Good Days: Hepatitis C

Not Funded
About
Good Days: Hepatitis C is a supportive program designed to provide financial assistance for patients requiring treatment with leading Hepatitis C medications, such as Harvoni, Pegasys, Sovaldi, and others. The program aids eligible patients with up to 50% insurance coverage and household income up to 500% of the Federal Poverty Level to ensure they can access necessary healthcare treatments for Hepatitis C.
Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured
Enrollment Forms
Enrollment Form
Benefits
•$3500 annual maximum benefit
Program Requirements
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Completed applications may be submitted online, via mail (Good Days Attn: Enrollment 2611 Internet Blvd, Suite 105, Frisco, TX 75034), or fax (2145703621)
•A copy of insurance cards is required. Once the application is received, patients can call 8779687233 to check on the status. If patient qualifies and funding is available, financial assistance will be provided from the date of funding approval through the remainder of the calendar year or upon exhaustion of funding
•Patients approved during the first three quarters of the year (JanuarySeptember) must reapply to be considered for funding in the next calendar year. Patients that are approved during the last quarter of the year (OctoberDecember) do not have to reapply and will be automatically enrolled for funding in the next calendar year. Enrollment for the following calendar year does not guarantee funding availability. New copies of household income documentation are required for each new enrollment
•Call 8779687233, MondayFriday, 8:00am5:00pm CST, for assistance or additional information