Recently I was prescribed Humira for Arthritis. Humira is very expensive and would normally be unaffordable for me, so I requested a Grant for financial aid from HealthWell Foundation. HealthWell Foundation specializes in helping people with limited funds afford their prescription medications. I received a Grant for $2,800 to help me pay for Humira.in December, HealthWell Foundation provided assistance with the cost of my medication for the remainder of 2011.in January, another Grant for the same amount was awarded to help with this year's costs.
When I received confirmation from HealthWell Foundation that I had been awarded another Grant, I ordered my prescription for that month. My Health Insurance company is Aetna and I had to go through their Specialty Pharmacy for this medicine. Aetna always goes through a verification process when a third party is assisting with payment. At that time, HealthWell confirmed that the Grant was available and ready for use. Based on this information, the medication was shipped to me and HealthWell was billed for part of the costs.
In February, someone at Aetna contacted HealthWell to ask why payment had not been made. HealthWell Foundation informed the Aetna representative that they were not paying a dime because they had "regulations" that prohibited them from doing so. They also demanded that Aetna pay a minimum of 50% of the costs for the medication but that is not part of my plan. The insurance is through my employer so I do not have a choice of getting a plan that will cover more of the expense. They do not offer such a plan. When Aetna informed HealthWell that 50% payment was not a part of my plan they were informed that, in that case, HealthWell Foundation would not pay a penny towards the costs.
When Aetna was told that HealthWell would not pay due to "Regulations" they claimed to have, they refused to divulge any information with regard to what these "regulations" were or who authorized them. The next thing I know, I received a bill for nearly the entire cost of the medicine. I do not have the financial means to pay this bill. If I were able to pay I would have never needed to ask for help in the first place. Due to HealthWell Foundation's refusal to honor the grant I was awarded, I now have a grant sitting at Healthwell Foundation that I can never use.
The relief I want in this matter is as follows, I want HealthWell Foundation to honor the grant they awarded me. I also want to see their business license revoked as well as their status as a "not-for-profit" organization and all the perks that go along with that. I would also like to see them barred from doing business in the United States. That includes opening an office outside the country for the purpose of targeting American citizens for their MEDICATION FINANCIAL AID SCAM.
Any help complaint can provide in this matter would be greatly appreciated. Thank you for your time
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