I don't think anyone had posted this yet. I was suprised on how high
the income level was. My husband just retired so we might get below
the income requirement. I have BCBS and medicare part B to pay for out
of retirement income..
The Leukemia & Lymphoma Society's (LLS) Co-Pay Assistance Program
offers assistance to patients toward:
Cancer treament related co-pays
Private health insurance premiums
Private insurance co-pay obligations
Medicare Part B, Medicare Plan D, Medicare Supplementary Health
Insurance and Medicare Advantage premium or co-pay obligations
Funding Update-Lymphoma & Chronic lymphocytic leukemia (CLL) Funds Now
Open!
Announcement-New Online Application Tool!
Patients enrolled in the Co-Pay Assistance Program have complete
freedom to choose doctors, providers, suppliers, insurance companies
and/or treatment related medications. Patients are free at any time to
make changes in any of the above without affecting their continued
eligibility.
Prescription insurance coverage is required to qualify for this
program. Prescription drugs covered under this program include those
supplied to the patient by a pharmacy or administered in an office or
hospital by a health care provider.
A physician must confirm the patient's diagnosis and that the drugs or
physician visits for which they have applied for co-pay or premium
assistance are being used to treat a cancer currently covered in LLS's
plan.
The Co-Pay Assistance program does not cover the following:
• Prescribed devices such as eyeglasses, wheelchairs, pumps, kits,
etc.
• Diagnostic procedures such as: PET/CAT/MRI scans, X-rays, etc.
• Laboratory services including blood work, biopsies, cultures, blood
draws, bone marrow aspirations, etc.
• Electrocardiogram, Echocardiography (ECG or EKG) Ultrasounds
• Travel expenses, including lodging, meals, parking, tolls, etc.
• Dental and or Vision insurance premiums or expenses
• Fertility and or Reproductive procedures
• Long-term Care Insurance or Cancer Insurance policies
Support for this program is based on the availability of funds by
disease diagnosis.
Co-Pay Assistance Amounts
LLS Co-Pay Assistance funds are currently available up to $5000 for
the following diagnoses:
Chronic myelogenous leukemia
Chronic lymphocytic leukemia
Hodgkin lymphoma
Non-Hodgkin lymphoma
Waldenstrom macroglobulinemia
Myeloma
Myelodysplastic syndromes (MDS)
Funding Update
The following funds are currently closed.
Acute myelogenous leukemia
Please check the Co-Pay webpage regularly for funding updates. We are
actively seeking sponsorship for this fund and other blood cancers
that are not funded by this program. Call us for assistance if you are
uncertain about the coverage of any diagnosis.
For more information on financial assistance, please contact the
Information Resource Center 1-800-955-4572.
Income Requirements
Patients whose household income is at or within 500 percent above the
U.S. Federal Poverty guidelines are eligible for assistance. Please
note: The Department of Health and Human Services has extended the
2009 Poverty Guidelines until at least March 1, 2010.
Patients who reside in the United States, Puerto Rico and medically
and financially qualify may apply.
2009 Health & Human Services Poverty Guidelines & Dollar Figures for
500% above the Federal Poverty Guidelines
Persons in Family or Household
48 Contiguous States, Puerto Rico
500% Alaska 500% Hawaii
500%
1 $10,830 $54,150 $13,530 $67,650 $12,460 $62,300
2 $14,570 $72,850 $18,210 $91,050 $16,760 $83,800
3 $18,310 $91,550 $22,890 $114,450 $21,060 $105,300
4 $22,050 $110,250 $27,570 $137,800 $25,360 $126,800
5 $25,790 $128,950 $32,250 $161,250 $29,660 $148,300
6 $29,530 $147,650 $36,930 $184,650 $33,960 $169,800
7 $33,270 $166,350 $41,610 $208,050 $38,260 $191,300
8 $37,010 $185,050 $46,290 $231,450 $42,560 $212,800
For each additional person add $3,740 $18,700 $4,680 $23,400 $4,300
$21,500
In most cases, the payment will be sent directly to your
pharmaceutical supplier, hospital, doctor, insurance provider, and
less commonly, directly to a patient. For patients with approved
applications needing assistance to complete the Co-Pay Claim Form
please refer to the Claim Form Information Guide.
The Co-Pay Assistance Program application includes information to be
completed and signed by the patient and information to be completed
and signed by the patients' physician. Patients will also need to
send documentation verifying household income. All documentation will
be kept confidential and is viewed solely for approval into the
program.
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 [email protected].
The Leukemia & Lymphoma Society
Co-Pay Assistance Program
P.O. Box 12268
Newport News, VA 23612
Fax: (877)-COPAY-FAX or (877) 267-2932
All completed Co-Pay Assistance Program applications will be reviewed
and applicants will be notified if anything is missing from their
application or of their approval status. Once approved, patients will
receive instructions for payment requests. Here are some Frequently
Asked Questions about the Co-Pay Program.
Online Application Announcement!
A quick registration process allows patients, caregivers and
healthcare providers to easily submit Co-Pay applications within
minutes, day or night.
Patients and Caregivers -Submit an application now
Providers- Submit a patient application now
Patients who participate in the Co-Pay Assistance Program may still
apply for LLS's Patient Financial Aid Program.
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