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Leukemia & Lymphoma Society Co-Pay Assistance Program
| Definition |
Qualifications |
Costs |
| Pros & Cons |
Benefit Types & Limits |
How to Apply |
| Overview of Leukemia & Lymphoma Society Co-Pay Assistance Program | ||
The Leukemia & Lymphoma Society’s (LLS) Co-Pay Assistance Program helps financially needy cancer patients pay for their cancer treatment co-payments, health insurance premiums and many of their prescription co-payments.
This LLS Co-Payment Assistance Program is for seniors or persons of any age who have Leukemia, Lymphoma or related illnesses and have insurance. Compared with many other forms of assistance, the income eligibility threshold, at 500% of the federal poverty level, is fairly high for this program. A family’s assets are not a factor in eligibility.
Persons enrolled in the Co-Pay Assistance Program are free to choose their own doctors, insurance and other providers, as well as their treatment-related medications; and they can change their decisions without impacting their eligibility.
The senior’s doctor must confirm the diagnosis and that the drugs or physician visits for which they have applied for assistance are being used to treat a cancer currently covered in LLS's plan. The program also helps seniors pay for their insurance premiums and prescription co-pay costs, but does not cover prescribed devices, laboratory and diagnostic services.
The program has a fast approval process. This makes the LLS Co-Payment Assistance program a solution (or part of a solution) for those families whose needs have a defined length of time, such as while they are waiting to sell a house.
Benefits have a lifetime maximum, and applicants should be aware the lifetime maximums can change with the availability of funds. For example, the maximum allowable assistance might increase from $5,000 to $8,000, and persons previously at the limit might again become eligible. The reverse can apply as well; while enrolled, the maximum allowance may be reduced.
For tax purposes, the financial assistance is considered a gift for medical purposes and, therefore, is exempt from taxes.
Persons enrolled in the Co-Pay Assistance Program are free to choose their own doctors, insurance and other providers, as well as their treatment-related medications; and they can change their decisions without impacting their eligibility.
The senior’s doctor must confirm the diagnosis and that the drugs or physician visits for which they have applied for assistance are being used to treat a cancer currently covered in LLS's plan. The program also helps seniors pay for their insurance premiums and prescription co-pay costs, but does not cover prescribed devices, laboratory and diagnostic services.
The program has a fast approval process. This makes the LLS Co-Payment Assistance program a solution (or part of a solution) for those families whose needs have a defined length of time, such as while they are waiting to sell a house.
Benefits have a lifetime maximum, and applicants should be aware the lifetime maximums can change with the availability of funds. For example, the maximum allowable assistance might increase from $5,000 to $8,000, and persons previously at the limit might again become eligible. The reverse can apply as well; while enrolled, the maximum allowance may be reduced.
For tax purposes, the financial assistance is considered a gift for medical purposes and, therefore, is exempt from taxes.
Skilled Nursing and Assisted Living
Place of residence does not impact this program. So, persons living in skilled nursing or assisted living residences can benefit from the program as well as those living at home.
Be Aware That:
One must have health and prescription insurance to participate in the LLS Co-Payment Assistance Program.
Also Known As:
LLS Co-Pay Assistance Program
Age Requirements
There are no age restrictions on the LLS Co-Pay Assistance Program.
Disabilities / Health Requirements
In order to qualify for the LLS Co-Pay Assistance Program, seniors must be
diagnosed by a physician with one of the following conditions:
- Chronic myelogenous leukemia
- Chronic lymphocytic leukemia
- Hodgkin lymphoma- assistance
- Non-Hodgkin lymphoma- assistance
- Myelodysplastic syndromes (MDS)
- Myeloma
- Waldenstrom macroglobulinemia
Family Status
Family status does not play a role in determining their eligibility for the LLS Co-Pay Assistance Program.
Financial Status Requirements
To be eligible for LLP Co-Pay Assistance Program, the individual in need of care’s household income must be equal to or less than 500% of the U.S. Federal Poverty threshold. For 2012, these limits were $55,850 or $75,650 for an individual or a couple respectively. Program applicants are required to provide documentation that verifies their household income. A family’s assets are not a factor in eligibility.
Veteran Status Requirements
An individual or family’s veteran status does not have an impact on the LLS Co-Pay Assistance Program eligibility.
Geographic Requirements
The LLP Co-Pay Assistance Program is open to all U.S. citizens and residents.
Other Requirements
It is required that applicants have health and prescription insurance coverage to be eligible for the LLP Co-Pay Assistance Program. Applicants will be asked to provide documentation regarding their insurance, diagnosis, income, and doctor.
Types of Benefit Payout
Most commonly, the benefits of the LLS Co-Pay Assistance Program are payments made directly to the pharmacy, doctor or insurance provider. On occasion, payments will be made directly to the individual in need of care.
Restrictions on How Payout Can be Used
The LLS Co-Payment Assistance Program is for insurance and medication co-payments. Some related expenses that the program does not cover include prescribed devices like wheelchairs, diagnostic procedures, laboratory services or travel expenses.
Benefits Amounts & Limits
The amount of financial assistance provided by the LLS Co-Pay Assistance Program differs with each individual and type of cancer and the available funds. Lifetime maximums assistance to any individual is usually between $5,000 and $10,000.
Time to Receive Benefits
Within two weeks of receiving the completed application, the LLS Co-Pay Assistance Program will notify applicants of their determination.
This Source Can Help For
LLS Co-Pay Assistance can help with the costs of medications, insurance premiums and co-payments.
There are no costs associated with participation in the LLS Co-Pay Assistance Program.
One can apply for the Co-Pay Assistance Program on the Leukemia & Lymphoma Society’s website.
Alternatively, one can apply on the phone by calling 877-557-2672.
The following materials and information are necessary for the application.
The following materials and information are necessary for the application.
- Patient's Social Security Number & Date of Birth
- Diagnosis Name
- Name of Insurance Companies including group, policy and ID number, as well as Medicare/Medicaid
- Name of Pharmacy, Phone & Fax Numbers
- Name of Physician, Phone & Fax Numbers
- Financial Documents, such as the patient's most recent Tax Returns, 1099s, S.S., Benefit Statements or W-2s
