This fund is closed to enrollment.
This page contains information about the following topics:
- Program Information
- Eligibility Requirements
- How to Apply (includes Online Portal step-by-step instructions)
- Online Portal Registration
- Frequently Asked Questions
- We Want to Hear How This Program Has Helped You!
- Benefits and Taxable Income
- Contact Information
- Program Support
To access this page in Spanish, click here.
Financial Relief for Patients Impacted by Hurricanes Fiona & Ian
The Leukemia & Lymphoma Society (LLS) is concerned with the wellbeing of blood cancer patients Impacted by Hurricanes Fiona & Ian. We are amplifying our efforts to provide patients and their families with financial support and have established a Financial Relief Fund. The fund is designed to alleviate financial hardship as a result of the hurricanes.
Patients who have already received assistance from the Patient Aid Program and other LLS Patient Financial Assistance Programs can apply.
**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.**
The LLS Financial Relief Fund provides a one-time $250 award to eligible blood cancer patients experiencing financial hardship due to the hurricanes. This will help patients offset non-medical expenses including housing, utilities and food, etc.
- Patients must be U.S. citizens or permanent residents and reside in the U.S. or U.S. territories.
- Patients must reside in designated zip codes declared for individual assistance by FEMA. Click here for a list of eligible zip codes.
- Patients must have a confirmed diagnosis of blood cancer, be in active treatment, scheduled to begin treatment or in follow up care, all attested to by the patient or care team member.
- There are no income criteria.
- Patients may be insured or uninsured.
STEP 1: Gather the following information
- • The patient’s demographic information (including their Social Security number and date of birth) and their contact information
- o If the patient is a minor, you will need a guardian Social Security number as well.
- • The name of the diagnosis.
- • Household financial income.
- • The name of treating physician and his/her phone/fax numbers.
- • This information will not be shared and is for verification purposes only.
**UPDATE DUE TO COVID-19**
NOTE: this is a temporary workaround given the national health emergency.
For new applicants, in the event that you are unable to get your doctor to sign off on the Diagnosis Verification Form for your application, we will accept a portion of your electronic medical record (EMR) or other documentation that shows the diagnosis/ICD-10 code.
HEALTHCARE TEAM MEMBER MUST HAVE THE FOLLOWING TO APPLY:
- DIRECT ACCESS TO THE PATIENT’S MEDICAL RECORDS TO ATTEST TO THEIR DIAGNOSIS
- A VALID NPI NUMBER WHETHER APPLYING ON THE PORTAL OR BY PHONE
*Medical healthcare providers may include:
Please note: There is a separate portal for the Co-Pay Assistance Program.
Awards are based on a first-come first-served basis, for as long as funding is available. Submitting the application doesn't guarantee acceptance in the program. Your application will be reviewed, and you will be notified of your status.
- Phone: (877) 557-2672
Monday to Friday, 8:30 a.m. to 5:00 p.m. ET
**Please note the call center is experiencing high call volume and wait times are longer than usual.**
- Online Portals: For Patients | For Medical Healthcare Providers
24/7, Available in English only
Step-by-step portal instructions: For Patients | For Medical Healthcare Providers
If you applied on the portal and are concerned about the status of your application, please log back onto the portal to check the status of your application. It will appear on the initial landing page on the portal.
Required Information for Application:
- The patient’s Social Security Number and date of birth
- If patient is a minor (under the age of 18), patient AND guardian’s Social Security Numbers and date of birth are required.
- The patient’s blood cancer diagnosis
- Physician’s information (first and last name, and location)
This information will not be shared and is for verification purposes only.
To Create an Online Portal Account:
If this is your first time visiting the LLS Financial Assistance Portal, you will need to register before you can start the online application.To create a portal account you will need the following:
- A valid email address
- Medical Healthcare Providers
- Healthcare provider’s email address
- Healthcare provider/Facility’s tax ID*
- Healthcare provider/Facility’s National Provider Identifier (NPI)*
*Healthcare Providers without a tax ID or NPI should use that of the primary facility/provider.
Once you submit your portal 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.
For portal technical support: Please call us at 866-446-7377 or e-mail FinancialAssistance@lls.org.
We would love to hear how the financial assistance provided by LLS 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
Patient Financial Assistance Programs
3 International Drive, Suite 200, Rye Brook, NY 10573
Thank you for sharing!
As a charity, LLS 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.
The Leukemia & Lymphoma Society
Patient Aid Program
P.O. Box 12268
Newport News, VA 23612
Toll Free Phone: (877) 557-2672
Fax: (866) 808-3793
Live Chat is not available for the Patient Aid Program.