The LLS Patient Financial Assistance office will be closed on Tuesday, November 3, 2020 in observance of Election Day.
The office will reopen on Wednesday, November 4th at 8:30am ET. Patients and Healthcare Professionals can apply and submit claims through the online portal.
This page contains information about the following topics :
- Covered Expenses
- Available Funding
- Program Eligibility Criteria
- How to Apply
- Claims Information
- Frequently Asked Questions
- Contact Information
- We Want to Hear How This Program Has Helped You!
- Other Helpful Resources
To access this page in Spanish, click here.
Covered Expenses
We can help pay for:
- Medical insurance premiums
- Treatment-related co-pays, deductibles, and co-insurance (for expenses covered by the program)
- Prescription medication related to prescribed treatment
LLS can pay your provider directly or reimburse you for payments already made. You have complete freedom to choose doctors, providers, suppliers, insurance companies and treatment-related medications. You can make changes to these at any time without affecting your continued eligibility.
Click here for a list of covered and non-covered expenses.
Click here for a quick reference list of covered drug categories.
Available Funding
Support for this program is based on the availability of funds by disease diagnosis.
Please note: Changes to funds are reflected on this webpage as quickly as possible. For up-to-the-minute fund status, please call (877) 557-2672. If you started an application prior to a fund becoming fully subscribed, please continue with the application.
| Chronic Lymphocytic Leukemia (CLL) |
|
$8,000 |
| Mantle Cell Lymphoma (MCL) |
|
$5,000 |
| Myelodysplastic Syndromes (MDS) |
|
$7,000 |
| Waldenström Macroglobulinemia (WM) |
|
$7,500 |
The following funds are fully subscribed and closed to enrollment: A fund that is “fully subscribed” is at maximum capacity, serving those enrolled, and is not enrolling additional patients (new or renewal patients). Renewal patients are those who have received assistance through our program in the past and continue to reapply. |
||
| Acute Lymphoblastic Leukemia (ALL) |
|
$5,000 |
| Acute Myeloid Leukemia (AML) |
|
$7,500 |
| Chronic Myeloid Leukemia (CML) |
|
$2,000 |
| Lymphoma |
Please refer to our booklet, Non-Hodgkin Lymphoma, for additional subtypes (click here). |
$5,000 |
| Myeloma |
|
$11,000 |
The following funds are closed to enrollment: |
||
| Hodgkin Lymphoma |
|
$5,000 |
| Myeloproliferative Neoplasms (MPN) |
*Philadelphia Chromosome Negative Myeloproliferative Neoplasms only. |
$9,000 |
**As a non-profit organization, we rely on the generosity of our sponsors. Program continuation is dependent on the availability of funds and the program could be modified or discontinued at any time if funding is limited or no longer available. Please visit our website in the future to become aware of new funding.**
Program Eligibility Criteria
To be eligible for Co-Pay Assistance, you must
- Be a United States citizen or permanent resident of the U.S. or U.S. territory.
- Have a household income that is at or below 500 percent of the U.S. federal poverty guidelines as adjusted by the Cost of Living Index (COLI). You will be asked for your zip code to determine your COLI.
- Have medical insurance and/or prescription insurance
- Have a blood cancer diagnosis confirmed by a doctor
- Patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.
- Patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.
How to Apply
STEP 1: Gather the following information
- The patient's demographic information (including their Social Security number and date of birth) and their contact information.
- If the patient is a minor, you will need a guardian Social Security number as well.
- The name of your diagnosis.
- Estimated household financial income.
- Insurance card, as well as Medicare/Medicaid.
- The name of your pharmacy and its phone/fax numbers.
- The name of treating physician and their phone/fax numbers.
This information will not be shared and is for verification purposes only.
*Healthcare Professionals (HCP) applying on behalf of a patient will be asked for their NPI and tax ID.
**UPDATE DUE TO COVID-19**
For new applicants, in the event that you are unable to get your doctor to sign off on the Diagnosis Verification Form for your application, we will accept a portion of your electronic medical record (EMR) or other documentation that shows the diagnosis/ICD-10 code.
Please note, this is a temporary workaround given the national health emergency.
STEP 2: Register and/or Apply
LLS offers patients, caregivers, pharmacies, and healthcare providers two easy ways to register/apply:
By Phone: (877) 557-2672
Monday to Friday, 8:30 a.m. to 5:00 p.m.
OR
Online: Online portal
24/7, Available in English only
If you do not have an LLS Financial Assistance Copay Portal Account:
If this is your first time visiting the LLS Financial Assistance Copay Portal, you will need to register before you can start the online application. To create a portal account :
- Complete the registration form in the LLS Financial Assistance Copay Portal and submit.
- Receive confirmation email (typically within 5 minutes of submitting) and click on the link provided to create a password.
- Create password
- Log on to the LLS Financial Assistance Copay Portal using newly created password.
- Begin application process. All required fields must be completed.
- Upon completing your application, submit for review.
If you already have an LLS Financial Assistance Copay Portal Account:
If you are returning to the LLS Financial Assistance Copay Portal, please log in, select Co-Pay Assistance Program, and fill out required fields.
Need Help?
For portal technical support, please call us at (877) 557-2672 or e-mail financialassistance@lls.org.
Claims Information
Approved patients must submit a claim for a covered expense every 90 days to keep their accounts active.
Please contact the Co-Pay Assistance Program at (877) 557-2672 for instructions on how to submit a claim.
Frequently Asked Questions
Contact Information
The Leukemia & Lymphoma Society
Co-Pay Assistance Program
P.O. Box 12268
Newport News, VA 23612
Email: FinancialAssistance@LLS.org
Toll Free Phone: (877) 557-2672
Fax: (877) 267-2932
We Want to Hear How This Program Has Helped You!
We would love to hear how the financial assistance provided by LLS has helped you. Patient stories help us illustrate the impact and importance of this program in the lives of blood cancer patients.
To submit a story by mail, please send to:
The Leukemia & Lymphoma Society
Patient Financial Assistance Programs
3 International Drive, Suite 200, Rye Brook, NY 10573
Thank you for sharing!
Office of Inspector General (OIG) Advisory Opinion
- OIG Advisory Opinion No. 06-13 dated 9.18.06
- OIG Advisory Opinion No. 06-13 dated 6.21.13
Other Helpful Resources
- Other Financial Assistance
- Assistance with Prescription Drug Costs for Insured Patients
- Assistance with Prescription Drug Costs for Uninsured Patients
- Health Insurance - US
- Access the Co-Pay Resource Guide for information regarding Pharmaceutical Patient Assistance Programs.
- Access this page in Spanish