Co-Payment Assistance Fund
CancerCare’s Co-Payment Assistance Fund helps people with prostate cancer access the prescribed treatments they need.
Program Status: Closed
To receive an email notification when this fund re-opens, click the register button below. You will need to enter your insurance type and primary cancer diagnosis. Select the fund and follow the instructions to be notified once the fund is open.
Register
Eligibility Criteria
Diagnosis:
- Metastatic prostate cancer ICD-10 code is C61 w/metastatic disease. 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 be insured through a federal health insurance program such as Medicare, Medicaid or TRICARE
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 »
Retroactive policy
CCAF will consider retroactive reimbursement 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.
Initial Grant Amount
$7,500
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.
Additional Services
CancerCare offers services including counseling, support groups, financial assistance, workshops and publications.
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From Our Clients
I am so grateful and thankful for your help at this critical time in my life. There are no words that fully describe the deep appreciation I feel for your foundation and the hope that it inspires in me." -- Mildred Jane B.
"I need to tell you what a wonderful job you are doing and just how grateful I am for the assistance you were able to provide me. If I did not receive the help you gave me, I do not know what I would have done." -- Rick C.
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