Co-Payment Assistance Fund
Esophageal Cancer
Helping people with cancer access the prescribed treatments they need.
Program Status:
Created
This fund has been created and approved by our Board of Directors. CancerCare is seeking funding to allow us to open the fund and begin assisting patients.
If you are interested in making a donation or to learn more about our capabilities, please contact our foundation’s Executive Director, Michele McCourt at mmccourt@cancercarecopay.org.
Eligibility Criteria
Diagnosis:
• Esophageal cancer ICD-10 codes are c15, c15.3, c15.4, c15.5, c15.8 and c15.9. 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 have health care insurance (any type)
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 »
CCAF will consider retroactive reimbursement for first time applicants actively receiving a covered treatment. Our retroactive assistance will only consider dates of service within 60 days prior to the date we approve the application. Conditional approvals are not eligible for retroactive coverage.
Initial Grant Amount
$4,000
Program CAP Amount
$10,000
Co-Payment Assistance Organizations
These organizations may be able to provide assistance. Please check their websites for up-to-date assistance information.