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Program Status:  

Open

Grant Amount:  

$7,000

Eligibility Criteria

Diagnosis:
• Acute lymphoblastic leukemia ICD-10 codes are C91.0, C91.01 and C91.02. View list of ICD-10 codes »
• Primary cancer diagnosis must be the same as the fund and verified by the prescribing physician. Download Physician Verification Form »

Insurance:
• Patient must be insured through a federal health insurance program such as Medicare, Medicaid or TRICARE

Income:
• Income level must be at or below 500% of the Federal Poverty Level (FPL)

Citizenship:
• Must have a valid Social Security number to apply for assistance and receive treatment in the United States

Treatments Covered:
• Patient must be in active treatment or have a treatment plan in place prior to applying for assistance. Read more in our FAQs »

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Enroll Now

Apply online or by phone at 866-55-COPAY (866-552-6729)

Initial Grant Amount

$7,000

Program CAP Amount

$10,000

If the initial grant amount is exhausted before the grant end date, a request for additional funds up to the program CAP amount can be submitted. Read our Request for Additional Funds policy »

Additional Services

CancerCare offers support services for people with Acute Lymphoblastic Leukemia including counseling, support groups, financial assistance, workshops and publications.

View all services

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