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Lls Proof Of Expenditure Form
- LLS COPAY ASSISTANCE PROGRAM UPDATE It just got a lot easier for you to support your patient’s care and treatment. Our new, improved co-pay program portal allows you to:. Easily and efficiently confirm a patient’s diagnosis. Use information from your existing patient records. Save time.
- The co-pay application process requires five kinds of information: 1. Patient information 2. Authorized person or persons 3. Insurance information 4. Medical information, including the healthcare provider and the diagnosis 5. Authorization (approval) from LLS Creating an Application: Five Sections.
- LLS Co-Pay Assistance Program Frequently Asked Questions 1. What is a Co-Pay? A fixed amount you pay for a health care service that is covered by your insurance and after you’ve paid your deductible. Copays vary for different services like drugs, lab tests, and visits.
- The Leukemia & Lymphoma Society is rated 3 out of 4 stars by Charity Navigator. The Leukemia & Lymphoma Society receives 87.11 out of 100 for their Charity Navigator rating. The Leukemia & Lymphoma Society is a Diseases, Disorders, and Disciplines charity located in Rye Brook, NY. The organization is run by Louis J. Degennaro and has an annual revenue of $396,221,152.
- American Cancer Society
- 1-800-227-2345, http://www.cancer.org
- The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service. With more than two million volunteers nationwide, the American Cancer Society is one of the oldest and largest voluntary health agencies in the United States. They also offer a Cancer Resource Network which is designed to provide programs and services (including financial resources) to cancer patients and their caregivers.
- Be The Match®
- 1-888-999-6743, http://BeTheMatch.org/patient
- For people with life-threatening blood cancers—like leukemia and lymphoma—or other diseases, a cure exists. Be The Match connects patients with their donor match for a life-saving blood or marrow transplant. Be The Match is operated by the National Marrow Donor Program® (NMDP), a nonprofit organization that matches patients with donors, educates health care professionals and conducts research so more lives can be saved. Be The Match has a team dedicated to providing information and support to you before, during, and after transplant. You can contact us to ask questions you may have about transplant, request professional or peer support, or receive free patient education materials.
- CancerCare
- 1-800-813-4673, http://www.cancercare.org
- CancerCare is the leading national nonprofit organization dedicated to providing free, professional support services including case management, counseling, support groups, publications and financial assistance to anyone affected by cancer. All CancerCare services are provided by oncology social workers and world-leading cancer experts. Founded in 1944, CancerCare provided individual help to more than 195,000 people last year, received more than 2.1 million visits to its websites and distributed more than $26.4 million in financial assistance.
- CancerCare Co-Payment Assistance Foundation
- 1-866-552-6729, http://www.cancercarecopay.org
- The CancerCare Co-Payment Assistance Foundation is a not-for-profit organization established in 2007 to address the needs of individuals who cannot afford their insurance co-payments to cover the cost of medications for treating cancer. The Foundation is proud to be affiliated with CancerCare, a national not-for-profit organization that has provided free professional support services including counseling, education, financial assistance and practical help to people with cancer and their loved ones since 1944. Please visit the CancerCare Co-Payment Assistance Foundation website for available assistance.
- Cancer Support Community (CSC)
- 1-888-793-9355, http://www.cancersupportcommunity.org
- The mission of the Cancer Support Community (CSC) is to ensure that all people impacted by cancer are empowered by knowledge, strengthened by action, and sustained by community. CSC provides the highest quality emotional and social support through a network of more than 50 local affiliates, 100 satellite locations and online. Patients undergoing active treatment for metastatic lung cancer may be eligible for CSC’s Transportation Assistance Grant. For more information about grant eligibility, please contact the Cancer Support Helpline (CSH) at 888-793-9355 or visit www.cancersupportcommunity.org to chat with a CSH counselor.
- Good Days
- 1-877-968-7233, https://www.mygooddays.org/
- Good Days provides financial support for patients who cannot afford the medication they urgently need. Through the Good Days’ Premium Assistance program, they help patients find the insurance coverage that’s right for them. They also provide financial and logistical support to patients to ensure they are compliant with their treatment regimen.
- The HealthWell Foundation
- 1-800-968-7233, http://www.healthwellfoundation.org
- The HealthWell Foundation is an independent, non-profit organization that provides financial assistance to underinsured patients living with chronic or life-altering diseases by providing access to life-changing medical treatments they otherwise would not be able to afford. HealthWell provides financial assistance to adults and children facing medical hardship resulting from gaps in their insurance that cause out-of-pocket medical expenses to escalate rapidly. HealthWell assists with the treatment-related cost-sharing obligations of these patients. For more information, visit www.HealthWellFoundation.org.
