PATIENT ADVOCATE FOUNDATION
CO-PAY RELIEF DIVISION
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421 Butler Farm Road
Hampton, VA 23666
Hampton, VA 23666
Eligibility:
Insured individuals with prescription coverage and income below
400% of the Federal Poverty Level (FPL). Covered
diseases/diagnoses:
-Various types of cancer (bladder, breast, cervical, non-small cell lung, ovarian)
-Various types of metastatic cancer (breast, colorectal, gastric, prostate)
-Chronic pain
-COVID-19
-Electrolyte imbalance
-Gaucher Disease
-Hepatitis B and C
-HIV and AIDS
-Homozygous familial hypercholesterolemia
-Inherited or acquired lipodystrophy
-Multiple myeloma
-Multiple sclerosis
-Myelodysplastic syndrome
-Osteoporosis
-Periodic paralysis
-Pulmonary Fibrosis
-Renal cell carcinoma
-Spinal Muscular Atrophy
Also serves those insured through federally administered health plans like Medicare, Tricare, and Medicaid.
-Various types of cancer (bladder, breast, cervical, non-small cell lung, ovarian)
-Various types of metastatic cancer (breast, colorectal, gastric, prostate)
-Chronic pain
-COVID-19
-Electrolyte imbalance
-Gaucher Disease
-Hepatitis B and C
-HIV and AIDS
-Homozygous familial hypercholesterolemia
-Inherited or acquired lipodystrophy
-Multiple myeloma
-Multiple sclerosis
-Myelodysplastic syndrome
-Osteoporosis
-Periodic paralysis
-Pulmonary Fibrosis
-Renal cell carcinoma
-Spinal Muscular Atrophy
Also serves those insured through federally administered health plans like Medicare, Tricare, and Medicaid.
Hours:
Administrative hours: Monday-Thursday 5:30am-2pm, Friday 5:30am-1pm
Phone/FAX Numbers
- (866) 512-3861 Co-Pay Relief Division
Email Address: [email protected]
INTAKE PROCEDURE:
Call or visit website to apply. Provides assistance on a
first-come, first-served basis. Medical providers and pharmacies
may apply on behalf of their patients.
FEES:
None
DOCUMENTS:
None required at intake
LANGUAGES:
English, Spanish
AREA SERVED:
Nationwide
Services:
- Health Insurance Premium Assistance
- Prescription Expense Assistance
If you represent this agency, update your listing here.
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PATIENT ADVOCATE FOUNDATION