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: Grants can be awarded when funding is available for a specific diagnosis. If we do not have funds available at the time of request for a particular diagnosis, we will refer you to another foundation that may be able to assist. View current covered cancer diagnoses.
To qualify for assistance, you must meet certain financial, medical and insurance criteria.
- Individuals or families with an adjusted gross income of up to four or five times the federal poverty level (depending on fund) may qualify for assistance. We may also consider the cost of living in your particular city or state. Income verification is required as part of the application process. View the Federal Poverty chart.
- CCAF understands that cancer is an expensive illness and 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 specialist. If we are unable to assist you through our foundation, we may be able to provide you with other resources and support services.
- Your primary cancer diagnosis must be the same as one of the funds that we cover. View current covered diagnoses. The patient will have to sign and attest that his/her primary diagnosis matches our fund. Additional documentation may be requested by the prescribing physician on a case by case basis if further clarification is needed.
- When beginning the application process, you must be undergoing chemotherapy or have a treatment plan in place to begin treatment with an oral targeted prescription medication or an IV administered chemotherapy drug.
- You must have insurance that covers a portion of your medications. Some funds are restricted to assist only those covered by a federal health insurance program such as Medicare, Medicaid or TRICARE while others accept both private and federal insurance. Please view current covered cancer diagnoses 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.
Uninsured: While CCAF cannot assist patients without insurance coverage, we encourage you to contact us for references to other organizations and patient assistance programs which can assist.
- 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.