This TotalAssist fund helps you cover copays, coinsurance, and deductibles related to charges for unmet social needs screenings or services conducted by your healthcare provider, including administration of Social Determinants of Health (SDOH) assessments, Community Health Initiating (CHI) services, and Principal Illness Navigation (PIN) services covered by your insurance. This fund supports patients diagnosed with having unmet social needs, specifically challenges related to access to food, transportation, housing, and other economic circumstances that impact their health, ability to access necessary care, and ability to stay on treatment.
Eligibility criteria
To be eligible for this fund, you must:
- Have been diagnosed by your provider with having an unmet social need impacting your health or access to needed care
- Have health insurance 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
Quick eligibility checker
- Treatment
- Insurance
- Income
About this diagnosis
Many social needs impact health and access to care, including food, transportation, housing, and other economic circumstances. When these needs are unmet, they can significantly affect a patient’s ability to maintain their health, adhere to treatment plans, and access care.
Diagnosis codes
Documented by treating provider with a diagnosis code of Z58 or Z59, including all subcodes.
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.
Application guides
Questions?
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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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Explore resources beyond TotalAssist
Patient Advocate Foundation knows that patients may need support, information, and resources beyond TotalAssist. This can include services like case management, help with living expenses, and much more. Search our National Financial Resources Directory, find community specific resources, and explore our patient education library.
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