Covered Diagnoses

For a current list of covered diagnoses, please visit http://portal.cancercarecopay.org/Funds-Available/Diagnoses

If we do not have funding for your type of cancer, our co-payment specialists will provide you with information about other patient assistance programs, support services and additional resources that may be helpful. Please call 866-55-COPAY (866-552-6729), or email us at information@cancercarecopay.org.

Eligibility

In order to be eligible for assistance, patients must complete and sign an application and HIPAA Authorization form, as well as provide proof of income. We will review your application and forms on a first-come, first-served basis to the extent that funding is available.

Please note: As a nonprofit organization, we cannot guarantee that funding will always be available for a particular diagnosis. View current covered cancer diagnoses. If we are unable to provide co-payment assistance, however, we will refer you to other organizations that may be able to help.

To qualify for assistance, you must meet certain financial, medical and insurance criteria.

Financial

  • Individuals or families with an adjusted gross income of up to four times the federal poverty level may qualify for assistance. CancerCare Co-Payment Assistance Foundation (CCAF) may also consider the cost of living in your particular city or state. Income verification is required as part of the application process.
  • You must have private insurance or Medicare that covers a portion of the prescribed chemotherapy or targeted treatment.

Medical

  • You must be diagnosed with one of the cancer types that CancerCare Co-Payment Assistance Foundation currently covers. The treating doctor must submit a verification form confirming your diagnosis and medications. Your diagnosis must be verified by a doctor. Your doctor must complete and sign our physician verification form.
  • You must currently be undergoing chemotherapy or prescribed and/or using a targeted treatment drug when you apply to CCAF, and at the time of approval.

Insurance

  • You must be covered by private insurance or an employer-sponsored health plan, or you must have Medicare Part B, Medicare Part D or a Medicare Advantage Plan (Medicare C).

Please note: If you have private insurance, before you contact CCAF, please contact the drug company that manufactures your medication. Drug companies have several programs that may help you.

If you are uninsured (do not have any insurance or medical plan that covers your prescription medicines), you are not eligible for co-payment assistance. However, we encourage you to contact us so that we can refer you to other organizations or patient assistance programs.

Other

  • You must be receiving treatment in the United States.
  • You must be a U.S. citizen or legal resident.

Eligible individuals will receive an application packet with instructions on how to apply for assistance. Our co-payment specialists are available to assist you if you have any questions about this process.

We provide easy access to enrollment and can provide same-day approval. To begin the enrollment process, go to our PORTAL site.

How to Apply

Applying for co-payment assistance through CancerCare Co-Payment Assistance Foundation (CCAF) is easy. The first step is to make sure you have read our eligibility requirements and have gathered all the information you will need to present, including:

  • Name
  • Date of birth
  • Phone number
  • Primary/mailing address
  • Social Security Number
  • Number of dependents
  • Household income
  • Primary health insurance provider
  • Diagnosis (view current covered cancer diagnoses)
  • Product or medication

You, a family member or a representative can contact CCAF directly.

To apply online, go to our PORTAL site.

To apply by phone, call 866-55-COPAY (866-552-6729) and speak with one of our co-payment specialists to see if you are eligible for assistance. Office hours are 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

If you are eligible to apply, we will mail forms for you and your doctor to complete and return to us. You will need to include documentation to verify your income and insurance.

To learn more, view our application checklist. If you have questions, please visit our Frequently Asked Questions or contact us.

 

Frequently Asked Questions

Application Process

  1. Can I return my forms and information via email or fax?
  2. Can I apply for assistance online?
  3. How long does it take to process an application?
  4. How do I check the status of my application?
  5. What if my pharmacy is not a participating pharmacy, or if I am taking an infused therapy?
  6. When and how will I know if I have been accepted?

Communication

  1. What happens if CancerCare Co-Payment Assistance Foundation no longer has funds to support my type of cancer during the period of my grant?
  2. Can my grant be ended without my knowledge?
  3. How do I contact the CancerCare Co-Payment Assistance Foundation (CCAF)?

