Co-Payment Assistance Fund
Head and Neck Cancer
Helping people with cancer access the prescribed treatments they need.
Program Status:
Closed
Eligibility Criteria
Diagnosis:
• Head and neck cancer ICD-10 code is C76. 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 »
Additional Services
CancerCare offers support services for people with head and neck cancer including counseling, support groups, financial assistance, workshops and publications.
Co-Payment Assistance Organizations
These organizations may be able to provide assistance. Please check their websites for up-to-date assistance information.