What Options Are There?

Whether you have insurance or not, you might feel concerned about the cost of your treatment. If you are eligible, there are options to help you pay for your Herceptin.*

Co-pay Assistance Foundations

If you have public insurance or commercial insurance, Herceptin Access Solutions can refer you to an independent co-pay assistance foundation that might help pay for your Genentech medicine.

Click the arrow below to learn more about this option.

 

Genentech® Access to Care Foundation (GATCF)

If you don’t have health insurance, or if you have health insurance but can’t afford your Genentech medicine, GATCF might be able to help you get your medicine for free.

Click the arrow below to learn more about this option.

 

Genentech BioOncology Co-pay Card

If you have commercial insurance and meet other criteria, the Genentech BioOncology Co-pay Card might be able to help you with the out-of-pocket costs of your medicine.

Click the arrow below to learn more about this option.

 

*Each program has its own eligibility criteria.

Co-pay Assistance Foundations

We can refer you to an independent co-pay assistance foundation that might help pay for your Genentech medicine.

Independent co-pay assistance foundations are non-profit organizations that help patients with their out-of-pocket costs. The foundations listed here might be able to help you pay for your Genentech medicine.

Call Herceptin Access Solutions at (888) 249-4918 for a referral.

If you would like to contact a foundation directly, you can use the information below:

CancerCare Co-Payment Assistance Foundation
275 Seventh Avenue, 22nd Floor
New York, NY 10001
Toll Free: 866-55-COPAY (866-552-6729)
www.cancercarecopay.org

The HealthWell Foundation
P.O. Box 220410
Chantilly, VA 20153-0410
Toll Free: 800-675-8416
www.healthwellfoundation.com
*Open to Medicare Patients Only

Patient Advocate Foundation (PAF)
421 Butler Farm Road 
Hampton, VA 23666
Toll Free: 866-512-3861
www.patientadvocate.org

CancerCare Co-Payment Assistance Foundation
275 Seventh Avenue, 22nd Floor
New York, NY 10001
Toll Free: 866-55-COPAY (866-552-6729)

Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse or show financial preference for any particular foundation. The foundations in this list are not the only ones that might be able to help you.

The Genentech® Access to Care Foundation

The Genentech Access to Care Foundation, or GATCF, helps people who have health insurance and those who don’t. If you qualify for GATCF, you could receive Herceptin free of charge.

You might qualify if you meet the requirements below.

To apply for this program, you must be enrolled in Herceptin Access Solutions.

To enroll in Herceptin Access Solutions, you must complete a form called the Patient Authorization and Notice of Release of Information, or PAN. This form is located under Forms and Documents.

We also need a form from your doctor. This is called a Statement of Medical Necessity, or SMN.

If you think you might qualify for GATCF, be sure to complete Sections 5 and 6 when you fill out the PAN.

†Including Genentech brand-specific co-pay cards and support from independent co-pay assistance foundations.

The Genentech BioOncology Co-pay Card

If you have a commercial health insurance plan, such as one from your employer, you might qualify for the Genentech BioOncology Co-pay Card. The Genentech BioOncology Co-pay Card might be able to help you with the out-of-pocket costs of Herceptin.

In order to be eligible for The Genentech BioOncology Co-pay Card, you must confirm that you meet the eligibility criteria and agree to the rules set forth in the terms and conditions for the program. Please visit www.CopayAssistanceNow.com for the full list of terms and conditions.

What Can I Expect?

Here is what you can expect as we work with you, your doctor and/or your health insurance plan, if you have one.

Step 1

You are enrolled in Herceptin Access Solutions

Learn more about how to enroll

Step 2

We work with you/your doctor’s office/your health insurance plan (if you have one)

We might contact you for more information

What we find out

Step 3

We refer you to patient assistance options

What options are there?