Continuing Funding and Reapplication

  1. What if the grant I receive runs out during my grant year?
  2. How can I reapply for assistance?

Eligibility

  1. Do uninsured patients qualify for help?
  2. If I have Medicare Part D, can I still apply?
  3. Must I live in the United States?
  4. Must I receive treatment in the United States?
  5. Do you only assist Medicare patients?

General

  1. Can you refer me to other patient assistance programs?
  2. What services can you provide through CancerCare?
  3. If I am approved, how long will I be enrolled?
  4. Do you cover the entire co-payment or just certain treatments?
  5. How do I check the status of a payment?
  6. Does my approval cover treatments I’ve already had?
  7. What assistance does CancerCare Co-Payment Assistance Foundation provide?
  8. Does CancerCare Co-Payment Assistance Foundation provide insurance premium assistance?
  9. How much financial assistance does CancerCare Co-Payment Assistance Foundation provide?
  10. What happens if a fund is closed?
  11. Where does CancerCare Co-Payment Assistance Foundation get its funding?
  12. Do I qualify? What are the eligibility criteria?
  13. Can I get a list of the diagnoses you cover?
  14. What are the income requirements?
  15. Why do I need to send income information?

Application Process

  1. Can I return my forms and information via email or fax?

    Yes. You can fax your documents to 212-601-9760, or you can attach documents through our PORTAL site.

  2. Can I apply for assistance online?

    Yes. You or a representative can apply online through our PORTAL site.

    You will need to have the following information available when you apply online:

    • Name
    • Date of birth
    • Phone number
    • Primary/mailing address
    • Social Security Number
    • Number of dependents
    • Household income
    • Primary health insurance provider
    • Diagnosis
    • Product or medication

  3. How long does it take to process an application?

    We will process your enrollment form the same day it is received. For easy access, you can enroll through our PORTAL site.

  4. How do I check the status of my application?

    Through our PORTAL site, you will have access to your file. The system monitors your treatment regimen, medication history and medication usage. It provides reminder tools and an interactive calendar to help you manage your care. The system also allows you to check the balances of your funding grants and track payments that have been made.

    You, or a representative on your behalf, can contact CCAF by calling 866-552-6729 (select option 2). Co-payment specialists are available from 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

  5. What if my pharmacy is not a participating pharmacy, or if I am taking an infused therapy?

    If you are not using a participating specialty pharmacy, or you are taking an infused therapy, you will be notified by mail that you have been conditionally approved for your first medication dispense. We will send you a letter along with the application form and instructions on how to apply to the program. You will have 21 days to submit your finished paperwork in order to be considered for continued help. Along with your packet, you will receive an Access Card to take with you to your appointment or to your pharmacy. You will present this card to them for payment. The back of the card will provide instructions to your provider on how to access payment.

  6. When and how will I know if I have been accepted?

    If you are utilizing the services of a participating specialty pharmacy, you will be notified by your provider that you have been conditionally approved for your first medication dispense. We will then send you a letter along with the application form and instructions on how to apply to the program. You will have 21 days to submit your finished paperwork in order to be considered for continued help.

Communication

  1. What happens if CancerCare Co-Payment Assistance Foundation no longer has funds to support my type of cancer during the period of my grant?

    If CCAF has to close a fund while you are receiving assistance, you will be notified 60 days before the date your grant ends. We will make every effort to provide you with other resources. All invoices received for chemotherapy or targeted treatment drugs that were processed during the year of your grant will continue to be paid.

  2. Can my grant be ended without my knowledge?

    Yes. We must see that you are using your grant within 90 days from the date your grant started (See your award letter). A delay can result in the ending of your grant. If this happens and you still require assistance, your case will be re-evaluated based on available funding.

