Approval packets

• Pharmacy card: Take this card with you to the pharmacy to pay for prescription medications covered by the program. Funds that do not include a pharmacy benefit will not include this in their welcome packet. Learn more about pharmacy cards
• Claim guide: Contains instructions on how to submit a claim for payment.
• Claims form: Use this form each time you submit a claim to the program.
• Patient agreement, disclosures & attestations: This is your copy of the agreements you (or your authorized representative) accepted during the application process.
• Electronic Fund Transfer (EFT) form: As part of Patient Advocate Foundation’s TotalAssist program, you can have reimbursement sent directly into your checking account. It is a quick and easy way to get paid for your claims. Anyone using EFT must have an open checking account. Learn more about signing up for EFT

• Approval letter: Provides details of your grant and other important information.
• Patient agreement, disclosures & attestations: This is your copy of the agreements you (or your authorized representative) accepted during the application process.
• Instructions to activate your pre-paid VISA card: Provides instructions on how to activate your pre-paid VISA card online. Learn more about your travel card

If you are approved for a TotalAssist grant, you will receive an approval packet by mail or email, depending on your preferred contact method. You can also access your approval packet materials in your portal account. If you need another copy and have a portal account, you can download it directly from the portal. You may also request a replacement copy by contacting us.

Once you’re approved for a TotalAssist grant, you can start using your grant funding immediately. Read our guide that explains important things to know when you have been awarded a grant.