Application: Step 1 This form is for applicants who have not had an active enrollment within the past 12 months. If you have not had an active enrollment within the past 12 months, please click the "Continue" button below.
If you have had an active enrollment within the past 12 months and would like to re-enroll in the HealthWell program, you will receive a re-enrollment application in the mail about 6 weeks before your enrollment expires. If you do not receive the packet, please contact the HealthWell Foundation at 800-675-8416 or info@healthwellfoundation.org.