Help with healthcare costs for neurotrophic keratitis
This TotalAssist fund helps you pay for out-of-pocket healthcare costs, including medication copays, coinsurance, and deductibles, health insurance premiums, and other expenses. Check your eligibility with our quick and easy tools below. If this fund is open, apply today for an instant approval decision and use your grant funding right away. Learn how TotalAssist helps you.
Eligibility criteria
To be eligible for this fund, you must:
- Have a confirmed diagnosis and are in treatment for neurotrophic keratitis, or planning to begin treatment in the next 60 days, or have been in treatment in the past 6 months. This includes active surveillance of a condition
- Have government-insured coverage that covers your qualifying expenses
- Have an income at or less than 500% of the Federal Poverty Level, adjusted for your regional Cost of Living Index (COLI). What is this?
- Be a legal resident and receive treatment in the U.S. or a U.S. territory
- Be prescribed a medication or product listed in the approved medications, listed below
Quick eligibility checker
- Treatment
- Insurance
- Income
Approved medications
Patient Advocate Foundation covers all the prescription medications for each diagnosis, including generic or bioequivalent drugs, that meet any of the following criteria: FDA-approved, listed in official compendia, and/or listed in published evidence-based or clinical guidelines.
- Alrex (Loteprednol Etabonate)
- Besivance (Besifloxacin Hcl)
- Ciloxan (Ciprofloxacin Hcl)
- Ciprofloxacin Hcl (Ciprofloxacin)
- Dexamethasone Sodium Phosphate (Dexamethasone Sodium Phosphate)
- Dextenza (Dexamethasone)
- Difluprednate (Difluprednate)
- Doryx Mpc (Doxycycline Hyclate)
- Doxycycline Hyclate (Doxycycline Hyclate)
- Doxycycline Ir-Dr (Doxycycline Monohydrate)
- Doxycycline Monohydrate (Doxycycline Monohydrate)
- Durezol (Difluprednate)
- Dysport (Abobotulinumtoxina)
- Eysuvis (Loteprednol Etabonate)
- Flarex (Fluorometholone Acetate)
- Fluorometholone (Fluorometholone)
- Fml (Fluorometholone)
- Fml Forte (Fluorometholone)
- Gatifloxacin (Gatifloxacin)
- Gentamicin Sulfate (Gentamicin Sulfate)
- Iluvien (Fluocinolone Acetonide)
- Inveltys (Loteprednol Etabonate)
- Jeuveau (Prabotulinumtoxina-Xvfs)
- Levofloxacin (Levofloxacin)
- Lotemax (Loteprednol Etabonate)
- Loteprednol Etabonate (Loteprednol Etabonate)
- Maxidex (Dexamethasone)
- Medroxyprogesterone Acetate (Medroxyprogesterone Acetate)
- Miebo (Perfluorohexyloctane)
- Moxifloxacin (Moxifloxacin Hydrochloride)
- Ocuflox (Ofloxacin)
- Ofloxacin (Ofloxacin)
- Oxervate (Cenegermin-Bkbj)
- Ozurdex (Dexamethasone)
- Pred Forte (Prednisolone Acetate)
- Pred Mild (Prednisolone Acetate)
- Prednisolone Acetate (Prednisolone Acetate)
- Prednisolone Sodium Phosphate (Prednisolone Sodium Phosphate)
- Provera (Medroxyprogesterone Acetate)
- Retisert (Fluocinolone Acetonide)
- Targadox (Doxycycline Hyclate)
- Tobradex (Tobramycin/Dexamethasone)
- Tobramycin (Tobramycin)
- Tobrex (Tobramycin)
- Vibramycin (Doxycycline)
- Vigamox (Moxifloxacin)
- Xeomin (Incobotulinumtoxina)
- Yutiq (Fluocinolone Acetonide)
- Zylet (Tobramycin / Loteprednol Etabonate)
About the disease
Neurotrophic keratitis, also known as, neurotrophic keratopathy, is a rare degenerative disease of the cornea characterized by reduction or loss of corneal sensitivity. It affects the nervous system.
Diagnosis codes
H16.231, H16.232, H16.233, H16.239
How to apply
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If your fund is open, apply online 24/7, or call 866-512-3861, Monday – Friday, 8:30am – 5:30pm ET.
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Answer pre-screening questions to confirm eligibility. Have your income, medication, diagnosis, and insurance information ready.
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Complete the application and get an instant approval decision. You can begin using your grant right away.
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How does it work?
You can use your TotalAssist grant award to help pay for out-of-pocket healthcare expenses.
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Need help applying?
Call us at 866-512-3861 to apply by phone, Monday through Friday, 8:30am - 5:30pm ET.
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