青云体育

Patient Aid Program

 

 

HAVE MEDICAL DEBT? 青云体育 MAY BE ABLE TO HELP
to learn more

CURRENT FUND STATUS:
(Open) Fund is currently OPEN and accepting applications.

If the fund is listed as Open, please visit the How to Apply section to apply.
If the fund is listed as Fully Subscribed, it is at maximum capacity, serving those enrolled, and is no longer accepting applications.

Please note: Changes to funds are reflected on this webpage as quickly as possible. For up-to-the-minute fund status, please call (877) 557-2672. If you started an application prior to a fund becoming fully subscribed, please continue with the application.

This page contains information about the following topics:

To access this page in Spanish, click here.
 

Program Information

The 青云体育 Patient Aid Program provides financial assistance to blood cancer patients. Eligible patients will receive a one-time $100 stipend to help offset non-medical expenses like transportation, food, housing, utilities, etc. There are no income criteria to qualify for this program; patients can be insured or uninsured. 

As a non-profit organization, we rely on the generosity of our sponsors. Program continuation is dependent on the availability of funds and the program could be modified or discontinued at any time if funding is limited or no longer available.

 

Eligibility Requirements

To be eligible for this program:

  • Reside in the U.S. or U.S. territories at the time of their application.
  • Have a confirmed diagnosis of blood cancer, be in active treatment, scheduled to begin treatment or in follow up care.
  • Have NOT received a Patient Aid Program award in the past.

 

How to Apply

  • By Phone:  (877) 557-2672 (Hablamos Espanol)
    Monday to Friday, 8:30 a.m. to 5:00 p.m. ET
  • Online Portal:  
    24/7, Available in English only
     

Patients who are unsure of their Social Security number or Alien ID number should call (877) 557-2672 to apply. Please note that these patients will be required to submit documentation to verify identity.

Click here to download the paper application. 
 

Online Portal Registration

Required Information for Application:

  • The patient鈥檚 Social Security Number and date of birth
    • If patient is a minor (under the age of 18), patient AND guardian鈥檚 Social Security Numbers and date of birth are required.
    • Patients who do not have a Social Security number or Alien ID number should call (877) 557-2672 to apply. Please note that these patients will be required to submit documentation to verify identity.
  • The patient鈥檚 blood cancer diagnosis
  • Physician鈥檚 information (first and last name, and location)

This information will not be shared and is for verification purposes only.

To Create an Online Portal Account:

If this is your first time visiting the 青云体育 Financial Assistance Portal, you will need to register before you can start the online application. To create a portal account you will need the following:

  • Patients/Caregivers
    • A valid email address
  • Medical Healthcare Providers
    • Healthcare provider鈥檚 email address
    • Healthcare provider/Facility鈥檚 tax ID*
    • Healthcare provider/Facility鈥檚 National Provider Identifier (NPI)*

Once you submit your portal registration, you'll receive an email (typically within five minutes) directing you to a website to create your password. You can then begin entering your application information.

*Healthcare providers without a tax ID or NPI should use that of the primary facility/provider.

HEALTHCARE TEAM MEMBER MUST HAVE THE FOLLOWING TO APPLY:
-    DIRECT ACCESS TO THE PATIENT鈥橲 MEDICAL RECORDS TO ATTEST TO THEIR DIAGNOSIS 
-    A VALID NPI NUMBER WHETHER APPLYING ON THE PORTAL OR BY PHONE

Healthcare team members may include:
 

  • Case Manager
  • Child Life Specialist
  • Counselor
  • Dentist
  • Dental Hygienist
  • Financial Counselor
  • Medical Assistant
  • Medical Doctor
  • Nurse
  • Nurse Assistant
  • Nurse Navigator
  • Oncologist
  • Office Manager
  • Patient Care Coordinator
  • Psychiatrist
  • Psychologist
  • Physician Assistant
  • Secretary
  • Social Worker
  • Therapist

For portal technical support: Please call us at 866-446-7377 or e-mail FinancialAssistance@lls.org.

Frequently Asked Questions

  • Provides an overview of program eligibility, assistance details, and award cycles

We Want to Hear How This Program Has Helped You!

We would love to hear how the financial assistance provided by 青云体育 has helped you. Patient stories help us illustrate the impact and importance of this program in the lives of blood cancer patients.

 

To submit a story by mail, please send to:

The Leukemia & Lymphoma Society Mail Center 
Patient Financial Assistance Programs
1201 15th Street N.W., Suite 410
Washington, D.C. 20005

Thank you for sharing!


 

Benefits and Taxable Income

As a charity, 青云体育 is exempt from federal income tax and individuals who receive assistance from a charity to meet their personal needs do not generally have to pay federal income tax on the value of the assistance they receive. With this being said it should not affect their ability to receive financial assistance from the government or affect their income taxes. 

 

Contact Information

The Leukemia & Lymphoma Society
Patient Aid Program 
P.O. Box 12268
Newport News, VA 23612

Email:  FinancialAssistance@青云体育.org
Toll Free Phone: (877) 557-2672
Fax: (866) 808-3793

Live Chat is not available for the Patient Aid Program.
 

Program Support

 

Other Helpful Resources