Follow these instructions to submit your proof of refill and/or attestation form in the MedAssist portal.
Click on the Apply Now button on the MedAssist homepage to enter the application portal. You can also visit the portal here.
Click on the “Returning Applicant” button
Enter your Email Address and Password then click “Sign In”
Follow these steps to upload files for the MedAssist Application using an iOS (iPhone, iPad).
Click on the “+Add New Document” button and you will see the following options:
- Photo Library
- Take Photo or Video
- Choose File- You can upload files directly from your Photo Library, take a photo with your camera, or choose to upload a file that is stored on your iOS device.
Select the type of document that you are uploading from the list that is shown. For example, Driver’s License
Click “Upload this file” to start uploading your file
You will see a green checkmark when your file is successfully uploaded to the portal
Follow these steps to upload files for the MedAssist Application using an android device.
Click on the “+Add New Document” button.
A popup will ask you to choose an action, please select one to upload your document:
- Camera: use this option to take a photo with your phone camera
- Camera/Camcorder: this option can also take a photo
- Files: use this option if you already have the photo/pdf file on your phoneUnder “Document Type”, select the type of document that you are uploading from the list that is shown, for example: Driver's License
Click “Upload this file” to start uploading your file.
You will see a green checkmark once your file has successfully uploaded to the portal.
We're here to help you every step of the way!
Reach out to us
Please call (408) 970-2001.
We are open Monday - Friday,
9:00am - 5:00pm.

Start your application
Are you ready to start your application? Visit our portal page to begin your application today! It includes some easy to follow questions and the opportunity to submit your documents.

FAQs
Got questions about MedAssist? Check out our FAQs for answers to some of the most commonly asked questions.

Forms
We have all the necessary forms ready for you to print. Visit our forms page for everything you need.

Contact us
Don't hesitate to visit our contact us page and reach out to our team for assistance.
Learn more about MedAssist
Ready to learn more about how our money back program can benefit you? Dive deeper into the program by exploring our website and discovering all the ways we can help you earn cash back. Don't miss out on this opportunity to save money and protect your health.