Written by a parent, not a doctor. Nothing here is medical advice.

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HealthWell Foundation

Pediatric Assistance Fund

What you get

Help with cost shares for covered prescription drugs, covered therapies and devices and transportation or car mileage related to an eligible disease state. Applications are closed for now. Ask when they reopen.

Who starts it
You, with a document from your doctor
How it’s sent
Online, on their website
Your time
About 15 minutes, plus waiting for the document
Last checked
Aug 28, 2026

Before you start, check you fit

  • Your child is 18 or under.
  • The grant lasts 12 months; ask about renewal.
  • Patient Social Security number.

  1. Ask your doctor for the documentStart here. This is the part that takes the longest.

    HealthWell Foundation needs a signed confirmation of the diagnosis from your doctor. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to HealthWell Foundation’s Pediatric Assistance Fund. They offer help with cost shares for covered prescription drugs, covered therapies and devices and transportation or car mileage related to an eligible disease state, and we want to be ready when the next round opens.

They need a signed confirmation of the diagnosis from you. Their form and instructions are here: https://www.healthwellfoundation.org/fund/pediatric-assistance-fund/

Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their applicationIt is on their website.

    Open their application ↗ Checked Aug 28, 2026

    What the form asks for

    Published Pediatric Assistance eligibility facts
    Your child is being treated for one of the disease/disorder areas covered by this fundYou have insurance and it covers your medicationYour income falls within our guidelinesYou are receiving treatment in the United States

  3. Submit it on their websiteSend the document with your application, or the way they ask.

    • Do not start a new application while the official disease-fund listing says Pediatric Assistance is closed; apply by phone or online only after reopening.

After you send

Use real-time fund alerts to monitor reopening. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published