Are high out-of-pocket medication costs keeping you—or your patients—from getting critical treatment? Triple Aim Foundation can help.
Our patient assistance grants offer a fast, reliable way to get help paying for medication copays associated with provider-administered immunology medications.
How to apply
Check your eligibility
Our patient assistance grants provide fast and reliable help to pay for medication copays.
Enroll your pharmacy
Dispensing healthcare providers & pharmacies must enroll their pharmacy ahead of submitting a patient application.
Submit a patient application
Be prepared with the right information and documents for your application.
Patients are eligible for Triple Aim Foundation Assistance if:
Reside in the US
The patient resides and is receiving treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement)
Are covered by Medicare Part D
The patient must be covered by Medicare Part D. This program is aimed at lowering patient financial toxicity.
Have a valid prescription
The patient must have a valid prescription for a course of immunology provider-administered medications for treatment of a documented medical condition.
Meet income requirements
The patient’s annual income must be below 500% of the Federal Poverty Line (FPL). The U.S. Federal Poverty Guidelines change every year; current guidelines are available here.
If you or your patient meet the eligibility criteria, you can start the process.
Get started with your application
Here is what you'll need to get started with your application. Please note that the maximum approval value from Triple Aim Foundation is $1,500
Diagnosis and medications
Health insurance carrier and insurance member ID
Personal and contact information, including date of birth, mailing address, email address, and evidence of the aforementioned details via tax or employer forms
Personal and contact information, including date of birth, mailing address, email address, and evidence of the aforementioned details via tax or employer forms
About Triple Aim Foundation
Triple Aim Health Foundation advances equitable access to specialty medications by removing financial barriers at the point of care.Through patient assistance grants, we help patients afford critical treatments while supporting clinics with a reliable, compliant access solution. Our work is designed to improve patient outcomes, strengthen care delivery, and reduce the administrative burden that too often stands in the way of treatment.