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Applying for financial assistance from pink me 

PINK "ME” Breast Cancer financial assistance programs provides financial support for basic living and healthcare expenses to eligible breast cancer patients and breast cancer survivors. Entry into the Financial Assistance Programs is 4 times per year, quarterly, 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.

 

1st quarter: January through March 
2nd quarter: April through June

3rd quarter: July through September
4th quarter: October through December

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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 short-term basis (up to 90 days) with a financial limit of $1,500.00 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 short-term basis (up to 90 days) with a financial limit of $600.00 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.

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