Description: Provides financial assistance to individuals with high out-of-pocket healthcare costs. Eligible patients receive up to three grants to offset high out-of-pocket prescription expenses for the following needs:
Insulin
Asthma inhalers
Epinephrine auto-injectors.
Visit the website for details in income eligibility requirements.
Eligibility: 18 years or older
-Resident of Santa Clara County
-Must have valid prescription for asthma inhaler, insulin, or epinephrine auto-injector
-Must have household out-of-pocket health care expenses in the previous calendar year
-Maximum annual gross household income cannot exceed the following amounts -
1-$138,364
2-$184,143
3-$235,921
4-$284,700
5-$333,479
6-$382,257
7-$431,036
8-$479,814
Household size includes yourself, your spouse or domestic partner and dependent children under age 21, whether living at home or not
Get Live Help!