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Susan Lang Pay-It-Forward Patient Travel Assistance Program

Contact Us: (877) 557-2672 | FinancialAssistance@LLS.org

$250 in financial assistance available now for blood cancer patients impacted by Hurricanes Fiona & Ian, who reside in designated zip codes declared for individual assistance by FEMA.
For more information click here

 


The Leukemia & Lymphoma Society's (LLS) Susan Lang Pay-It-Forward Patient Travel Assistance program is available to blood cancer patients, with significant financial need. Those who qualify will receive $500 to cover the cost of treatment-related travel and lodging expenses for the patient and caregiver including: ground transportation; tolls; gas; parking; car rental; car maintenance, repairs and parts; air transportation; baggage fees; lodging; and ambulance services.

Please note the following expenses are not covered: food and beverages, alcohol, tobacco, clothing, medical/pharmacy expenses, and international travel. Any expense not covered by the program may be subject to audit and may result in loss of award. 

This page contains information about the following topics:

To access this page in Spanish, click here.

 

General Program Eligibility Criteria

Please note, state funds may have additional eligibility criteria.

  • Have a household income that is at or below 600 percent of the U.S. federal poverty guidelines as adjusted by the Cost of Living Index (COLI).  You will be asked for your zip code to determine your COLI.
  • Be a United States citizen or permanent resident of the U.S. or U.S. territories.
  • Have a blood cancer diagnosis confirmed by a doctor
    • Patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.
  • Patients may be insured or uninsured

Patients cannot receive travel assistance from more than one fund in a 6-month period. 
 

Funds

If a fund is listed as Open, please visit the Apply Now 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.
 

National Funds

The following funds are available throughout the U.S. and U.S. territories:

  • (Fully Subscribed) General Fund - assists eligible blood cancer patients who are United States citizens or permanent residents of the U.S. or U.S. territories.
  • (Fully Subscribed) Pediatric Fund - provides assistance to eligible patients from birth through 19 years of age who have a blood cancer diagnosis, who are U.S. citizens or permanent residents of the U.S. or U.S. territories. 
  • (Fully Subscribed) Myeloma Fund - assists eligible patients diagnosed with Myeloma who are U.S. citizens or permanent residents of the U.S. or U.S territories. This transportation fund is supported, in part, by GlaxoSmithKline and the Lang/Stiglitz Family Fund.


State Funds

To find your state, click on the first letter of the state’s name:

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U V | W | X | Y | Z 

Arizona

  • (Fully Subscribed) Arizona State Travel Fund
    The Arizona State travel fund is supported by Salt River Pima Maricopa Indian Community, Pascua Yaqui Tribe, Ak-Chin Indian Community, and Ibis Foundation of Arizona. This fund assists blood cancer patients who reside in the state of Arizona. Click here for a list of eligible zip codes.

California

  • (Fully Subscribed) Central California Travel Fund
    The Central California travel fund is supported by Community Medical Centers. This fund assists blood cancer patients who reside in Central CA Region. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Greater Sacramento Area Travel Fund
    The Greater Sacramento Area travel fund is supported by Accenture LLP & Tooley Oil Company. This fund assists blood cancer patients who reside in the Greater Sacramento CA Region. Click here for a list of eligible zip codes.
  • (Open) North Bay CA Travel Fund
    The North Bay CA travel fund is supported by Blood Bank of the Redwoods Legacy Fund of Community Foundation Sonoma County. This fund assists blood cancer patients who reside in Northern CA Region. Click here for a list of eligible zip codes.
  • (Fully Subscribed) San Diego County CA Travel Fund
    This fund assists blood cancer patients who reside in San Diego County, CA. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Southern California & Hawaii Travel Fund 
    The Southern California & Hawaii Travel Fund is supported by the Richard B. Seigel Foundation and Lee DeShong. This fund assists blood cancer patients who reside in designated zip codes in Southern California & Hawaii. Click here for a list of eligible zip codes.

Colorado

  • (Fully Subscribed) Colorado State Travel Fund
    The Colorado State Travel Fund is supported by Ronnie L. Moore and The Willard L. and Ruth P. Eccles Foundation. This fund assists blood cancer patients who reside in the state of Colorado. Click here for a list of eligible zip codes.

