Below is an up-to-date list of the assistance available for each cancer diagnosis (this may change depending on available funding, so please check back for current status). Select an open fund below to view eligibility criteria. Contact us with any questions at 866-55-COPAY (866-552-6729) or firstname.lastname@example.org.
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.
Can I apply for assistance online?
Yes. You, or a representative on your behalf, can enroll online. You will need to have the following information available when you apply online:
- Full legal name
- Primary/mailing address
- Phone number
- Email address
- Social Security Number
- Date of birth
- Diagnosis or condition
- Product or medication
- Household income
- Number of dependents
- Health insurance provider
- Treating physician’s name
Please note, when you apply online, we will attempt to verify your income through an electronic income verification process. As part of our compliance program, you may be asked to submit additional income verification. Please review our Financial Audit Policy.
Can I return my forms and information via email or fax?
Yes. You may return by email (email@example.com) or by fax (212-601-9760).
If you already have an account through our portal, you can log in and upload your documents. Once you log in, click on My Patient Profile/My Account and Create Attachment. If you do not have an account and would like to create one, please contact us.
How do I check the status of my application?
Online: Check your enrollment status and fund balance.
Phone: You, or a representative on your behalf, can use our auto-attendant feature by calling 866-552-6729 (select option 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.
How can I reapply for assistance?
If your status 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.
If funds are no longer available, we will notify you and provide you with resources to other foundations and organizations that may be able to help.
Do I qualify? What are the eligibility criteria?
To qualify for assistance, you must meet CCAF financial, medical and insurance criteria. Please review eligibility criteria by selecting a specific diagnosis on our Covered Diagnoses chart.
What are the income requirements?
Individuals or families with an adjusted gross income of up five times the federal poverty level may qualify for assistance (view the Federal Poverty Guidelines). Income verification is required as part of the application process.
CCAF understands that cancer is an expensive illness and the family income can change drastically due to a cancer diagnosis. If your income is over our criteria, please call and discuss your specific financial situation with one of our co-payment specialists. If we are unable to assist you, we may be able to provide you with other vital resources and support services.
CancerCare Co-Payment Assistance Foundation has limited resources and eligibility is determined based on financial need. Therefore, we must verify your income to determine if you are eligible for assistance within the guidelines of a particular fund.
Can I get a list of the diagnoses you cover?
Yes. You can view our Covered Diagnoses chart. Please keep in mind that available funding may change, so check the website regularly for updates.
Do uninsured patients qualify for help?
No. CCAF is only able to assist insured individuals who need help paying the 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. PhRMA’s Medicine Assistance Tool (MAT) is helpful for people without insurance.
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. Please check for specific insurance eligibility requirements for each fund.
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 cms.gov.
Do you only assist Medicare patients?
We have certain funds that are limited to patients insured through a federal health insurance program such as Medicare, Medicaid and TRICARE. We also have funds that accept all types of insurance coverage both private and public insurance. Please view specific diagnosis fund eligibility with insurance types noted.
Private Insurance: Patients with private insurance must contact the drug company that manufactures your medication before applying with CCAF for assistance. Drug companies have several program options that may help you. If you are not sure how to find out about manufacturer assistance programs, please contact us and speak with one of our co-payment specialists.
Must I live in the United States?
You must be either a U.S. citizen or a legal resident residing in the United States or U.S. territories.
Does my approval cover treatments I’ve already had?
CCAF will consider retroactive reimbursement on a case-by-case basis for first time applicants actively receiving chemotherapy or targeted treatment. Our retroactive assistance will only consider dates of service within 60 days prior to the date we approve your application. Conditional approval does not include retroactive coverage.
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.
How do I check the status of a payment?
You, or a representative on your behalf, can contact CCAF by calling 866-552-6729 (select option 4). 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.
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.
Can my grant be ended without my knowledge?
We must see that you are using your grant. You will receive a letter from us after 60 days of inactivity letting you know that your grant status is in jeopardy. If we do not hear from you and there is still not activity at 90 days from the date your grant started we will have to cancel your grant (See your award letter). If this happens and you still require assistance, your case will be re-evaluated based on available funding at that time.
Can I appeal for additional funds 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 or your provider can contact us and submit a request to appeal for additional funds.
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. PhRMA’s Medicine Assistance Tool (MAT) is helpful for individuals without insurance.
What services can you provide through CancerCare?