  3. How do I contact the CancerCare Co-Payment Assistance Foundation (CCAF)?

    You, or a representative on your behalf, can contact CCAF by calling 866-55-COPAY (866-552-6729). Co-payment specialists are available from 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

Continuing Funding and Reapplication

  1. What if the grant I receive runs out during my grant year?

    Funding is limited, and there may be a limit to the amount of funding CCAF can provide per patient per year. If your grant runs out before your grant year ends, you can contact us to see if there are any funding options for you. If you were approved for the maximum grant amount, you will have to wait until after your current grant period ends to become eligible for more funding.

  2. How can I reapply for assistance?

    If your application with CCAF has remained active throughout the year, you will receive a renewal notice in the mail 60 days before the date your grant ends, with instructions for reapplying for continued assistance.

Eligibility

  1. Do uninsured patients qualify for help?

    No. CancerCare Co-Payment Assistance Foundation is only able to assist insured individuals who need help paying the full or partial co-payment cost of their treatments. However, our co-payment specialists can refer you to other resources that may be able to help, including drug company patient assistance programs and state prescription programs. The Partnership for Prescription Assistance website is helpful for people without insurance.

  2. If I have Medicare Part D, can I still apply?

    Yes. CancerCare Co-Payment Assistance Foundation can help if you meet all other medical and financial criteria. This assistance will count toward your true out-of-pocket costs (TrOOP) to get you through the Medicare Part D coverage gap or doughnut hole.

    If you have a low income (up to 150% of the federal poverty level) with limited assets and are enrolled in a Medicare Part D plan, you may be eligible for Low Income Subsidy (LIS) assistance. If you qualify for LIS, your out-of-pocket expenses will be less. You can find out if you qualify by calling 800-772-1213 or by visiting www.cms.gov.

  3. Must I live in the United States?

    You must be either a U.S. citizen or a legal resident.

  4. Must I receive treatment in the United States?

    Yes. You must receive treatment in the United States.

  5. Do you only assist Medicare patients?

    No. CancerCare Co-Payment Assistance Foundation (CCAF) is available to assist patients with either private insurance or Medicare. However, for privately insured patients, you will be required to contact the drug company that makes your medication before you contact CCAF. Drug companies have several types of programs that can help. CancerCare Co-Payment Assistance Foundation is a nonprofit with limited resources. Therefore, we are now requesting patients with private insurance to explore this option before applying to CCAF.

General

  1. Can you refer me to other patient assistance programs?

    Yes. You or a representative on your behalf can contact CancerCare Co-Payment Assistance Foundation by calling 866-55-COPAY (866-552-6729). Co-payment specialists are available from 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday. They can refer you to other resources that may help such as drug company patient assistance programs and state prescription programs. The Partnership for Prescription Assistance website is helpful for individuals without insurance.

  2. What services can you provide through CancerCare?

    Founded in 1944, CancerCare is the leading national organization committed to providing personalized services to help people manage the emotional and practical challenges of cancer. A national, nonprofit 501(c)(3), CancerCare’s comprehensive network of services include telephone, online and in-person counseling and support groups, resource referrals, publications, education and financial assistance, in addition to co-payment assistance.

    All CancerCare services are delivered by professional oncology social workers and are completely free of charge. To learn more, visit www.cancercare.org or call 800-813-HOPE (4673).

  3. If I am approved, how long will I be enrolled?

    You are enrolled for up to one year from the time you are approved, as long as your doctor or pharmacist continues to submit invoices to CCAF.

  4. Do you cover the entire co-payment or just certain treatments?

    CancerCare Co-Payment Assistance Foundation has funding to cover co-payment and coinsurance for chemotherapy or targeted treatment medications only. Any charges for scans, radiation or symptom management medicines are not covered.

  5. How do I check the status of a payment?

    Through our PORTAL site, patients will have access their file. The PORTAL site also allows you to check the balances of your funding grants and track payments that have been made.