Delaware

  • (Fully Subscribed) Delaware State Travel Fund 
    The Delaware State Travel Fund is supported by Highmark Blue Cross Blue Shield Delaware. This fund assists blood cancer patients who reside in the state of Delaware. Click here for a list of eligible zip codes. 
  • (Fully Subscribed)  Delaware State Pediatric & Young Adult Travel Fund
    The Delaware State Pediatric & Young Adult travel fund is supported by L-Dubs Love, Inc. This fund assists blood cancer patients, between 0-39 years of age, who reside in the state of Delaware. Click here for a list of eligible zip codes.

Florida

  • (Fully Subscribed)  Greater Tampa Area Florida Travel Fund
    The Greater Tampa Area FL travel fund is supported by Republic Bank, Moffitt Cancer Center, Tampa Electric, and BayCare Health System. This fund assists blood cancer patients who reside in Hillsborough, Pasco, Polk and Pinellas Counties in Florida. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Hillsborough County Florida Travel Fund
    The Hillsborough County Florida Travel Fund is supported by Hillsborough County's ARP Nonprofit Safety Net Program, Community Foundation of Tampa Bay.  This fund assists blood cancer patients who reside in designated zip codes in Florida. Click here for a list of eligible zip codes. 
  • (Fully Subscribed) South Florida Pediatric & Young Adult Travel Fund 
    The South Florida Pediatric & Young Adult Travel Fund is supported by The Batchelor Foundation. This fund assists Pediatric (0-19) age and Young Adult (20-39) blood cancer patients who reside in Southern Florida. Click here for a list of eligible zip codes. 
  • (Open) Suncoast FL Pediatric Travel Fund 
    The Suncoast FL Pediatric Travel Fund is supported by Tampa Bay Lightning. This fund assists Pediatric (0-19) age blood cancer patients who reside in designated zip codes in Florida. Click here for a list of eligible zip codes. 

Hawaii

  • (Fully Subscribed) Southern California & Hawaii Travel Fund 
    The Southern California & Hawaii Travel Fund is supported by the Richard B. Seigel Foundation. This fund assists blood cancer patients who reside in designated zip codes in Southern California & Hawaii. Click here for a list of eligible zip codes.

Idaho

  • (Fully Subscribed) Idaho State Travel Fund 
    The Idaho State Travel Fund is supported by The Harry W. Morrison Foundation and The Willard L. and Ruth P. Eccles Foundation. This fund assists blood cancer patients who reside in the state of Idaho. Click here for a list of eligible zip codes. 

Illinois

  • (Fully Subscribed) Cook County IL Travel Fund 
    The Cook County IL travel fund is supported by The Coleman Foundation. This fund assists blood cancer patients who reside in designated zip codes in Cook County, IL. Click here for a list of eligible zip codes.

Indiana

  • (Fully Subscribed) Central Indiana Young Adult Travel Fund 
    The Central Young Adult Indiana travel fund is supported by the Emily Settle Fund . This fund assists blood cancer patients, between the ages of 20-39, who reside in designated zip codes in Indiana. Click here for a list of eligible zip codes..

Kansas

  • (Fully Subscribed)  Kansas State, Kansas City & NW Missouri Pediatric Travel Fund
    The Kansas State, Kansas City & NW Missouri Pediatric Travel Fund  is supported by The Mader Foundation. This fund assists blood cancer patients, between 0-19 years of age, who reside in designated counties in Kansas State, Kansas City & NW Missouri. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Kansas City Metro Area Travel Fund
    The Kansas City Metro Area travel fund assists blood cancer patients who reside in designated counties in the Kansas City Meto Area. Click here for a list of eligible zip codes.

Kentucky 

  • (Fully Subscribed) Northern Kentucky Travel Fund 
    The Northern Kentucky travel fund is supported by Anthony "Tony" Cook, Dental Care Plus Group Memorial Fund. This fund assists blood cancer patients who reside in northern Kentucky . Click here for a list of eligible zip codes.