CancerCare provides patients and caregivers with a comprehensive network of services include telephone, online and in-person counseling and support groups, resource referrals, publications, education and limited financial assistance for transportation and medical supplies if funding is available. All CancerCare services are delivered by professional oncology social workers and are completely free of charge. Learn more >>
Do you cover the entire co-payment or just certain treatments?
CCAF has funding to cover co-payment, coinsurance and deductibles for chemotherapy or targeted treatment medications only. Any charges for scans, radiation, lab work are not covered by the co-payment assistance program; however, CancerCare may offer limited financial grants which may help go towards the cost of other treatments.
Does CancerCare Co-Payment Assistance Foundation provide insurance premium assistance?
CCAF does not currently have funding to help with insurance premiums.
How much financial assistance does CancerCare Co-Payment Assistance Foundation provide?
There are number of considerations factored into the amount of financial assistance awarded, including:
- The amount of funding available for each covered diagnosis
- Your insurance coverage
- The actual co-payments you have within one year
What if my pharmacy is not a participating pharmacy, or if I am taking an infused therapy?
The foundation does not limit a patient’s choice of therapy or provider. We are able to work with all providers with our convenient Access Card Payment or Pharmacy benefit card which are accepted by most providers.
Where does CancerCare Co-Payment Assistance Foundation get its funding?
CCAF 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 Support Us.
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CancerCare Co-Payment Assistance Foundation (CCAF) is a nonprofit organization dedicated to removing barriers by helping qualified patients afford the co-payments, coinsurance and deductibles for prescribed cancer treatments.
To qualify for assistance, patients must meet certain financial, medical and insurance criteria.
Contact us with any questions at 866-55-COPAY (866-552-6729) or firstname.lastname@example.org.
Do you need ICD-10 Codes? View our full list of ICD-10 Codes and their corresponding disease states »
Please note: Grants can be awarded if funding is available. Our funds are disease specific. The patient's diagnosis must match our fund definition. If we do not have funds available for a specific disease, we will refer you to another foundation that may be able to assist.
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. If you provide your contact information it will be included in the patient record, and you will be contacted if there are any questions regarding the application. However, once the application is received and processed, the patient will receive all other correspondence.
How can I check on the status of my patient’s application?
You may check a patient status online or call toll-free 866-552-6729 and choose option 3 to use our auto-attendant feature. You will need to know the patient’s customer service number OR social security number AND their date of birth to use these features.
My patient signed a patient consent form to allow me to apply for financial assistance on their behalf, can I consent to the online income verification process?
Yes, as long as you have a signed consent form from the patient, you can enroll that patient for assistance and consent to the online income verification process.
Please note, as part of our compliance program, your patient may be asked to submit additional income verification. Please review our Financial Audit Policy.
How can we bill your foundation?
- Infusion Claims: CancerCare’s Access Card Program (ACP) allows healthcare providers to receive rapid payment for services via a credit card which can be used in most payment systems. Request ACP Payment
- Pharmacy Claims: CancerCare offers a pharmacy card with RxBin, PCN and Group number for claims adjudication with specialty and retail pharmacy providers.
- Invoice: For providers that cannot use the other options offered, invoices along with an EOB can be mailed , faxed, or e-mailed to the foundation. Payments are made by check to the provider. Checks are processed once a month.
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
CCAF will consider retroactive reimbursement on a case-by-case basis for first time applicants actively receiving chemotherapy or targeted treatment. Our retroactive assistance will only consider dates of service within 60 days prior to the date of approval. Conditional approval does not include retroactive coverage.
Can my patient’s grant be terminated after an approval has been granted?
Claims must be submitted to CCAF 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’s effective date. Delay or significant lapse in claims submitted can also result in termination of an 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 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 CCAF can provide per patient per year. If your patient’s grant runs out before the enrollment year ends, you can contact the program and submit a request to appeal for additional funds. You may be requested to submit an explanation of benefits with your request.
If my patient’s application is denied, how can we appeal?
CCAF understands that cancer is an expensive illness and family income can change drastically due to a cancer diagnosis. If your patient’s income is over our criteria, please have the patient call to discuss his/her specific financial situation with one of our co-payment specialists. A decision may be overturned as long as documentation to support the appeal is provided and funding remains available. If we are still unable to provide assistance through our foundation, we may be able to provide other resources and support services.
Do you provide a list of disease states and their corresponding ICD-10 codes?
Yes, we have compiled a complete list of disease states and ICD-10 codes for your convenience.