Co-Pay Assistance Program
The Leukemia & Lymphoma Society is pleased Provider Enhancement Webinarto announce technology enhancements for the Co-Pay Assistance Program! These advances in technology mean improved service delivery for patients and providers.
Please take advantage of the following educational webinars for an overview of the technology enhancements.
Patient Enhancement Webinar
- Development of a dedicated portal to better service pharmacies
- Integration of electronic signature for online applications
- Integration of import capabilities allowing users to upload documents directly or auto import faxed documents
- Implementation of a unique barcode recognition system for faxed documents
- Matching barcode system will attach documents to faxed/uploaded applications
- Provider Notification of Patient Approval
Click here to read more about the efficiencies.
The Annual Application Renewal Process Has Changed.
The LLS Co-Pay Assistance Program annual application renewal process has changed. Currently, all Co-Pay participants are eligible to apply for renewal on 7/1 each year. This creates a significant increase in processing volume, which in turn limits the customer service we can provide to you. The application renewal process has transitioned to a "patient specific year" which will be determined by the month in which each individual patient was last approved. There will no longer be a need to rush to apply for assistance by July 1st each year. To facilitate the transition to a patient specific year, each individual will be provided a pro-rated amount that will assist until they are eligible to re-apply.
Please view either of the following webinars for an overview of the annual application renewal revisions.
Annual Renewal Webinar-Chronic Lymphocytic Leukemia (CLL) and Lymphoma
Annual Renewal Webinar-Chronic Myelogenous Leukemia (CML), Myelodysplastic Syndromes (MDS), Myeloma & Waldenström macroglobulinemia
All patients currently approved in the LLS Co-Pay Assistance Program will receive a letter defining their specific application renewal "year" and pro-rata assistance amount. As always, financial assistance is dependent on the availability of funds. We will continue to accept all qualified new applications on a first come first serve basis.
For your convenience patients and providers may apply for assistance and check the status of submitted applications and claims 24 hours a day via our website--access the online portal.
Dealing with cancer is hard enough without having to worry about its financial burden. The Leukemia & Lymphoma Society Co-Pay Assistance Program helps you pay your insurance premiums and meet co-pay obligations. We'll also help you find additional sources of financial help. LLS's Co-Pay Assistance Program offers financial help toward:
- cancer treatment-related co-pays
- private health insurance premiums
- private insurance co-pay obligations
- Medicare Part B, Medicare Plan D, Medicare Supplementary Health Insurance, Medicare Advantage premium, Medicaid Spend-down or co-pay obligations
You have complete freedom to choose doctors, providers, suppliers, insurance companies and treatment-related medications. You can make changes in any of the above at any time without affecting your 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 healthcare provider. To receive assistance, patients must maintain insurance coverage at all times and the requested assistance must be covered by the patient's insurance carrier. The program cannot provide financial assistance for drugs or treatment that are not included on the patient's insurance plan or drug formulary.
Your doctor must confirm your diagnosis and that the drugs or treatment received during doctor visits for which you have applied for co-pay or premium assistance are being used to treat a blood cancer currently covered in LLS's Co-Pay Assistance Program.
If you participate in the Co-Pay Assistance Program, you can also apply for LLS' Patient Financial Aid Program.
Eligibility Requirements
To be eligible for Co-Pay Assistance, you must
- have a household income at or within 500 percent of the U.S. federal poverty guidelines as adjusted by the Cost of Living Index (COLI).
