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Program Status:  

Created

This fund has been created and approved by our Board of Directors. CancerCare is seeking funding to allow us to open the fund and begin assisting patients.

If you are interested in making a donation or to learn more about our capabilities, please contact our foundation’s Executive Director, Michele McCourt at mmccourt@cancercarecopay.org.

Eligibility Criteria

Diagnosis:
• Myelodysplastic Syndrome ICD-10 codes are D46, D46.0, D46.1, D46.2, D46.20, D46.21, D46.22, D46.A, D46. B, D46. C, D46.4, D46.Z and D46.9. 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 »

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Enroll Now

Apply online or by phone at 866-55-COPAY (866-552-6729)

Initial Grant Amount

$5,000

Program CAP Amount

$10,000

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
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