  6. Does my approval cover treatments I’ve already had?

    CancerCare Co-Payment Assistance Foundation (CCAF) will consider retroactive reimbursement on a case-by-case basis for first time applicants actively receiving chemotherapy or targeted treatment. However, CCAF will only consider retroactive assistance for a date of service within 60 days prior to the date we approve your application.

  7. What assistance does CancerCare Co-Payment Assistance Foundation provide?

    We provide co-payment assistance only. Co-payment assistance means that if you have been prescribed chemotherapy or a targeted treatment drug, and are unable to afford the out-of-pocket cost or co-payment required by your insurance company, we may be able to help.

  8. Does CancerCare Co-Payment Assistance Foundation provide insurance premium assistance?

    No. CancerCare Co-Payment Assistance Foundation does not provide premium assistance.

  9. How much financial assistance does CancerCare Co-Payment Assistance Foundation provide?

    The amount of assistance you receive depends on a number of things, including:

    • The amount of funding available for each covered diagnosis
    • Your insurance coverage
    • The actual co-payments you have within one year

  10. What happens if a fund is closed?

    If a fund is closed, a co-payment specialist will be able to direct you to other co-payment assistance foundations that may be able to help. You can also check our website periodically for an update on the status of a fund or call us at 866-552-6729.

  11. Where does CancerCare Co-Payment Assistance Foundation get its funding?

    CancerCare Co-Payment Assistance Foundation receives funding from individuals and corporate sponsors, including pharmaceutical companies and foundations. If you are interested in making a donation or becoming a corporate sponsor, please visit our Support Us page.

  12. Do I qualify? What are the eligibility criteria?

    To qualify for assistance, you must meet CCAF financial, medical and insurance criteria. Please review the information you’ll need before you call us.

  13. Can I get a list of the diagnoses you cover?

    Yes. You can view the list of diagnoses we cover by going to list on our PORTAL site. Please keep in mind that available funding may change, so check the website regularly for updates.

  14. What are the income requirements?

    Individuals or families with adjusted gross incomes four times the federal poverty level or less may qualify.

    Note: Family size is defined as the amount of people (including yourself) who are claimed on the Federal Income Tax Return.

  15. Why do I need to send income information?

    CancerCare Co-Payment Assistance Foundation has limited resources and eligibility is determined based on financial need. Therefore, we must verify financial need based on the supporting documentation you are required to provide with your application.

Contact

Questions? Please visit our Frequently Asked Questions (FAQs) or contact us by:

Phone

866-55-COPAY (866-552-6729)
212-601-9750
Office Hours
Monday to Thursday: 9 a.m.–7 p.m. (EST)
Friday: 9 a.m.–5 p.m. (EST)

Fax

212-601-9760

Email

information@cancercarecopay.org

Mail

CancerCare Co-Payment Assistance Foundation
275 Seventh Avenue, 22nd Floor
New York, NY 10001

About

CancerCare Co-Payment Assistance Foundation (CCAF) helps people afford the cost of co-payments for chemotherapy and targeted treatment drugs. We provide this assistance free of charge to ensure patient access to care and compliance with prescribed treatments. View current covered cancer diagnoses.

A national nonprofit 501(c)(3) organization, CCAF is managed by a professional staff and an independent Board of Trustees, which has oversight responsibility for the program’s guidelines, processes and operations. CancerCare Co-Payment Assistance Foundation received its OIG Opinion Letter 07-11 on September 28, 2007 and is authorized to establish co-payment assistance funds for all types of cancer, including solid tumors and hematological cancers.

We are proud to be affiliated with CancerCare. Together we offer patients a seamless network of high quality, comprehensive support services ranging from psychosocial support to information, resources, education and financial assistance. All CancerCare services are provided by professional oncology social workers and are completely free of charge.

Executive Staff

Patricia J. Goldsmith Chief Executive Officer

John Rutigliano, CPA Chief Operating Officer

Michele McCourt Director

Board of Trustees

Timothy M. Dwyer President

President and CEO, Entitle Direct Group, Inc.