Louisiana

  • (Fully Subscribed) Louisiana Pediatric Travel Fund
    The Louisiana Pediatric travel fund is supported by the Angel Wings Foundation. This fund assists blood cancer patients, between 0-19 years of age, who reside in the state of Louisiana. Click here for a list of eligible zip codes.

Maine 

  • (Fully Subscribed) Maine State Travel Fund 
    The Maine State Fund is supported by The Maine Cancer Foundation. This fund assists blood cancer patients who reside in state of Maine. Click here for a list of eligible zip codes. 

Maryland

  • (Open) Baltimore County MD Travel Fund 
    This fund assists blood cancer patients who reside in state of Baltimore County, MD. Click here for a list of eligible zip codes. 

Massachusetts

  • (Open) MA & NH Merrimack Valley Travel Fund
    The MA & NH Merrimack Valley Travel Fund Travel Fund is supported by The Rogers Family Foundation. This fund assists blood cancer patients who reside in Essex County, MA and Rockingham County, NH. Click here for a list of eligible zip codes. 

Missouri

  • (Fully Subscribed) Kansas State, Kansas City & NW Missouri Pediatric Travel Fund
    The Kansas State, Kansas City & NW Missouri Pediatric Travel Fund is supported by The Mader Foundation. This fund assists blood cancer patients, between 0-19 years of age, who reside in designated counties in Kansas State, Kansas City & NW Missouri. Click here for a list of eligible zip codes.

New Jersey

  • (Open) Middlesex County NJ Travel Fund
    This fund assists blood cancer patients who reside in Middlesex County, NJ. Click here for a list of eligible zip codes. 

Nebraska

  • (Open) Douglas & Sarpy County Nebraska Travel Fund 
    The Douglas & Sarpy County Nebraska Travel Fund is supported by The Enrichment Foundation. This fund assists blood cancer patients who reside in the counties of Douglas & Sarpy in Nebraska. Click here for a list of eligible zip codes.

New Hampshire

  • (Open) MA & NH Merrimack Valley Travel Fund
    The MA & NH Merrimack Valley Travel Fund Travel Fund is supported by The Rogers Family Foundation. This fund assists blood cancer patients who reside in Essex County, MA and Rockingham County, NH. Click here for a list of eligible zip codes. 

New York

  • (Open) Upstate NY/VT Pediatric Travel Fund
    The New York/ Vermont Pediatric travel fund is supported by Jules & Bonnie's LLS Family Support Fund. This fund assists blood cancer patients, between 0-19 years of age, who reside in the states of NY/VT. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Western New York Travel Fund
    The Western New York travel fund is supported by the John R. Oishei Foundation and Health Foundation for Western and Central New York. This fund assists blood cancer patients who reside in designated counties in Western New York. Click here for a list of eligible zip codes.
  • (Open) Western NY Pediatric and Young Adult Travel Fund 
    The Western NY Pediatric and Young Adult travel fund is supported by the Against the Storm Foundation. This fund assists pediatric (ages 0-19) and young adult (ages 20-39) blood cancer patients who reside in designated counties of New York. Click here for a list of eligible zip codes.

Ohio

  • (Fully Subscribed) Southwest Ohio Travel Fund 
    The Southwest Ohio travel fund is supported by Anthony "Tony" Cook, Dental Care Plus Group Memorial Fund. This fund assists blood cancer patients who reside in Southwest Ohio. Click here for a list of eligible zip codes. 

Oklahoma

  • (Open) Metro Oklahoma City Travel Fund
    The Metro Oklahoma City Travel Fund is supported by the Stephenson Cancer Center @ OU Health. This fund assists blood cancer patients who reside in designated counties in Oklahoma. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Oklahoma State Travel Fund
    The Oklahoma State Travel fund is supported by the Oklahoma State Health Department. This fund assists blood cancer patients who reside in the state of Oklahoma. Click here for a list of eligible zip codes.

Oregon

  • (Fully Subscribed) Washington & Oregon State Travel Fund
    The Washington & Oregon State Travel Fund Travel Fund Travel Fund is supported by the Marie Lamfrom Charitable Foundation. This fund assists blood cancer patients who reside in the states of Oregon and Washington. Click here for a list of eligible zip codes. 
  • (Fully Subscribed) Oregon State Travel Fund
    The  Oregon State Travel Fund Travel Fund Travel Fund is supported by Roberta Taskar and Stacy Simpson. This fund assists blood cancer patients who reside in the state of Oregon . Click here for a list of eligible zip codes. 

