PATIENT FINANCIAL AID PROGRAM | LEUKEMIA AND LYMPHOMA SOCIETY

Provides up to $5,000 for those with specific, leukemia-related diagnoses to assist in paying for private health insurance premiums, private insurance co-pay obligations, Medicare Part B, Medicare Plan D, Medicare Supplementary Health Insurance and Medicare Advantage premium or co-pay obligations. Prescription drugs covered under this program include those supplied to the patient by a pharmacy or administered in an office or hospital by a health care provider. The program does not cover office visit co-pays, or diagnostic procedures such as: PET/CAT/MRI scans, X-rays, etc.

Data provided by

211 Cleveland

Physical Address

3 International Dr., Rye Brook, NY 10573

Hours

24 hours a day, 7 days a week when leaving a message or downloading information from website.

Voice

(800) 955-4572

Toll-Free | Patient Services Line

Fax

(914) 949-6691

Application process

Funds for some diseases may be closed. Those interested may check status of funds they are looking for by requesting an application by phone M-F: 8:30am-5:00pm.Those with questions may leave a voice message that will be returned within 5 business days. May also download an application or check status of funds and mail or fax it to the office with documentation. Completed applications will be reviewed within 10-20 business days.

Fee

Free. Payments are generally sent to health insurance companies for services.

Eligibility

A confirmed physician's diagnosis of leukemia, non-Hodgkin's lymphoma, Hodgkin's Disease, myeloma, chronic lymphocytic leukemia, Myelodysplastic syndromes (MDS-a pre-leukemia condition similar to anemia), acute myelogenous leukemia, or Waldenstrom macroglobulinemia (a rare form of non-Hodgkin's lymphoma) is required. Patients whose household income is at or below 500 per cent of US federal poverty guidelines are eligible. Patients must reside in the United States or Puerto Rico. Prescription insurance coverage is required to qualify for the program. Program does not cover the following: prescribed devices such as eyeglasses, wheelchairs, pumps, kits, etc.; laboratory services including blood work, biopsies, cultures, blood draws, bone marrow aspirations, etc.; electrocardiogram, echocardiography (ECG or EKG) ultrasounds; travel expenses; including lodging, meals, parking, tolls, etc. dental and or vision insurance premiums or expenses; fertility and or reproductive procedures; long-term care Insurance or cancer insurance policies.

Agency info

LEUKEMIA AND LYMPHOMA SOCIETY

Provides information to patients, their families and the general public about leukemia, lymphoma, and myeloma. Offers a variety of financial and support services for patients.