does not prescribe treatment or make medical decisions.

For questions about specific program requirements, please contact Triple Aim.

No. U.S. citizenship is not required. Patients must reside and receive treatment in the United States or a U.S. territory and meet all other applicable program requirements.

Please contact Triple Aim Health Foundation for questions regarding an existing assistance award or patient assistance.

Contact Triple Aim

Ready to learn more?

Review eligibility requirements, search treatments, or contact Triple Aim with questions.

Already receiving assistance? Contact Triple Aim