TotalAssist Program Disclaimer

Patient Advocate Foundation’s (“PAF’s”) TotalAssist Program provides direct financial assistance to qualified patients with co-payments, co- insurance or cost-sharing associated with prescription drugs, insurance premiums and ancillary services associated with treatment through funds dedicated to specific disease states. In order to qualify for a given disease-specific fund, an applicant must (1) have a diagnosis for the given disease, (2) have a treatment regimen in place, (3) have and maintain health insurance and (4) meet the financial criteria set forth by TotalAssist for the fund. PAF will not consider the identity of any physician, provider, supplier of items or services, donor, drug therapy, services, or supplies being utilized or the referral source when assessing whether an applicant is qualified for financial assistance from a PAF TotalAssist disease-specific fund. Under no circumstances will PAF recommend or refer an applicant or enrollee to any fund donor, provider, supplier, or product. PAF reserves the right to disenroll and permanently exclude patients from the TotalAssist Program if they exhibit discriminatory, inflammatory, or biased language in their interactions with the program and its staff. 

Qualifying applicants are enrolled in a disease-specific fund for a one year from the date of enrollment (the “enrollment period”). Enrollment in a disease state fund for financial assistance up to the maximum grant amount is a gift to the enrollee, based on the availability of funding, and conditioned on use of the financial assistance in the enrollment period. The financial assistance must be used for co-payments, co-insurance, or cost-sharing associated with medications prescribed to treat the  enrollee’s disease or condition,  insurance premiums, office visits on the day of treatment and charges associated with the administration of an eligible treatment up to the maximum grant amount set for the disease-specific fund, based on the availability of funding. Enrollees may not receive any financial assistance from any other person or entity for any amount for which they have or will make a claim request to the program, including but not limited to, any assistance from Medicaid, any state drug assistance program, any patient or copayment assistance program or any foundation. PAF has no contractual obligation to provide such assistance to an enrollee. Enrollees must re-apply annually to continue receiving assistance from a given disease-specific fund. Assistance is provided on a first-come, first-served basis to the extent funding is and remains available.

Financial assistance from any TotalAssist disease-specific fund is not dependent on the use of a particular drug or provider. Under the TotalAssist program financial assistance is available for all therapeutic medications that are FDA approved and compendia listed to treat the disease or condition covered by the fund, including branded, generic, and biosimilar products, which are prescribed to treat the disease covered by the disease-specific fund. In the event that an enrollee is denied assistance for an FDA approved or compendia listed therapeutic medication that was prescribed to treat or manage the disease covered by the disease-specific fund, the enrollee should contact PAF TotalAssist at 1-866-512-3861. Enrollees are free to switch drug therapies, treating physicians, pharmacies, and suppliers at any time without affecting their continued eligibility for financial assistance from a disease-specific fund. 

Enrollees are required to inform PAF in the event their financial circumstances change and/or they lose their health insurance coverage during their enrollment period as such changes may affect enrollee eligibility for a given TotalAssist fund. 

Enrollees’ contact information and any other information provided during enrollment (collectively, “Personal Information”) may be used to share printed or electronic communications from PAF and the TotalAssist Program, or as outlined in PAF’s Privacy Policy. If the enrollee does not wish to receive print and/or electronic communications from PAF and/or TotalAssist, he/she may contact the program at 1-866-512-3861 and request to have his/her Personal Information removed from the mailing list. PAF relies on the accuracy of the enrollee’s Personal Information as provided by the enrollee or the provider applying for assistance on behalf of the enrollee. PAF is not liable for any damages resulting from the submission of inaccurate Personal Information. 

We provide free communication aids and services to anyone with a disability or who needs language assistance. We do not discriminate on the basis of race, color, national origin, sex, gender identity, age, sexual orientation, health status, or disability. To receive language translation assistance free of charge, please call us on 1-866-512-3861 and select Option 1. To receive communication assistance, dial 711 and provide the TTY relay service with the following number: 1-866-512-3861, Option 1.