PAN expands insurance eligibility to Medicaid and TRICARE for 46 funds to broaden access to care

The PAN Foundation expanded insurance eligibility for 46 disease funds to include people enrolled in Medicare, Medicaid, and TRICARE government-insured coverage. Previously, these funds were only available to those enrolled in Medicare, including Medicare Advantage plans. Following this expansion, all disease funds offered by PAN are now available for those enrolled in Medicare, Medicaid, and Tricare.

This insurance eligibility expansion comes at a time when many, particularly Medicaid enrollees, are bracing for higher out-of-pocket costs, and helps to increase access to care for tens of millions of Americans who rely on these programs.

“We are proud to expand insurance eligibility for these 46 disease funds, ensuring even more people can receive help affording their out-of-pocket healthcare costs,” said Kevin L. Hagan, PAN Foundation President and CEO. “Regardless of where they live, their income, or the insurance coverage they have, everyone deserves access to the treatment they need. By expanding insurance eligibility for these disease funds, we are a step closer to our vision of a future where equitable, accessible healthcare is a reality for all.”

The expanded insurance eligibility applies to 45 financial assistance programs to help qualified patients afford their medication copay expenses, and one program dedicated to helping patients afford their health insurance premiums.

PAN disease funds with expanded insurance eligibility include:

Eligibility requirements

Specific eligibility requirements vary by disease fund. But, in general, for these funds patients must:

• Be receiving treatment for the disease
• Have Medicare, Medicaid, or TRICARE insurance that covers the qualifying medication or product
• Take a medication or product listed on PAN’s comprehensive list of covered medications for the given fund
• Have a household income that meets the specified requirements of the fund
• Reside and receive treatment in the United States or U.S. territories (U.S. citizenship is not a requirement)

How to apply

If a disease fund is open and you meet the eligibility criteria, you can apply online through the PAN portal or by phone. We encourage you to apply online through the PAN portal, but if you prefer to apply by phone, call us at 1-866-316-7263 Monday through Friday, 9:00 a.m. to 5:30 p.m. ET.  

Healthcare professionals can apply online through the PAN portal or by phone on behalf of their patients. 

If a disease fund is closed, you can sign up to join the wait list. When the fund receives more funding, PAN will open the fund to the wait list to apply for financial assistance. Learn more about PAN’s disease fund wait lists.  

About the PAN Foundation

As a leading charitable foundation and healthcare advocacy organization, the PAN Foundation is dedicated to accelerating access to treatment for those who need it most and empowering patients on their healthcare journeys. We provide critical financial assistance for treatment costs, advocate for policy solutions that expand access to care, and deliver education on complex topics—all driven by our belief that everyone deserves access to affordable, equitable healthcare.

Since 2004, our financial assistance programs have helped more than 1.3 million people to start or stay on life-changing treatment. In addition, we’ve achieved major policy victories that increase access to care, mobilized patient advocates to call for change, and educated people nationwide on critical healthcare-related topics. We’re committed to working towards a future where equitable health outcomes are a reality for all. To learn more, visit panfoundation.org.