Find Out If You Qualify

Find out if you can take advantage of Welvista's services

Eligibility Staff

Do you qualify for Welvista's Medication Assistance Program?

  • You cannot 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 and provide proof of residency.

  • You must provide proof of income for each person in your home that earns an income. These include: wages, unemployment benefits, workers compensation, pension, social security, child support or alimony. If you or anyone in your home are not receiving any income, contact Welvista for a No Income Form or click here to download and print the form. For 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 2016 Federal Poverty Guidelines).

Persons in Family or Household

Monthly Gross Income

Yearly Gross Income

























For each additional person, add:



There is NO application fee and all medications received from Welvista are FREE of cost. Medications are mailed by the US Postal Service to the patient’s home or authorized clinic. Applications are active for one year, unless patient receives health insurance during that time.