Cancercare Co-Payment Assistance Foundation | Cancercare

Financial Eligibility: - Individuals or families with incomes of up to five (5) times the federal poverty level may qualify. - If income is over criteria, call and discuss individual's financial situation with one of Cancercare's Co-Payment Specialists. Diagnosis and Treatment Requirements: - Must be diagnosed with one of the cancer types that the Foundation covers and the diagnosis must be verified by a doctor. Applicant's doctor must complete and sign our physician verification form. - Must be a United States Citizen or legal resident who is receiving treatment dispensed in the United States. - Must be in active chemotherapy or target treatment. - The prescribed treatments must be approved by the Food and Drug Administration (FDA) for cancer. Insurance Coverage Requirements: - Must be covered by private insurance, an employer-sponsored health plan, Medicaid, TRICARE, or have Medicare Part B, Medicare Part C, or Medicare Part D. - Must have insurance that covers a portion of 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. - If the applicant is uninsured (do not have any insurance or medical plan that covers prescription medication), then the individual is not eligible for co-payment assistance; however, the individual can still call the toll-free number for referrals to other organizations or patient assistance programs.

Must complete an application, provide doctor's verification of diagnosis, and proof of income.

- Monday - Thursday: 9:00am to 7:00pm. - Friday: 9:00am to 5:00pm.