CareASSIST is committed to helping patients access their medication. If you meet eligibility requirements for the CareASSIST Patient Assistance Program (PAP) below, you may be able to receive your medication at no cost.
In order to be eligible for the program, you must meet the following requirements:
If you do not meet the eligibility criteria above and still need assistance, CareASSIST may be able to help. Visit the Alternate Sources of Coverage page to learn more about alternate coverage options and additional support.
To learn more, call 1-833-WE+CARE (1-833-930-2273), Mon – Fri, 9 AM – 8 PM ET.
In the 48 contiguous states and District of Columbia
| Persons in family/ household | Poverty guideline | CareASSIST PAP eligibility (500% of FPL) |
|---|---|---|
| 1 | $12,490 | $62,450 |
| 2 | $16,910 | $84,550 |
| 3 | $21,330 | $106,650 |
| 4 | $25,750 | $128,750 |
| 5 | $30,170 | $150,850 |
| 6 | $34,590 | $172,950 |
| 7 | $39,010 | $195,050 |
| 8 | $43,430 | $217,150 |
For families/households with more than 8 persons, add $4420 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.
In Alaska
| Persons in family/ household | Poverty guideline | CareASSIST PAP eligibility (500% of FPL) |
|---|---|---|
| 1 | $15,600 | $78,000 |
| 2 | $21,130 | $105,650 |
| 3 | $26,660 | $133,300 |
| 4 | $32,190 | $160,950 |
| 5 | $37,720 | $188,600 |
| 6 | $43,250 | $216,250 |
| 7 | $48,780 | $243,900 |
| 8 | $54,310 | $271,550 |
For families/households with more than 8 persons, add $5530 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.
In Hawaii
| Persons in family/ household | Poverty guideline | CareASSIST PAP eligibility (500% of FPL) |
|---|---|---|
| 1 | $14,380 | $71,900 |
| 2 | $19,460 | $97,300 |
| 3 | $24,540 | $122,700 |
| 4 | $29,620 | $148,100 |
| 5 | $34,700 | $173,500 |
| 6 | $39,780 | $198,900 |
| 7 | $44,860 | $224,300 |
| 8 | $49,940 | $249,700 |
For families/households with more than 8 persons, add $5080 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.
To get started, you or your healthcare provider can download and print an application.
If you do not have access to a computer and printer, you may start the application process by calling CareASSIST at 1-833-WE+CARE (1-833-930-2273), Mon – Fri, 9 AM – 8 PM ET. A CareASSIST Patient Access Specialist will assist you with the next steps.
Your healthcare provider must also fill out and sign portions of your application form. Once completed, your healthcare provider must submit the application by mail or fax (1-855-411-9689).
Shortly after your application is submitted, you can expect to receive a letter from CareASSIST informing you of the status of your application. A copy of that letter will also be sent to your healthcare provider. Complete applications are usually processed within 2 business days.
Approved patients may remain enrolled for up to 12 months. If longer assistance is required, you may reapply on a yearly basis. Patients with Medicare Part B with no supplemental insurance coverage who qualify for the CareASSIST Patient Assistance Program will need to reapply at the beginning of each calendar year.
