Program: CO-PAYMENT ASSISTANCE
Agency: CANCER CARE
Description
Helps individuals afford the cost of co-payment for chemotherapy and targeted treatment drugs, to ensure patients access to care and compliance with prescribed treatment.
Eligibility
Must be a U.S. citizen or legal resident, who is receiving treatment in the United States. Applicants must also meet financial, medical, and insurance criteria.
Application Process
Call or visit website to apply.
Documents
Please have the following patient information ready:
Name
Date of birth
Phone number
Primary/mailing address
Social Security Number
Number of dependents
Annual Household income
Health insurance information for medical and prescription coverage
Diagnosis (view current covered cancer diagnoses)
Product or medication(s) prescribed
Fees
No fee
Service Areas
- United States
Phone
| (866) 552-6729 | Main Number |
Hours
Mon 9am EST - 7pm EST;
Tue 9am EST - 7pm EST;
Wed 9am EST - 7pm EST;
Thu 9am EST - 7pm EST;
Fri 9am EST - 5pm EST;
Website
Address
275 Seventh Avenue Floor 22, New York, NY, 10001
Disabilities Access
Potential limitations to access - call for details
Address
275 Seventh Avenue Floor 22, New York, NY, 10001
Listing Managed by: 211s of California | Print Listing
Information last updated: 2024-02-29T00:00:00