Meta facebook tracking pixel

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 »

Retroactive policy

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.

« Back to Co-Payment Funding
Back to Top

Terms of Use and Privacy Policy

By using our website, you agree to our recently updated Privacy Policy . Here you can read more about our use of cookies which help us make continuous improvements to our website. Privacy Policy.