- reside in the United States or Puerto Rico and be medically and financially qualified
- have prescription insurance coverage
- have an LLS Co-Pay Program-covered blood cancer diagnosis confirmed by a doctor
Toll Free (877) 557-2672
The following expenses are covered by the Co-Pay Assistance program:
- Blood and Marrow Stem Cell Transplantation (excludes tissue typing and cell harvesting)
- Blood Cell Boosters/ Erythropoietin-Stimulating Agents
- Blood Transfusions
- Chemotherapy
- Intravenous preparation and or maintenance procedures
- Iron Chelation Therapy
- Kyphoplasty
- Photopheresis/UV Light Therapy
- Prescription drug co-pays related to the covered Co-Pay diagnosis or Treatment
- Public or Private Insurance Premiums
- Radiation Therapy
- Radioimmunotherapy (RIT)
Expenses not covered by the program; includes but not limited to the following:
- Co-Insurance or deductibles that apply to treatments and or services that are not covered in the program
- Co-Pays for office visits where treatment was not administered
- Consultation or Second opinion fees
- Dental or vision insurance premiums or expenses
- Diagnostic procedures such as PET/CT/MRI scans, Ultrasounds, X-rays, etc.
- Electrocardiogram, echocardiography (ECG or EKG), ultrasounds
- Fertility or reproductive procedures
- Hospitalization/Room or Ward Charges
- Laboratory services including blood work, biopsies, cultures, blood draws, bone marrow aspirations
- Long-term care insurance or cancer insurance policies
- OTC (Over the Counter) Medication or Vitamins
- Prescribed devices such as eyeglasses, wheelchairs, pumps, kits or supplies
- Surgery (Diagnostic or Non-Treatment)
- Tissue typing & Cell harvesting
- Travel expenses, including lodging, meals, parking, tolls
Support for this program is based on the availability of funds by disease diagnosis. LLS Co-Pay Assistance funds are available for the following diagnoses:
- chronic lymphocytic leukemia - assistance is available up to $2,500 (for applicants approved on or after 7/2/12)
- chronic myeloid leukemia - assistance is available up to $500 (five hundred dollars)
- Hodgkin lymphoma - assistance is available up to $2,500 (for applicants approved on or after 7/2/12)
- non-Hodgkin lymphoma - assistance is available up to $2,500 (for applicants approved on or after 7/2/12)
- myelodysplastic syndromes - assistance is available up to $5,000
- myeloma - assistance is available up to $10,000
- Waldenström macroglobulinemia - assistance is available up to $10,000
Funding Updates
Please check this page regularly for funding updates. We are actively seeking sponsorship for other blood cancers not funded by this program. Call an information specialist at (800) 955-4572 for assistance if you're uncertain about the coverage of any diagnosis.
How to Apply
Patients, caregivers, pharmacies and healthcare providers can easily submit online Co-Pay applications with a quick registration process, day or night. Your doctor, treatment provider or pharmacy can apply for the program on your behalf.
You can also apply or get more information about the Co-Pay Assistance Program, by calling (877) 557-2672 and speaking with a co-pay specialist who will provide personalized service throughout your application process. You can also email your request for a co-pay specialist to contact you about the program at copay@lls.org.
Patients and Caregivers: Submit an application now
Pharmacies and Healthcare Providers: Submit a patient application now
The Co-Pay Assistance Program application includes information to be completed and signed by you and your doctor. You also must submit documentation verifying household income. All documentation will be kept confidential and is viewed solely for approval into the program. You may now upload your documentation using the online portals. If you prefer to mail or fax your application, send the forms and supporting documents to:
The Leukemia & Lymphoma Society
Co-Pay Assistance Program
P.O. Box 12268
Newport News, VA 23612
Toll Free (877) 557-2672
Fax: (877)-COPAY-FAX or (877) 267-2932
For Overnight Delivery Use:
421 Butler Farm Road
Hampton, VA 23666
Your Co-Pay Assistance Program application will be reviewed, and you'll be notified of your approval status. You'll receive instructions for payment requests once your application is approved.
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 Claim Form is not available on the website for downloading please contact the Co-Pay program to request a form.
In most cases, the payment will be sent directly to your pharmaceutical supplier, hospital, doctor and less commonly, directly to the patient. Claim requests for less than $20 will not be processed.
Co-Pay Assistance Benefits and Taxable Income
Expense reimbursements received by patients from the LLS Co-Pay Assistance Program are generally not taxable. However, we recommend patients consult with a tax professional for a final determination.
Download a list of frequently asked questions about the Co-Pay Assistance Program.