- The Leukemia & Lymphoma Society
- 1-800-955-4572, infocenter@lls.com, http://www.lls.org
- Dedicated to funding blood cancer research, education and patient services, LLS offers a variety of services and programs in support of the mission to cure leukemia, lymphoma, Hodgkin's disease and myeloma. LLS also offers financial support towards the cost of co-pays for prescription drugs and/or insurance premiums through its Co-Pay Assistance Program. For more information on LLS programs or to be connected with our chapters, contact The Information Resource Center (IRC). The IRC provides accurate, up-to-date disease and treatment information. Our information specialists are master's level social workers, nurses, and health educators. They are available to speak with callers Monday through Friday, 9 a.m. to 6 p.m.EST. LLS has also produced a panel discussion entitled Cancer & Your Finances.
- The Leukemia & Lymphoma Society's
Co-Pay Assistance Program - 1-877-557-2672, http://www.lls.org/copay
- Helps patients meet their health insurance, Medicare Part B or D, Medicare Supplement, or Medicare Advantage premiums or co-payment obligations. Household income must be at or below 500% of the U.S. federal poverty guidelines as adjusted by the cost of living index for people living in the United States and Puerto Rico. Check website for a list of covered diagnoses. To apply or obtain more information about the Co-Pay Assistance Program, please call 1-877-557-2672 to speak with a Co-Pay Specialist who will provide personalized service through the application process. You may also email your request for a Co-Pay Specialist to contact you regarding the program at copay@lls.org.
- Lymphoma Research Foundation
- New York: 1-800-235-6848, Los Angeles: 1-800-500-9976, http://www.lymphoma.org
- The Lymphoma Research Foundation (LRF) is the nation's largest lymphoma-focused voluntary health organization devoted exclusively to funding lymphoma research and providing patients and health care professionals with critical information on the disease. LRF's mission is to eradicate lymphoma and serve those touched by this disease. LRF offers a limited financial assistance program for uninsured and underinsured lymphoma patients undergoing treatment. LRF may be able to pay a portion of patients' medical bills to the doctor or hospital. Offers a free helpline and information service for referrals to financial assistance programs, legal and insurance help.
- The Max Foundation
- 1-888-462-9368, http://www.themaxfoundation.org/
- The Max Foundation is a US-based international non-profit dedicated to improving the lives of people living with blood cancer and rare cancers worldwide. The organization focuses attention on assisting disadvantaged populations in developing countries and elsewhere, including the US. The Max Foundation's International Patient Helpline provides free services of advocacy, emotional support, informational referrals and help finding emergency funding. Through a highly dedicated team of US-based and local advocates based in targeted countries, families receive personalized support services. Each year The Max Foundation provides free services to over 16,000 families in more than 100 countries.
- National Organization for Rare Diseases (NORD)
- 1-800-999-6673, http://www.rarediseases.org
- The National Organization for Rare Disorders (NORD), a 501(c)3 organization, is committed to the identification, treatment, and cure of rare disorders through programs of education, advocacy, research, and service. Since 1987, NORD has provided assistance programs to help patients obtain life-saving or life-sustaining medication they could not otherwise afford. These programs provide medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials or consultation with disease specialists.
- The Patient Access Network (PAN) Foundation
- 1-866-316-7263, http://www.panfoundation.org
- The PAN Foundation is an independent, national nonprofit organization dedicated to helping federally and commercially insured people living with chronic, life-threatening and rare diseases with the out-of-pocket costs for their prescribed medications.
- Patient Services Incorporated
- 1-800-366-7741, http://www.patientservicesinc.org
- PSI is the 'ground breaking' 501(c)(3) non-profit, charitable organization of its kind. Since 1989, PSI has helped people who live with certain chronic illnesses or conditions locate suitable health insurance coverage and access ways to satisfy expensive co-payments. PSI programs can help families avoid financial ruin or a reliance on public assistance programs like Medicaid. Our end goal is simple – offer services that provide peace of mind to a patient and his/her family by helping them afford the medical treatment they need in order to facilitate well-being and prevent financial devastation. Please visit the Patient Services Incorporated website for available assistance.
- Sarcoma Alliance
- 1-415-381-7236, http://www.sarcomaalliance.org
- The Sarcoma Alliance strives to extend and improve the lives of sarcoma patients through accurate diagnosis, improved access to care, education, and support. The Alliance's Suzanne R. Leider Memorial Assistance Fund program helps sarcoma patients with costs associated with obtaining a second opinion from sarcoma specialists across the United States. Eligible expenses include travel, hotel, meals, professional fees and testing. For more information visit http://www.sarcomaalliance.org/assistance.html
What Is A Copay Assistance Program
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