青云体育

This page contains information about the following topics:

• Program Information
• Available Funding
• Eligibility Requirements
• How to Apply
• Frequently Asked Questions
• We Want to Hear How This Program Has Helped You!
• Benefits and Taxable Income
• Contact Information
• Program Support
• Other Helpful Resources

To access this page in Spanish, click here.

Program Information

The Leukemia & Lymphoma Society (青云体育) is committed to helping patients access their treatment in a timely manner and created the Urgent Need Program, in partnership with Moppie鈥檚 Love, in 2018.

Thanks to our partnerships with Subaru of America and its retailers, Charlie鈥檚 Fund, and the Moore Family Charitable Foundation, the Urgent Need Program continues to provide eligible patients with assistance for non-medical expenses including rent, mortgage, lodging, utilities, childcare, elder care, food, transportation, car repair, car insurance, phone service, and acute dental work related to treatment. Eligible patients will receive a grant of $500, once within a 12 month period. At the end of the 12 month period, healthcare professionals can reapply on behalf of patients.

Available Funding

If a fund is listed as Open, please visit the How to Apply section to apply.

If a fund is listed as Fully Subscribed, it is at maximum capacity, serving those enrolled, and is no longer accepting applications.

Please note: Changes to funds are reflected on this webpage as quickly as possible. For up-to-the-minute fund status, please call (877) 557-2672. If you started an application prior to a fund becoming fully subscribed, please continue with the application.
 

Funds

• (Fully Subscribed) Urgent Need, Pediatric, Adolescent and Young Adult Fund, in partnership with Subaru of America and its retailers, serves pediatric, adolescent and young adult blood cancer patients (birth to 39 years of age) who are in acute financial need.
• (Fully Subscribed) Urgent Need, Adult Fund, in partnership with Charlie鈥檚 Fund and the Moore Family Charitable Foundation, serves adult blood cancer patients (40+ years of age) who are in acute financial need.

**As a non-profit organization, we rely on the generosity of our sponsors. Program continuation is dependent on the availability of funds and the program could be modified or discontinued at any time if funding is limited or no longer available.**

Eligibility Requirements

To be eligible for either of the Urgent Need Program funds, the patient must:

• Be a pediatric or young adult (birth to 39 years of age) patient OR be an adult (40+ years of age) patient.
• Have a household income that is at or below 600 percent of the  as adjusted by the Cost of Living Index (COLI). You will be asked for the patient鈥檚 zip code to determine their COLI.
• Be a United States citizen or permanent resident of the U.S. or U.S. territory.
• Have a blood cancer diagnosis confirmed by the care team  
• Demonstrated acute financial need, as defined by the program covered expenses
• Patients may be insured or uninsured

How to Apply

Please note that applications are only accepted by members of the patient鈥檚 healthcare team. 青云体育 offers healthcare team members two easy ways to apply on behalf of a patient:

• By Phone: (877) 557-2672
  Monday to Friday, 8:30 a.m. to 5:00 p.m.
• Online: 
  24/7, Available in English only
   

If you are a patient in need of assistance, please have a member of your healthcare team contact 青云体育 directly to apply on your behalf.

HEALTHCARE TEAM MEMBER MUST HAVE THE FOLLOWING TO APPLY:
-    DIRECT ACCESS TO THE PATIENT鈥橲 MEDICAL RECORDS TO ATTEST TO THEIR DIAGNOSIS 
-    A VALID NPI NUMBER WHETHER APPLYING ON THE PORTAL OR BY PHONE

Healthcare team members may include:

Online Portal Registration

If this is your first time visiting the Urgent Need Portal, you will need to register before you can start the online application.

To Register: To register you鈥檒l need the following provider information:

• Healthcare provider鈥檚 email address
• Healthcare provider/Facility鈥檚 tax ID*
• Healthcare provider/Facility鈥檚 National Provider Identifier (NPI)*

Once you submit your registration, you'll receive an email (typically within five minutes) directing you to a website to create your password. You can then begin entering your application information.

*Healthcare providers without a tax ID or NPI should use that of the primary facility/provider.

To Apply: You'll need the following patient information:

• Patient鈥檚 Social Security Number and date of birth
  • If patient is a minor (under the age of 18), patient AND guardian鈥檚 Social Security Numbers and date of birth are required.
• Patient's name, address, phone number
• Patient's diagnosis
• Patient's  household financial income

This information will not be shared and is for verification purposes only.

For portal technical support: Please call us at (877) 557-2672 or e-mail FinancialAssistance@青云体育.org.

Frequently Asked Questions

We Want to Hear How This Program Has Helped You!

We would love to hear how the financial assistance provided by 青云体育 has helped you. Patient stories help us illustrate the impact and importance of this program in the lives of blood cancer patients.

To submit a story by mail, please send to:

The Leukemia & Lymphoma Society Mail Center 
Patient Financial Assistance Programs
1201 15th Street N.W., Suite 410
Washington, D.C. 20005 

Thank you for sharing!

Benefits and Taxable Income

As a charity, 青云体育 is exempt from federal income tax and individuals who receive assistance from a charity to meet their personal needs do not generally have to pay federal income tax on the value of the assistance they receive. With this being said it should not affect their ability to receive financial assistance from the government or affect their income taxes. 
 

Contact Information

The Leukemia & Lymphoma Society
Urgent Need Program 
P.O. Box 12268
Newport News, VA 23612

Email: FinancialAssistance@青云体育.org
Toll Free Phone: (877) 557-2672
Fax: (866) 808-3793

Live Chat is not available for the Urgent Need Program assistance.

 

Program Support

青云体育 is a nonprofit organization that relies on the generosity of individual, foundation and corporate contributions to advance its mission. The Urgent Need Program is supported by:

• Charlie鈥檚 Fund
• Genentech, A Member of the Roche Group
• Gerald Kafka and Rita Cavanagh
• Jeff and Mindy Binder
• Moore Family Charitable Foundation
• Moppie鈥檚 Love
• The W. O鈥橬eil Foundation
• Wrobel Family Foundation
• Subaru of America and its retailers

*Opted for the highest level of support at $10,000.

Other Helpful Resources

• Other Financial Assistance
• Financial Resources (Other Helpful Organizations)
  • Mortgage, Rent and Utility Assistance
• Access this page in Spanish