Pennsylvania

  • (Open) Juniata & Perry County Pennsylvania Travel Fund 
  • The Juniata & Perry County PA travel fund will assist Leukemia patients living in either Juniata or Perry County in Pennsylvania. For a list of covered Leukemia diagnoses click here. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Lehigh & Northampton County Pennsylvania Travel Fund  
    The Lehigh & Northampton County Pennsylvania Travel Fund is supported by Just Born Quality Confections. This fund assists blood cancer patients who reside in the counties in the counties of Lehigh and Northampton, in the state of Pennsylvania. Click here for a list of eligible zip codes.
  • (Fully Subscribed)Pennsylvania State Travel Fund
    The Pennsylvania travel fund is supported by the Pennsylvania Department of Health through funding secured by Senator Pat Browne. This fund assists blood cancer patients in the state of Pennsylvania. Click here for a list of eligible zip codes.

Tennessee  

  • (Fully Subscribed) Eastern Tennessee Travel Fund
    The Eastern Tennessee travel fund is supported by The Thompson Charitable Foundation. This fund assists blood cancer patients who reside in designated counties in Tennessee. Click here for a list of eligible zip codes. 
  • (Fully Subscribed) Rutherford County Tennessee Travel Fund
    The Rutherford County Tennessee Travel Fund is supported by Christy Houston Foundation. This fund assists blood cancer patients who reside in the counties of Rutherford, Cannon and Dekalb, in the state of Tennessee. Click here for a list of eligible zip codes. 

Texas 

  • (Fully Subscribed) Dallas County Texas Travel Fund 
    The Dallas County Texas Travel fund is supported by Toyota. This fund assists blood cancer patients who reside in Dallas County. Click here for a list of eligible zip codes.
  • (Open) South Texas Pediatric Travel Fund
    The South Texas Pediatric travel fund is supported by The Harvey E. Najim Charitable Foundation. This fund assists blood cancer patients, between 0-19 years of age, who reside in designated counties in South Texas. Click here for a list of eligible zip codes.

Utah

  • (Fully Subscribed) Utah State Travel Fund
    The Utah State Travel Fund is supported by the George S. and Delores Dore' Eccles Foundation and The Willard L. and Ruth P. Eccles Foundation. This fund assists blood cancer patients who reside in the state of Utah. Click here for a list of eligible zip codes. 

Vermont 

  • (Open) Upstate NY/VT Pediatric Travel Fund
    The New York/ Vermont Pediatric travel fund is supported by Jules & Bonnie's LLS Family Support Fund. This fund assists blood cancer patients, between 0-19 years of age, who reside in the states of NY/VT. Click here for a list of eligible zip codes.
  • (Fully Subscribed) Upstate NY/VT Travel Fund
    The New York/ Vermont travel fund assists blood cancer patients who reside in Upstate NY/VT. Click here for a list of eligible zip codes.

Washington

  • (Fully Subscribed) Washington & Oregon State Travel Fund
    The Washington & Oregon State Travel Fund Travel Fund Travel Fund is supported by the Marie Lamfrom Charitable Foundation. This fund assists blood cancer patients who reside in the states of Oregon and Washington. Click here for a list of eligible zip codes. 


**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. Please visit our website in the future to become aware of new funding.**

 

Apply Now

STEP 1: Gather the following information:

  • The patient’s demographic information (including their Social Security number and date of birth) and their contact information
    • 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.

STEP 2: Contact the program 

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

**UPDATE DUE TO COVID-19**

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.

Please note, this is a  temporary workaround given the national health emergency.

 

Frequently Asked Questions (FAQs)


The Leukemia & Lymphoma Society (LLS) is pleased to share the story behind our Susan Lang Pay-It-Forward Patient Travel Assistance Program:


We Want to Hear How This Program Has Helped You!

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.

Submit a Story 

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!


Patient Travel Assistance Benefits and Taxable Income

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. 
 

