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| Co-Pay Relief and Prescription Assistance Programs for People with Cancer *funding is limited and can change - please call to confirm what is available CancerCare Co-Payment Assistance Foundation 1-866-55-COPAY www.cancercarecopay.org Provides co-payment assistance for pharmaceutical products to insured individuals who are covered by private insurance, employer-sponsored health plan or have Medicare Part D or Medicare Advantage. Household income must be at or within 400% US Federal Poverty guidelines for people residing and receiving treatment in the United States or its territories. Must be US citizen or valid resident alien. Conditions covered: • Breast Cancer • Colorectal Cancer • Lung Cancer • Pancreatic Cancer Chronic Disease Fund 1-877-968-7233 www.cdfund.org Co-payment assistance for pharmaceutical products for patients with private insurance or Medicare part D. Patients who utilize a participating pharmacy can have their out of pocket expenses remitted by the fund directly to the pharmacy. Patients using non-participating pharmacies can submit receipts for reimbursement. The following conditions covered are: • Breast Cancer • Multiple Myeloma • Colon Cancer • Non-small Cell Lung Cancer Healthwell Foundation 1-800-675-8416 www.healthwellfoundation.org Addresses the needs of individuals who cannot afford their insurance co-payments, premiums, co-insurance, or other out-of-pocket health care costs. Offers assistance for the following specific conditions: • Breast Cancer • Carcinoid tumors and related symptoms • Chemotherapy Induced Anemia/Neutropenia • Colorectal Cancer • Cutaneous T-Cell Lymphoma • Head and Neck Cancers • Hodgkin’s Disease • Non-Hodgkin’s Lymphoma • Non-Small Cell Lung Cancer • Wilms’ Tumor The Leukemia and Lymphoma Society 1-877-557-2672 www.LLS.org/copay This program helps patients meet their health insurance or Medicare Plan B or D premiums or co-payment obligations. Household income must be at or within 500% above the US Federal Poverty guidelines for people residing in the United States and Puerto Rico. Offers assistance for the following conditions: • Acute Myelogenous Leukemia • Chronic Lymphocytic Leukemia • Lymphoma • Multiple Myeloma • Myelodysplastic Syndrome National Organization for Rare Disorders (NORD) 1-800-999-6673 (voicemail only) 1-203-744-0100 www.rarediseases.org Assists uninsured or under-insured individuals in securing life-saving or life- sustaining medications including Trisenox, Theracys, and Matulane. Offers co- payment assistance for: • Advanced Renal Cell Carcinoma • Hodgkin’s Lymphoma • Hepatocellular Carcinoma • Paroxysmal Nocturnal Hemoglobinuira (PNH) Partnership for Prescription Assistance (PPA) 1-888-477-2669 www.pparx.org Partnership for Prescription Assistance offers a single point of access to more than 475 public and private patient assistance programs, including more than 150 programs offered by pharmaceutical companies. Includes assistance for the uninsured. Patient Access Network Foundation 1-866-316-7263 www.patientaccessnetwork.org Assists patients who cannot access the treatments they need due to out-of-pocket health care costs including deductibles, co-payments, and co-insurance. Offers assistance for the following specific conditions: • Breast Cancer • Colorectal Cancer • Cutaneous T-Cell Lymphoma • Multiple Myeloma • Myelodysplastic Syndrome (MDS) • Non-Hodgkin’s Lymphoma • Non-Small Cell Lung Cancer • Pancreatic Cancer • Oncology Cytoprotection • Anemia (Covers all patient groups including those with Chemo Induced) Patient Advocate Foundation's Co-Pay Relief Program 1-866-512-3861 www.copays.org Provides direct co-payment assistance for pharmaceutical products to insured patients (including Medicare Part D beneficiaries) who financially and medically qualify. Offers assistance for the following specific conditions: • Breast Cancer • Colon Cancer • Head and Neck • Lung Cancer • Lymphoma • Kidney Cancer • Malignant Brain Tumors • Multiple Myeloma • Pancreatic Cancer • Prostate Cancer • Sarcoma • Secondary issues as a result of cancer treatment Patient Services Incorporated (PSI) 1-800-366-7741 www.uneedpsi.org Assists patients in locating health insurance policies. Provides health insurance premium assistance (including COBRA) and co-payment assistance (including helping satisfy Medicare Part D true-out-of-pocket). Offers assistance for the following specific conditions: • Bone Metastases • Cutaneous T-Cell Lymphoma • Chronic Myeloid Leukemia • Chronic Myelocytic Leukemia • Gastrointestinal Stromal Tumors Other National Cancer Financial Assistance Programs Organization Contact Info Program Information *funding is limited and can change - please call to confirm what is available American Cancer Society 1-800-ACS-2345 www.cancer.org All Cancer Diagnoses Access to referrals for financial assistance. Some local offices may provide transportation assistance, temporary housing, wigs or prescription assistance. Brain Tumor Society-BTS Cares 1-800-770-8287 www.tbts.org For patients with Primary Brain Tumors only Grants up to $2000 a year for non medical related costs such as transportation, homecare, home adaptations and childcare. CancerCare 1-800-813-HOPE (4673) www.cancercare.org All Cancer Diagnoses Limited financial grants for transportation, homecare, childcare and pain medications. Also, Linking Arms Program can provide grant for breast cancer patients to help with oral medications and lymphedema supply costs. Leukemia and Lymphoma Society 1-800- 955-4572 www.LLS.org Leukemia, Lymphoma, Hodgkin’s diseases and Myeloma Grants up to $500 a year for some uncovered expenses including prescriptions, certain medical tests and transportation costs. Lymphoma Research Foundation 1-800-500-9976 www.lymphoma.org Lymphomas Grants up to $250 for expenses that include: travel and transportation, temporary lodging, childcare and homecare, cosmetic devices such as wigs and hats, medical devices and hygiene products. National Brain Tumor Foundation Patient Line: 1-800-934-2873 Email: nbtf@braintumor.org www.braintumor.org For patients with Primary or Metastatic Brain Tumors ages 18 and older Grants up to $1000 for treatment-related expenses. National Marrow Donor Program Office of Patient Advocacy Case Management: 1-888-999-6743 Email: patientinfo@nmdp.org www.marrow.org For patients in need of a life saving bone marrow or cord blood cell transplant through the National Marrow Donor Program (NMDP). Funds available for unrelated donor search through the NMDP as well as out of pocket expenses following an unrelated donor or cord blood transplant through the NMDP, such as: lodging, food, transportation, co-pays and insurance premiums. Grant applications only accepted through qualified NMDP affiliated transplant center personnel. Patient Advocate Foundation Colorectal Care Line 1-866-657-8634 www.colorectalcareline.org Limited financial grant for Colorectal patients for transportation reimbursement, temporary lodging, childcare and food costs associated with out of town treatment. Sarcoma Alliance 415-381-7236 www.sarcomaalliance.org All Sarcoma diagnoses Suzanne R. Lieder Memorial Hand in Hand Assistance Fund Grants up to $1000 to reimburse medical and other expenses directly related to getting a second opinion from a sarcoma specialist. Application available online. |