Co-Payment Assistance Program | CancerCare
485 Madison Avenue, 10th FL, New York, NY 10022
Eligibility
Open to patients complete and signs an application and HIPAA Authorization form. The amount of assistance depends on a number of factors including income, available funding, insurance coverage, and the actual co-payments incurred within one year.
Required documents
Proof of income and meet certain financial, medical and insurance criteria
Hours
Hopeline Hours: Mon – Thurs 10:00 am – 6:00 pm
Fri 10:00 am – 5:00 pm
Office Hours: Mon – Thurs 9:00 am – 7:00 pm
Fri 9:00 am – 5:00 pm
866-552-6729
Voice·
Main Phone
800-813-4673
Voice·
Toll-Free
201‑444‑6630
Voice·
Alt Phone
212-601-9760
Fax·
Fax
Email[email protected]
Application process
Call or visit the website to apply for the program.
Fees
None
Service area
United States
NJ
Provides financial assistance with co-payment insurance costs for chemotherapy and targeted cancer treatment drugs, check website for covered diagnoses.
Providing organization
CancerCare
Provides free professional support to help people manage the emotional, practical, and financial challenges of cancer.