Based on the information provided, this applicant does not qualify for assistance from the HealthWell Foundation®. If the applicant experiences a significant change in his/her situation (e.g., loss of income), please consider beginning the application process again.

If you would like to discuss this applicant’s situation with an agent, please contact the HealthWell Foundation® at 800/675-8416 Monday through Friday, 9:00 am - 5:00 pm Eastern Time.