How TotalAssist helps you
TotalAssist helps you reduce the financial burden of out-of-pocket healthcare costs so you can focus on your care, not the complexity of the system.
What is TotalAssist?
Covering nearly 150 serious and chronic conditions, TotalAssist is the nation’s most comprehensive charitable patient assistance program. Through TotalAssist, Patient Advocate Foundation helps patients afford the cost of healthcare with grants to eligible individuals. TotalAssist grants provide patients with flexible-use funding.
What it pays for
Some funds may vary. Find your fund to check covered expenses and eligibility requirements specific to that fund.
You can use your TotalAssist grant for these eligible out-of-pocket healthcare costs:
- Medication copays, coinsurance, and deductibles (for medications on your fund’s approved medications list)
- Health insurance premiums
- Office visit charges the day of treatment
- Administration charges related to treatment
TotalAssist grants cannot be used to pay for:
- Medications or products not covered by insurance or those that have been paid by insurance at 100%
- Dental, vision, or life insurance premiums
- Prescriptions when a discount prescription card is used
- Medical services such as lab work, radiation therapy, scans, and surgery
What is financial assistance?
Through financial assistance programs like TotalAssist, individuals who meet eligibility guidelines can receive grants to cover out-of-pocket expenses.
Grants cover your out-of-pocket expenses
The TotalAssist program covers eligible healthcare and medical costs that aren’t fully covered by your insurance, or that must be paid out-of-pocket even with insurance.
It’s not a loan or discount
Our grants are charitable funding awarded to individuals, not a loan or discount program.
It comes from charitable funding
TotalAssist grants are awarded by Patient Advocate Foundation, a national 501(c)(3) charitable nonprofit organization, and are generally not considered taxable income.
Your grant is not taxable income
TotalAssist grants come from a charitable nonprofit and are issued as need-based gifts. Under current IRS guidance, they are not considered taxable income and do not affect your eligibility for other assistance programs.
How TotalAssist works
1
Search for your fund
Find the funds that match your needs. Search by disease, medication name, or diagnosis code.
2
Check your eligibility
Eligibility criteria varies by fund. Review your fund’s specific requirements before you apply. Use our eligibility checker, or complete the pre-screening when you apply online.
3
Apply online 24/7, or by phone
Complete your application online through a secure portal, or with one of our support specialists by phone.
4
Begin using your grant right away
You can use your approved grant funding right away for covered expenses, even same-day.
5
Manage your claims
Submit expense claims, track payments, and manage your grant in your portal account online. For help, visit our help center, chat live with a support specialist, or call us.
Eligibility for funds
Eligibility varies by fund, so check your specific fund’s eligibility requirements before applying. However, generally patients must:
- Be diagnosed and in treatment (including active surveillance) for the fund’s disease or condition
- Have health insurance (insurance requirement varies by fund)
- Be prescribed a medication or product listed in the fund’s approved list, if using for medication-related out-of-pocket costs
- Meet income eligibility guidelines
- Be a legal resident of, and receive treatment in, the U.S. or a U.S. territory
Health equity funds eligibility
In addition, eligibility for health equity funds includes having a home address in a zip code covered by the fund. Check your fund for specific eligibility requirements.
Transportation fund eligibility
Our transportation fund eligibility criteria does not include a health insurance requirement.
Apply today and get the help you need
Find your TotalAssist fund, check your eligibility, and apply for financial assistance to help cover your healthcare costs.
Who can apply?
TotalAssist grants help insured patients with serious and chronic illnesses pay for out-of-pocket healthcare costs. Anyone supporting patients can apply, including:
Patients and caregivers
Patients can apply directly, and caregivers can apply on their behalf. Manage claims in your portal account, or get help from our support specialists.
Pharmacies
Apply on behalf of your patients and submit pharmacy claims online or by phone, so they can access their prescriptions right away.
Providers
Support your patients through treatment and affordability concerns. Apply on behalf of your patients and manage their claims.
Nonprofit partners
Connect the communities you serve to resources and apply on their behalf. Manage cases in one place with our Nonprofit Patient Partner Portal.
Find your fund
Search by disease or medication name to find your fund, check eligibility, and apply today.
Search help articles
Find answers in our help center about eligibility, applying, claims, portal accounts, and more.
Contact us
Connect with a support specialist Mon – Fri, 8:30am – 5:30pm ET by chat, or call 866-512-3861.