We can help with costs such as:

• Transportation to and from cancer treatment
• Home care
• Child care
• Pain medication
• Lymphedema supplies (breast cancer only)

If you need assistance with chemotherapy or targeted treatment co-payments, please visit the CancerCare Co-Payment Assistance Foundation

Eligibility

In order to be eligible for financial assistance you must:

• have a diagnosis of cancer confirmed by an oncology health care provider
• be in active treatment for your cancer
• live in the U.S. or Puerto Rico
• meet our eligibility guidelines of 250% of the Federal Poverty Limit (view chart)

  CancerCare Financial Assistance Income Limits*

  Persons in Family or Household	48 Contiguous States and DC	Alaska	Hawaii
  * Note, these amounts are 250% of the 2012 Federal Poverty Level as defined by the United States Department of Health and Human Services.
  1	$27,925	$34,925	$32,150
  2	$37,825	$47,300	$43,525
  3	$47,725	$59,675	$54,900
  4	$57,625	$72,050	$66,275
  5	$67,525	$84,425	$77,650
  6	$77,425	$96,800	$89,025
  7	$87,325	$109,175	$100,400
  8	$97,225	$121,550	$111,775
  For each additional person, add:	$3,960	$4,950	$4,550

Steps for Applying

1. Call 800-813-HOPE (4673) and speak with a CancerCare social worker

to complete a brief interview. We can be reached from 9 a.m. – 7 p.m. (ET) Monday through Thursday, and 9 a.m. – 5 p.m. (ET) on Friday.

2. If you are eligible to apply, we will:

• mail you an individualized bar coded application (view sample application including instructions, also view application in Spanish)
• request documentation to verify your income (view acceptable proof of income documents)

  Acceptable proof of income

  • The first two pages of signed income tax return (you may blacken out your social security number)
  • If you do not file a tax return, you may submit a copy of your most recent pay stub, unemployment check, or SSI, SSD, or public assistance benefit notification
  • If you do not have any income, provide a letter of support from friend or family member

3. You must submit a completed application. Please:

• print clearly—illegible applications cannot be processed
• fill in each blank space in the application. Use “no”, “none”, or “0” as appropriate—do not leave any blank responses
• have a medical oncology health care provider complete all sections of the Medical Information Section and provide a signature and date. You cannot complete this section.
• make sure you use the correct CancerCare mailing address and fax number listed on the application

Please note: CancerCare’s financial assistance does not cover basic living expenses such as rent, mortgages, utility payments, or food.

Learn more about the specific limited grants we offer.

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Additional Resources

• CancerCare Co-Payment Assistance Foundation

  Our foundation helps people with health insurance who cannot afford their insurance co-payments to cover the cost of medications for treating specific cancer diagnoses. Check the website for currently covered diagnoses.

• Cancer Financial Assistance Coalition (CFAC)

  CFAC is a group of organizations that help cancer patients and their loved ones manage the financial challenges of cancer. CFAC maintains an up-to-date database of organizations that provide financial help.

• Cancer.net’s Patient Guide, “Managing the Cost of Cancer Care”

  This guide, from the American Society of Clinical Oncology (ASCO), provides helpful tips for talking with your health care team about the costs of cancer care. The guide includes resources to assist you in financial planning before, during, and after treatment.