Samuel Turner Vice President

Turner and Goss, LLP

Paul M. Friedman Treasurer

Chief Operating Officer, Guggenheim Securities LLC

Margaret R. Diaz-Cruz Secretary

Director, Stipendiary Program, Isaac H. Tuttle Fund

Financial Information

You may download CancerCare Co-Payment Assistance Foundation’s financial statements in Adobe PDF format. To request a printed copy or to inquire about financial statements not seen here, please contact us.

Support Us

Having to choose between the cost of necessary medications and other financial obligations can be one of the most difficult decisions to make. You can help others afford the treatments that have been prescribed for them and provide them with free, professional support by making a donation today. CancerCare Co-Payment Assistance Foundation relies on corporate, foundation and individual donations to support its programs.

For individuals:

For corporate sponsors:

Health Care Professionals

CancerCare Co-Payment Assistance Foundation(CCAF) offers a seamless, same-day approval process through a state-of-the-art platform.

CancerCare Co-Payment Assistance Foundation provides easy and immediate access to the full array of CancerCare support services, including telephone, online and in-person counseling, support groups, information and resource referrals, publications, education and financial assistance with treatment-related expenses such as transportation and child care.

View current covered cancer diagnoses.

Contact us.

How can I enroll my patient?

You can apply on behalf of your patient online through our PORTAL site.

To apply by phone, call 866-55-COPAY (866-552-6729) to speak with a co-payment specialist. They will determine if your patient is eligible for assistance. Office hours are 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

You will need to have the following patient information available when you call or apply online:

  • Name
  • Date of birth
  • Phone number
  • Primary/mailing address
  • Social Security Number
  • Number of dependents
  • Household income
  • Primary health insurance provider
  • Diagnosis
  • Product or medication

Can I receive correspondence on behalf of my patient?

If requested, an application can be mailed or faxed directly to you on behalf of the patient. However, once the application is received and processed, the patient will receive all other correspondence. If approved, both you and the patient will receive notification of the award. If you are an advocate for the patient, your contact information will be included in the patient record, and you will be contacted if there are any questions regarding the application.

How can I check on the status of my patient’s application?

Through our PORTAL application system, you may have access to your patients.

You can also contact CancerCare Co-Payment Assistance Foundation directly by calling 866-552-6729 (select option 2). Office hours are 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

How can we bill your foundation?

Patients typically use one of our participating pharmacies or utilize our Access Card Program at a pharmacy or provider of their choice. If you are not a participating specialty pharmacy and are not able to take advantage of our Access Card Program, you will need to submit an invoice and Explanation of Benefits (EOB) form to the program.

Invoices can be mailed or faxed to:

CancerCare Co-Payment Assistance Foundation

275 Seventh Ave., 22nd Fl.

New York, NY 10001

Fax: 212-601-9762

Payments are processed in the order in which they are received. If you need to check on the status of a payment, you can contact CancerCare Co-Payment Assistance Foundation toll-free by calling 866-552-6729 (select option 3). Co-payment specialists are available from 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

CancerCare Co-Payment Assistance Foundation will consider retroactive reimbursement on a case-by-case basis for first time applicants actively receiving chemotherapy or taking a targeted treatment drug. However, CCAF will only consider retroactive assistance for a date of service within 60 days prior to the award effective date.

Can my patient’s grant be terminated after an approval has been granted?

Claims must be submitted to CancerCare Co-Payment Assistance Foundation within 90 days from the award effective date or the award will be terminated. As the need for co-payment assistance continues to rise, CCAF cannot keep funds reserved for an individual beyond 90 days from the award effective date. Delay or significant lapse in claims submitted can result in termination of your award. If this happens and your patient still requires assistance, the case will be re-evaluated based on funding availability at that time.

What if funds run out while my patient’s application is pending?

