A NON-PROFIT BREAST CANCER ORGANIZATION
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Applying For Financial Assistance From PINK “ME”
PINK "ME” Breast Cancer financial assistance programs provide financial support for basic living and healthcare expenses to eligible breast cancer patients and breast cancer survivors. Entry into the Financial Assistance Programs is on a one-time basis and is based on funding and financial resources available. Our goal is to provide resources and financial support to those that are in active breast cancer treatment and survivors.
Financial Assistance Program Application Periods
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May - June
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November - December
FINANCIAL ASSISTANCE BILL PAY GUIDELINES
At PINK “ME”®, we understand that the financial stress surrounding breast cancer can feel overwhelming. Our Financial Assistance Programs are designed to ease that burden by helping cover essential expenses, so you can focus your energy where it matters most — your health and healing.
PINK “ME”® offers two financial assistance programs to support women during active breast cancer treatment or survivorship. When approved, payments are made directly to service providers, ensuring timely support and peace of mind.
Eligible Expenses We May Pay Directly
We assist with basic living and healthcare-related expenses, including but not limited to:
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Mortgage or Rent
Rent assistance requires two documents:-
A copy of your lease (including landlord name, business address, and phone number)
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A signed W-9 form from the landlord (Tax ID required)
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Car Payments or Car Insurance
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Electric, Gas, or Water Utilities
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Medical Bills and Copayments
Maximum Assistance Amounts
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Breast Cancer Treatment Health Assistance Program: up to $500
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Survivor Health and Wellness Assistance Program: up to $250
Important Guidelines to Know
To ensure funds are distributed fairly and efficiently, please review the following:
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Once you receive approval notification, you may submit copies of the bills you would like PINK “ME”® to pay
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Bills must include the account number and full payee information
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Payments are made directly to the service provider — approved applicants are not paid directly
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Accounts must be current and up to date; we do not pay past-due balances
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We do not contact creditors on your behalf
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All approved funds must be used within one calendar month of the approval date
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All bills must be submitted at the same time
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A copy of each paid bill will be provided to you for your records
WHO QUALIFIES AND WHAT TO KNOW ABOUT
THE BREAST CANCER TREATMENT HEALTH ASSISTANCE PROGRAM
YOU MUST BE IN ACTIVE TREATMENT. Active treatment is defined and specified as: the period after a positive diagnosis of breast cancer has been made (with a diagnostic biopsy), and during which therapies are being managed, including surgical procedures to remove the cancerous cells (e.g. single or bi-lateral mastectomy, lumpectomy, axillary dissection, or sentinel node biopsy), chemotherapy or radiation. Active treatment does not include reconstruction surgeries or long-term hormonal therapies (including Tamoxifen, Fareston, Arimidex, Aromasin, Femara, Zoladex/Lupron, Megace, and Halotestin).
PINK "ME” Breast Cancer Treatment Assistance Program is not an emergency fund and cannot provide immediate financial assistance.
You must provide proof of a current diagnosis via a signed, dated letter on official letterhead AND complete the PINK "ME” Breast Cancer Treatment Health Assistance Application.
Amount of assistance given on a one-time basis with a financial limit of up to $500.00 based on qualification, available program funds and need.
IF I’M ACCEPTED INTO THE PROGRAM HOW DO I RECEIVE THE FINANCIAL ASSISTANCE?
The individual selected for this program will not receive the money directly. PINK “ME” will directly make a payment to a bill of the person’s choice that does not exceed the amount of the money given. Payments may be for, but not limited to utility bills, mortgage or rent, car or car insurance payment, health insurance premiums, hotel stay of family members caring for individual, cost for out-of-state care and treatment transfer cost, plane ticket, gas, medication, medical supplies, and office visit co-pays, and much more may be paid with this financial assistance.
Bills in the process of collection will not be considered. By applying to our programs, you are certifying that all information submitted to PINK"ME” is accurate and true, to the best of your knowledge. Any false statements may disqualify you from our program.
PINK "ME” does not discriminate on the basis of race, religion, age, nationality, gender, or ethnicity.
WHO QUALIFIES AND WHAT TO KNOW ABOUT
THE SURVIVOR HEALTH AND WELLNESS ASSISTANCE PROGRAM
You must be a cancer survivor, past one year of all cancer treatments. PINK "ME” Survivor Health and Wellness Financial Assistance Program is not an emergency fund and cannot provide immediate financial assistance. Amount of assistance given on a one-time basis with a financial limit of up to $250.00 based on qualification, available program funds and need.
IF I’M ACCEPTED INTO THE PROGRAM, HOW DO I RECEIVE THE FINANCIAL ASSISTANCE?
The individual selected for this program will not receive the money directly. PINK “ME” will directly make a payment to a bill of the person’s choice that does not exceed the amount of the money given. Payments may be for, but not limited to health and wellness support services, access to post-treatment follow-up care services and health care plans, screenings for a breast cancer recurrence and for second primary breast cancer, accessibility and management of physical and psychosocial long-term and late effects of breast cancer treatment care.
Bills in the process of collection will not be considered. By applying to our programs, you are certifying that all information submitted to PINK"ME” is accurate and true, to the best of your knowledge. Any false statements may disqualify you from our program.
PINK "ME” does not discriminate on the basis of race, religion, age, nationality, gender, or ethnicity.