Eligibility and Enrollment

Help for Uninsured South Carolinians

If you are uninsured and cannot afford the prescription medicine you need, you may be able to have your prescriptions filled at no cost through Welvista.

You cannot have medical health insurance.

You may not have Medicaid, Medicare, VA Health Benefits, Affordable Care Act or Private Health Insurance. You can have Family Planning or Healthy Check up through the Medicaid Program.

You must live in South Carolina.

We require you to provide proof of residency.

You must provide proof of income for each income-earning person in your home.

These include: wages, unemployment benefits, workers’ compensation, pension, social security, disability, child support and alimony. If no one in your home has income, please contact us for a No Income Form or download and print the form here. If you need help completing the form, call 803-933-9183.

The total gross household income in your home must be at or below the amounts below (based on 2024 Federal Poverty Guidelines).

Persons in Family or Household Monthly Gross Income Yearly Gross Income
1 $3,138 $37,650
2 $4,258 $51,100
3 $5,379 $64,550
4 $6,500 $78,000
5 $7,621 $91,450
6 $8,742 $104,900
7 $9,863 $118,350
8 $10,983 $131,800
For each additional person, add: $1,120 $13,450

Submitting an Application

If you qualify for all of the items listed above, you are eligible to apply for the Welvista program.  You MUST print, sign and date the application before sending. Your application and supporting documents can be mailed, emailed, or faxed to us (see attached Patient letter).

Please ensure you fill out the entire form and provide us with all the required documents so that your application may be fully processed in a timely manner.

Submit Now

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If you are seeking information on your application status or are a patient with questions about your prescription(s), please call us at 803-933-9183.