Program Status:
Open
Grant Amount:
$4,000
Eligibility Criteria
Diagnosis:
• Cervical cancer ICD-10 codes are C53, C53.0, C53.1, C53.8 and C53.9. View list of ICD-10 codes »
• Primary cancer diagnosis must be the same as the fund and verified by the prescribing physician. Download Physician Verification Form »
Insurance:
• Patient must have health care insurance (any type)
Income:
• Income level must be at or below 500% of the Federal Poverty Level (FPL)
Citizenship:
• Must have a valid Social Security number to apply for assistance and receive treatment in the United States
Treatments Covered:
• Patient must be in active treatment or have a treatment plan in place prior to applying for assistance. Read more in our FAQs »
Apply online or by phone at 866-55-COPAY (866-552-6729)
Initial Grant Amount$4,000
$4,000
Program CAP Amount
$10,000
If the initial grant amount is exhausted before the grant end date, a request for additional funds up to the program CAP amount can be submitted. Read our Request for Additional Funds policy »
Retroactive policyCCAF will consider retroactive reimbursement on a case-by-case basis for first time applicants actively receiving a covered treatment. Our retroactive assistance will only consider dates of service within 60 days prior to the date we approve the application. Conditional approvals are not eligible for retroactive coverage.
Additional Services
CancerCare offers support services for people with cervical cancer including counseling, support groups, financial assistance, workshops and publications.
Co-Payment Assistance Organizations
These organizations may be able to provide assistance. Please check their websites for up-to-date assistance information.
« Back to Co-Payment Funding