Contact Information

The Leukemia & Lymphoma Society
Susan Lang Pay-It-Forward Patient Travel Assistance Program
PO Box 12268
Newport News, VA 23612
Toll Free Number: (877) 557-2672 
E-mail: FinancialAssistance@LLS.org
Fax:  (866) 808-3793
 

Program Support

LLS is a nonprofit organization that relies on the generosity of individual, foundation and corporate contributions to advance its mission.  The Susan Lang Pay-It-Forward Patient Travel Assistance program is supported by:  

  • 15 Year Old Anna's Fund for Families
  • 1889 Foundation
  • Accenture LLP
  • Against the Storm Foundation
  • Ak-Chin Indian Community
  • American Century Investments Foundation
  • Angel Wings Foundation
  • Anonymous donors
  • Anthony "Tony" Cook, Dental Care Plus Group Memorial Fund
  • BayCare Health System
  • Black Dog Charity
  • Blood Bank of the Redwoods Legacy Fund of Community Foundation Sonoma County
  • Cancer Cancer Cup, Inc.
  • Camelback Subaru
  • Catalent
  • ChemEd Foundation
  • Christy Houston Foundation
  • Columbia Bank Foundation
  • Cambia Health Solutions Fund of Oregon Community Foundation
  • Community Medical Centers
  • Cowetta Fayette EMC 
  • E. Berry - KC Chiefs
  • Elisabeth Severance Prentiss Foundation
  • Emily Settle Fund
  • Florida Blue
  • Genentech, a member of the Roche Group
  • George "Randy" Henderson & Friends
  • GlaxoSmithKline
  • Grainger Foundation
  • HCA Healthcare
  • Health Foundation for Western & Central NY
  • Highmark Blue Cross Blue Shield Delaware
  • Hillsborough County's ARP Nonprofit Safety Net Program, Community Foundation of Tampa Bay
  • HSL Properties
  • Ibis Foundation of Arizona
  • Ira and Florita M. Brady Foundation Fund
  • Jack G. Buncher Foundation
  • Jackson EMC Foundation, Inc. 
  • Joe & Jesse Crump Medical Research Fund
  • Jules & Bonnie's LLS Family Support Fund
  • Just Born Quality Confections
  • Lang/Stiglitz Family Fund
  • Lee DeShong
  • L-Dubs Love, Inc.
  • Marie Lamfrom Charitable Foundation
  • Mike Shevlin
  • Moffitt Cancer Center
  • Mr. Tony McLarty, Delek Fund for Hope of The Community Foundation of Middle Tennessee
  • Niles and Ginger Hushka
  • Oklahoma State Health Department
  • Omeros Corporation
  • Pascua Yaqui Tribe
  • Richard B. Seigel Foundation
  • Republic Bank
  • Ronnie L. Moore
  • Safeway Foundation
  • Salt River Pima Maricopa Indian Community
  • Southern Rivers Energy Trust, Inc.
  • Stephenson Cancer Center @ OU Health
  • Tampa Bay Lightning
  • Tampa Electric
  • The Alia Family
  • The Batchelor Foundation
  • The Douglas J. Olson Memorial Fund for Patients 
  • The Enrichment Foundation
  • The GATE Foundation
  • The George S. and Delores Dore' Eccles Foundation
  • The Gustaf W. McIlhenny Foundation
  • The Harry W. Morrison Foundation
  • The Harvey E. Najim Charitable Foundation
  • The Ira and Florita M. Brady Foundation
  • The John and Mary Franklin Foundation
  • The John R. Oishei Foundation
  • The Levin Family Foundation
  • The Mader Foundation
  • The Maine Cancer Foundation
  • The Michael L. Smith and Susan L. Smith Family Fund, a fund of Hamilton County Community Foundation
  • The Mike and Linda Davis Family Foundation 
  • The PA Department of Health through Senator Pat Browne
  • The Provident Bank Foundation
  • The Rogers Family Foundation
  • The Thompson Charitable Foundation
  • The Willard L. and Ruth P. Eccles Foundation
  • Tooley Oil Company
  • Toyota
  • Valvoline Inc

 


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