This page contains information about the following topics :
- Available Funding
- Eligibility Requirements
- How to Apply
- Claims Information
- We Want to Hear Your Story!
- Frequently Asked Questions
- Contact Information
- Covered Expenses and Drugs
- Other Helpful Resources
To access this page in Spanish, click here.
The Co-Pay Assistance Program offers financial help toward:
- Blood cancer treatment-related co-payments
- Private health insurance premiums
- Medicare Part B, Medicare Plan D, Medicare Supplementary Health Insurance, Medicare Advantage premium, Medicaid Spend-down or co-pay obligations
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.
Available Funding
Support for this program is based on the availability of funds by disease diagnosis.
| Disease Category | Covered Subtypes | Assistance |
|---|---|---|
| Acute Myeloid Leukemia (AML) |
|
$7,500 |
| Chronic Lymphocytic Leukemia (CLL) |
|
$8,000 |
| Myelodysplastic Syndromes (MDS) |
|
$7,000 |
| Myeloma |
|
$11,000 |
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 |
| Chronic Myeloid Leukemia (CML) |
|
$2,000 |
| Lymphoma (Hodgkin and Non-Hodgkin) |
Please refer to our booklet, Non-Hodgkin Lymphoma, for additional subtypes (click here). |
$5,000 |
| Mantle Cell Lymphoma (MCL) |
|
$5,000 |
| Waldenström Macroglobulinemia (WM) |
|
$7,500 |
**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.**
Eligibility Requirements
To be eligible for Co-Pay Assistance, you must
- 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.
- Be a United States citizen or permanent resident of the U.S. or Puerto Rico and be medically and financially qualified
- Have medical insurance and/or prescription insurance
- Have an LLS Co-Pay Assistance Program-covered blood cancer diagnosis confirmed by a doctor (see covered diagnoses listed above)
- 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
LLS offers patients, caregivers, pharmacies, and healthcare providers two easy ways to apply:
- By Phone: (877) 557-2672
Monday to Friday, 8:30 a.m. to 5:00 p.m. - Online: Online portal
24/7, Available in English only
Online Portal Registration and Application Process
If this is your first time visiting the Co-Pay Assistance Online Patient Portal, you'll need to register before you can start the online application process.
To Register: You must have a valid email address. Providers will need their provider tax ID. Once you submit your registration, you'll receive an email (typically within five minutes) directing you to a website to create your password. You can then begin entering your application information.
To Apply: You'll need the following information and documents:
- Your Social Security number and date of birth
- The name of your diagnosis
- The name of your insurance companies plus group, policy and ID number, as well as Medicare/Medicaid
- The name of your pharmacy and its phone and fax numbers
- The name of your physician and his or her phone and fax numbers
For portal technical support, please call us at (877) 557-2672 or e-mail copay@lls.org.
Online Portal Tutorials (available in English only):
Our primary goal is to ensure that patients receive expedient, high quality, personal support with their co-pay needs so that cost does not impact access to necessary medications and/or insurance coverage. For your convenience we’ve created multiple, on-demand tutorials that walk viewers through various portal functions, acquainting them with the location of important icons and features. Below is a link to each tutorial:
| Patients | Providers |
Claims Information
Please contact the Co-Pay Assistance Program at (877) 557-2672 for instructions on how to submit a claim.
Click here for a list of covered and non-covered expenses.
Click here for a quick reference list of covered drug categories.
We Want to Hear Your Story!
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
Co-Pay Assistance Program
3 International Drive, Suite 200, Rye Brook, NY 10573
Thank you for sharing!
Frequently Asked Questions
Click here for FAQs.
Contact Information
The Leukemia & Lymphoma Society
Co-Pay Assistance Program
P.O. Box 12268
Newport News, VA 23612
Email: copay@lls.org
Toll Free Phone: (877) 557-2672
Fax: (877)-COPAY-FAX or (877) 267-2932
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
- OIG Advisory Opinion No. 06-13 dated 5.21.14
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