Skip to main content

Co-Pay Assistance Program

Contact Us: (877) 557-2672 | FinancialAssistance@lls.org

New Co-Pay Covered Expenses!

We now cover co-pays for select treatment-related labs, scans, and tests. Check out the video and list of covered and non-covered expenses, below.


This page contains information about the following topics :

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.

*Updated* Click here for a list of covered and non-covered expenses.

Available Funding

Support for this program is based on the availability of funds by disease diagnosis.

APPLY NOW

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.

Status Fund Covered Diagnoses

Funding

Fully subscribed and closed to enrollment

 Acute Lymphoblastic
 Leukemia  (ALL)

 

  • Acute lymphoblastic leukemia (ALL)
$5,000
Fully subscribed and closed to enrollment

Acute Myeloid
 Leukemia  (AML)

 

  • Acute myloid leukemia (AML)
  • Acute promyelocytic leukemia (APL)
  • Erdheim Chester Disease
  • Mast cell leukemia
  • Mastocytosis
$7,500
Open  Chronic Lymphocytic
 Leukemia  (CLL)
  • Chronic lymphocytic leukemia (CLL/SLL)
  • B-cell prolymphocytic leukemia (B-PLL)
  • Hairy cell leukemia
$8,000
Fully subscribed and closed to enrollment  Chronic Myeloid
 Leukemia (CML)
  • Chronic myeloid leukemia (CML)
$2,000
Fully subscribed and closed to enrollment  Lymphoma
  • Hodgkin lymphoma (HL)
  • Non-Hodgkin lymphoma (NHL)
  • T-cell large granular lymphocytic leukemia (LGL) 
  • Lymphomatoid papulosis
  • Post-transplant lymphoproliferative disorder or PTLD

 Please refer to our booklet, Non-Hodgkin Lymphoma, for additional subtypes (click here).

$5,000
Open  Mantle Cell
 Lymphoma (MCL)
  • Mantle cell lymphoma (MCL)
$5,000
Open  Myelodysplastic 
 Syndromes (MDS) 
  • Myelodysplastic syndromes (MDS)
  • Chronic myelomonocytic leukemia (CMML)
  • Juvenile myelomonocytic leukemia (JMML) (diagnosis formerly known as chronic myelomonocytic leukemia of infancy [CMML])
  • MDS/MDP overlap syndrome 
$7,000
Open  Myeloma
  • Myeloma/multiple myeloma (MM)
  • Myeloma associated amyloidosis
  • Plasma cell leukemia or plasma cell myeloma
  • POEMS syndrome
$11,000
Closed to enrollment  Myeloproliferative   Neoplasms (MPN)
  • Myelofibrosis (MF)
  • Essential thrombocythemia (ET)
  • Polycythemia Vera (PV)
  • Chronic Neutrophilic Leukemia (CNL)
  • Chronic Eosinophilic Leukemia (CEL)

*Philadelphia Chromosome Negative Myeloproliferative Neoplasms only.

$9,000
Open

 Waldenström 
 Macroglobulinemia 

 (WM)

  • Waldenström 
    macroglobulinemia (WM)
$7,500

 

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.

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 
  • Have a blood cancer diagnosis confirmed by a doctor
    • The patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.
       

How to Apply

You may call (877) 557-2672 to speak with an Intake Specialist who can walk you through the application process. If you prefer to apply on your own, please refer to the information below.

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.

How to Submit a Claim

You may also contact the Co-Pay Assistance Program at (877) 557-2672 for instructions on how to submit a claim.  
 

Frequently Asked Questions

 

Benefits and Taxable Income

As a charity, LLS is exempt from federal income tax and individuals who receive assistance from a charity to meet their personal needs do not generally have to pay federal income tax on the value of the assistance they receive. With this being said it should not affect their ability to receive financial assistance from the government or affect their income taxes. 

 

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.

Submit a Story 

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

 


Other Helpful Resources