New! Access the PINK “ME” Patient Portal – Apply for assistance, track your status, and manage your documents all in one place!"
INSTRUCTIONS
To qualify for the PINK “ME” ® financial assistance programs please see the eligibility requirements below. This application, along with supporting documentation, must be submitted.
Submission Does Not Guarantee Grant Funding
-
We cannot guarantee that you will be selected for the program for financial assistance grant, even if you meet the qualifications and apply
-
All information provided will be kept confidential
-
Applications received are determined on a case-by-case basis- if not all required items are submitted, we will ask you to submit the documents before being considered
-
Once all items are submitted, you will be notified via the patient portal.
-
If you need assistance completing this application, please contact us at financialassistance@pink-me.org, so we can provide you with assistance
QUALIFICATIONS
-
Must be diagnosed with breast cancer and currently in active treatment for the Breast Cancer Treatment Assistance Program -OR-
-
Must be a breast cancer survivor post one year treatment for the Survivor Health and Wellness Assistance Program
-
Provide and submit all required documentation along with this application (please review Financial Assistance Documentation requirements on our website)
-
Breast Cancer Treatment Assistance Program awards up to $500.00 financial assistance
-
PINK "ME" provides up to $500 in financial assistance through direct bill payments over an one-month period.
-
Survivor Health & Wellness Assistance Program awards up to $250.00 financial assistance
-
PINK "ME" provides up to $250 in financial assistance through direct bill payments over an one-month period.
PINK “ME” provides financial assistance through direct bill payments over a one-month period.
Financial Assistance Program Guidelines
Our financial assistance programs provide support for a one-month period on a one-time basis. Once approved, all bill submissions must be completed within the designated month.
Important Notes:
-
Unused funds will not roll over beyond the approved grant period.
-
We do not cover past-due rent, mortgage, car payments, or any expenses outside of the approved grant program.
-
All bills must be submitted at one time — partial submissions will not be accepted.
These guidelines ensure we can assist as many individuals as possible with the funding available.
For further inquiries regarding our financial or food assistance programs, please contact us directly through the PINK “ME” portal communication chat.
IMPORTANT INFORMATION
Our Financial Assistance Committee will review your online application and notify you within 30 days regarding your application status. If additional information is needed, we will contact you.
All Approved Grants Are Based on Funding and Financial Resources Available
You can now apply directly through our Patient Portal for a more streamlined experience. Simply log in to your account and submit your application online.
Click Below to apply via Patient Support Portal
PINK "ME"® is a nonprofit organization founded by Dr. Michelle P. Bean in 2020, dedicated to supporting women battling breast cancer and those on their journey towards survivorship.
.png){kind=small}
Quick Links
Useful Links
Contact
Let’s connect! Drop us a message.
.png){kind=small}