Patients enrolled in the Co-Pay Assistance Program have complete freedom to choose doctors, providers, suppliers, insurance companies and/or treatment related medications. Patients are free at any time to make changes in any of the above without affecting their continued eligibility.

Prescription insurance coverage is required to qualify for this program. Prescription drugs covered under this program include those supplied to the patient by a pharmacy or administered in an office or hospital by a health care provider.

A physician must confirm the patient's diagnosis and that the drugs or physician visits for which they have applied  for co-pay or premium assistance are being used to treat a cancer currently covered in LLS's plan.

The Co-Pay Assistance program does not cover the following:
• Prescribed devices such as eyeglasses, wheelchairs, pumps, kits, etc.
• Diagnostic procedures such as: PET/CAT/MRI scans, X-rays, etc.
• Laboratory services including blood work, biopsies, cultures, blood draws, bone marrow aspirations, etc.
• Electrocardiogram, Echocardiography (ECG or EKG) Ultrasounds
• Travel expenses, including lodging, meals, parking, tolls, etc.
• Dental and or Vision insurance premiums or expenses
• Fertility and or Reproductive procedures
• Long-term Care Insurance or Cancer Insurance policies

Support for this program is based on the availability of funds by disease diagnosis. 

Co-Pay Assistance Amounts
LLS Co-Pay Assistance funds are currently available up to $5000 for the following diagnoses:

• Chronic myelogenous leukemia
• Chronic lymphocytic leukemia
• Hodgkin lymphoma
• Non-Hodgkin lymphoma
• Waldenstrom macroglobulinemia
• Myeloma
• Myelodysplastic syndromes (MDS)

Funding Update
The following funds are currently closed.

• Acute myelogenous leukemia

Please check the Co-Pay webpage regularly for funding updates. We are actively seeking sponsorship for this fund and other blood cancers that are not funded by this program. Call us for assistance if you are uncertain about the coverage of any diagnosis. 

For more information on financial assistance, please contact the Information Resource Center 1-800-955-4572.      

Income Requirements
Patients whose household income is at or within 500 percent above the U.S. Federal Poverty guidelines are eligible for assistance. 

Patients who reside in the United States, Puerto Rico and medically and financially qualify may apply.   

In most cases, the payment will be sent directly to your pharmaceutical supplier, hospital, doctor, insurance provider, and less commonly, directly to a patient.  For patients with approved applications needing assistance to complete the Co-Pay Claim Form please refer to the Claim Form Information Guide.   

The Co-Pay Assistance Program application includes information to be completed and signed by the patient and information to be completed and signed by the patients' physician.  Patients will also need to send documentation verifying household income.  All documentation will be kept confidential and is viewed solely for approval into the program.

To apply or obtain more information about the Co-Pay Assistance Program, please call 1-877-557-2672 to speak with a Co-Pay Specialist who will provide personalized service through the application process.  You may also email your request for a Co-Pay Specialist to contact you regarding the program at copay@lls.org.    

The Leukemia & Lymphoma Society
Co-Pay Assistance Program 
P.O. Box 12268
Newport News, VA 23612
Fax: (877)-COPAY-FAX or (877) 267-2932

All completed Co-Pay Assistance Program applications will be reviewed and applicants will be notified if anything is missing from their application or of their approval status.  Once approved, patients will receive instructions for payment requests.  Here are some Frequently Asked Questions  about the Co-Pay Program.