Signing up is easy!

Tell us what state you live in.

Detail the drugs that you need help with.

Type in basic information about yourself.

Instantly qualify after answering a few questions.

Activate your membership in our Patient Assistance Program.

Are a U.S. Resident

Do not have Medicaid or health care insurance to cover outpatient medications

Have income at a level that results in economic hardship when you buy retail prescription drugs.

It’s easy to qualify for our
Prescription Assistance Program
if you:

The Solution to High Prescription Costs!

If you are suffering because of the high costs of prescription medication then we may be able to help you. We are able to get our members over 1400 brand name and many generic medicines for a net cost of only $25 per month. To qualify for our assistance you must:

• Be a U.S. resident
• Not have insurance coverage for outpatient prescription drugs, including Medicaid
• Be at an income level that causes a hardship when you purchase your prescriptions at retail prices

How is this possible?

Over 250 pharmaceutical companies have developed Patient Assistance Programs to assist the uninsured who cannot afford their medicine. However, very few people know about these programs and those that do often find that applying for them is a confusing and prohibitive process. That is where we come in.

By becoming a member of SelectCare Benefits Network you will be assigned a Personal Care Advocate who will simplify the process of applying for Patient Assistance Programs and make it easy for you to get your medications for very little out of pocket cost. All of our Personal Care Advocates are highly knowledgeable and trained to work closely with patients and over 250 pharmaceutical companies.

Apply Now to see if you or a loved one qualifies like millions of others already have to receive prescription relief through Patient Assistance Programs.

Our Success in Care Advocacy

Since our inception, we've helped thousands of families across the nation to save over $200,000,000 on out of pocket prescription costs. Now many of our members are able to keep more of their income for themselves and their families. Many more are able to take the medicines that their doctor has prescribed when otherwise they wouldn't have been able to due to the costs involved.

Attention Healthcare Professionals

We invite medical professionals, social workers and others in the healthcare field to contact us to learn more about our proactive approach to Patient Advocacy and the amazing results we have had in helping the uninsured.

Do you Qualify for Patient Assistance Program Help with Your Prescription Medication?

Are the high costs for prescription drugs at your pharmacy creating a burden on your finances? Are you uninsured? Would you like to know if you qualify for free medication through a Patient Assistance Program?

There are over 250 Patient Assistance Programs and each has different guidelines to qualify. Though you will generally qualify if you meet these three conditions:

1. Be a U.S. Resident
2. Not be insured for outpatient prescription drugs (including Medicaid)
3. Have an income level that causes hardship when paying for retail prescriptions

The exact definition of economic “hardship” varies with each Patient Assistance Program, though most adhere to a formula related to the Federal Poverty guidelines. If your income is 200% below the Federal Poverty guidelines, then you will most likely qualify. The qualifying income levels for each state are outlined below.

200% of  Federal Poverty Guidelines (2011)

Persons in Family	48 Continental States and D.C.	Alaska	Hawaii
1	$21,780	$27,200	$25,080
2	29,420	36,760	33,860
3	37,060	46,320	42,640
4	44,700	55,880	51,420
5	52,340	65,440	60,200
6	59,980	59,980	68,980
7	67,620	67,620	77,760
8	75,260	94,120	86,540
For each additional person, add	7,640	9,560	8,780

Click Here to Get Started -- enrollment is fast and easy.
or Call (877) 331-0362