Applications are processed in the order they are received, on a first-come, first-served basis, and to the extent that funding is available. If funds are exhausted while an application is pending, a letter notifying the patient that funds have been exhausted will be sent along with any resources that may be available.

What if my patient’s grant runs out during his/her enrollment year?

Funding is limited and there may be a limit to the amount of funding CancerCare Co-Payment Assistance Foundation can provide per patient per year. If your patient’s grant runs out before the enrollment year ends, you can contact the program to see if there are any funding options. If the approval amount was for the maximum award amount, your patient will have to wait until after the award end date to become eligible for additional funds. Your patient will be notified 60 days prior to his/her eligibility end date when it is time to reapply.

If my patient’s application is denied, how can we appeal?

Patients must meet all of the program’s eligibility criteria in order to be approved. (Please review criteria). If you feel your patient has met the criteria yet his/her application was denied, please contact CCAF toll-free by calling 866-552-6729(select option 2). Co-payment specialists are available from 9 a.m.–7 p.m. (EST) Monday through Thursday, and 9 a.m.–5 p.m. (EST) on Friday.

A decision may be overturned as long as documentation to support the appeal is provided and funding remains available.

 

Funders

CancerCare Co-Payment Assistance Foundation (CCAF) is a nonprofit organization dedicated to helping people with cancer afford their co-payments for chemotherapy and targeted treatment drugs. We offer a seamless, same-day approval process. Through a proven, state-of-the-art platform, we can ensure speed to therapy.

CancerCare Co-Payment Assistance Foundation provides easy and immediate access to the full array of CancerCare psychosocial and financial services.

Contact us.

A Robust Network of Support Services

CancerCare Co-Payment Assistance Foundation is proud to be affiliated with CancerCare. Since 1944, CancerCare has provided free high-quality, professional support services to anyone affected by cancer. Rooted in this tradition, we provide easy access to the full array of CancerCare services, including counseling, support groups (online, telephone and in-person), resource referrals, publications, education and financial assistance with treatment-related expenses such as transportation and child care. All callers to CCAF have immediate access to these services.

Same-Day Approval

We offer a proven platform for same-day approvals resulting in an easy, seamless and transparent process.

Through CCAF, participating providers are able to refer patients to us directly. If eligible, patients are conditionally approved for an initial dispense of medication – the same day. All enrollment forms are processed the same day they are received. For easy access, patients can enroll through our PORTAL site.

Seamless Process & State-of-the-Art Technology

Using state-of-the-art online tools and resources, we’re able to help patients and providers track both dispense history and fund usage. Our web-based portal is accessible from anywhere you have access to the Internet. It’s a secure and convenient way for patients, pharmacies and clinicians to access HIPAA-compliant data and treatment-specific information.

Patient Management and Approvals Process at a Glance

Patient Initialization

Accessing us online is just one way patients may be referred to CancerCare Co-Payment Assistance Foundation. Others include: direct calls, fax, specialty pharmacy, physicians and hub organizations.

Eligibility Screening

Once the referral request is received, CancerCare Co-Payment Assistance Foundation screens the patient for eligibility requirements, including:

  • Diagnosis
  • Product
  • Product insurance coverage
  • Financial qualifications (household size and income, demographics, etc.)
  • U.S. Citizenship (via Social Security Number)

Enrollment Paperwork Process

If patient verbally qualifies, the patient is mailed, faxed or emailed the official CancerCare Co-Payment Assistance Foundation enrollment form.

copay chart

Real-Time Insight

CancerCare Co-Payment Assistance Foundation uses a custom-built database that automates all steps in the patient assistance cycle, including eligibility, awards, billing and follow-up, as well as all correspondence. Data points are collected at all stages of the grant cycle, allowing for timely and robust reporting to funders.

Doing business with CCAF is efficient and straightforward. We have access to full administrative support from CancerCare, which allows for flexible and professional business relationships.

Our financial statements are posted on our website, and CCAF is fully transparent regarding its operations and expenditures.

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