If you are living with myasthenia gravis and experiencing financial hardship because of the high cost of medical treatment, prescription medications, or other eligible medical expenses, Conquer Myasthenia Gravis (Conquer MG) may be able to provide financial assistance.
Conquer MG may cover up to $2,500 per year per person toward eligible medical expenses, including medical treatment, prescription medications, transportation, and durable medical equipment or supplies, to the extent that program funds are available.
These expenses do not have to be directly related to your myasthenia gravis treatment. Assistance may be available for other eligible medical expenses or prescription drug costs that you have incurred and that are not covered by insurance.
Before You Apply
To help us review your application, please make sure you submit all required documents together.
The PAP Application and PAP Worksheet must be downloaded and completed electronically. Please type your information directly into the fillable fields on each document.
Filling out the application or worksheet does not automatically submit it to Conquer MG. After completing the forms, you must save the documents with your information entered and send the completed files to Conquer MG along with your supporting documentation.
Please make sure you:
- Download the PAP Application and PAP Worksheet.
- Type your information directly into the fillable fields on both documents.
- Save the completed documents to your computer or device.
- Send the completed Application and Worksheet to Conquer MG along with the required bills, receipts, and other supporting documentation.
Do not assume that completing the form online means it has been submitted. You must send the completed documents to Conquer MG.
Download the Application and Worksheet
Important: Your application is not complete until Conquer MG receives your completed PAP Application, completed PAP Worksheet, and required supporting documentation. Make sure you download, fill out, save, and send all completed documents to Conquer MG.
Who is Eligible
You qualify if you meet all of these conditions:
- You have myasthenia gravis
- You are a resident of Illinois, Indiana, or Wisconsin
- You have a financial hardship that makes it difficult or impossible to pay medical expenses not covered by insurance.
- You have documented eligible expenses, such as medical services, prescription medications, transportation, and durable medical equipment or supplies that are not covered by insurance.
What Expenses Are Covered?
Assistance may be available for eligible medical expenses that are not covered by insurance, including:
- Medical services and doctor visits
- Medical procedures and hospital charges
- Prescription medications
- Transportation related to medical care
- Durable medical equipment or supplies
Receipts, bills, or other documentation of your expenses are required with your application.
How the Program Works
For hospital, doctor visit, medical procedure, or durable medical equipment charges, submit bills after all insurance payments have been applied. Examples of durable medical equipment include wheelchairs, chair lifts, and oxygen equipment.
- If you have not yet paid your portion of the bill, Conquer MG will pay the healthcare provider for approved charges.
- If you have already paid your healthcare provider, submit a receipt showing your payment, along with documentation showing the amount covered by insurance. Any approved reimbursement will be paid to you.
For prescription costs paid out of pocket, collect your pharmacy receipts. Once you have $200 or more in paid receipts, submit them with your Patient Assistance Program application for reimbursement, up to program limits.
You may include medical bills, prescription receipts, and durable medical equipment expenses in the same application. The total amount paid by the program is limited to $2,500 per person per year. You may reapply in future years if the program continues and funding is available.
Whenever possible, we encourage you to bundle your expenses and apply for at least $200 at a time. Approval for one request does not guarantee that funding will be available for a future request.
What to Submit With Your Application
Please complete and submit the following:
- Patient Assistance Program Application — Complete the application electronically by typing your information into the fillable fields provided. Please do not complete the application by hand.
- Completed PAP Worksheet — Complete the worksheet electronically by typing your information into the fillable fields provided. Use the worksheet to list and summarize each expense you are submitting for assistance.
- Supporting documentation — Include the corresponding bills, receipts, or other documentation for the expenses listed on your worksheet.
- Physician Confirmation Form — Your neurologist or general practitioner must complete this form. You may return it with your application, or your physician may mail it directly to Conquer MG.
Your supporting documentation should demonstrate that you are experiencing financial hardship and having difficulty paying your eligible medical expenses.
What Is the PAP Worksheet?
The PAP Worksheet is a summary of the expenses you are submitting for assistance. For each expense, provide the requested information and attach the corresponding bill, receipt, or other supporting documentation.
Think of the worksheet as a guide to the expenses included in your application. Every expense listed on the worksheet should have supporting documentation attached to your application.
Submitting a completed worksheet with your documentation helps Conquer MG review your request more efficiently and reduces the need to contact you for additional information.
We will review your application upon receipt and let you know if any additional information is needed. We will generally contact you within 10 business days after receiving your completed information to let you know the decision regarding your request for assistance. Any approved payment will be made shortly afterward.
Please note that your information will be kept confidential; access will be limited to the review committee.
If you have questions about the application process, call the Conquer MG office at 800.888.6208. The decision made by Conquer MG regarding each completed application for payment will be final.
Additional Financial Assistance
In addition to the program described on this page, financial assistance for persons with myasthenia gravis is also offered by the National Organization for Rare Disorders (NORD). The NORD program is open to U.S. citizens, or U.S. residents of six (6) months or greater with evidence of residency.
See Other Resources
Information on this page updated September 2026.
