Acute Lymphoblastic Leukemia
Co-Payment Assistance Fund
Helping people with cancer access the prescribed treatments they need.
Program Status: Open
Grant Amount: $7,000
Diagnosis:
• Acute lymphoblastic leukemia ICD-10 codes are C91.0, C91.01 and C91.02. 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 »
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RAIL PLACEHOLDER
You're not alone in your cancer diagnosis
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52,346
Hours of support through Hopeline, counseling, support groups, community programs, & more.
$81M
USD Provided to help people with cancer treatment-related costs.
52,346
Hours of support through Hopeline, counseling, support groups, community programs, & more.
$81M
USD Provided to help people with cancer treatment-related costs.
