|BUSINESS||PHONE NUMBER||WEBSITE||NOTES||ADDITIONAL NOTES|
|The Patient Advocate Foundation||1-866-512-3861||https://www.patientadvocate.org/||Offers co-payment assistance - check website for up-to-date list of covered diagnoses and medications.|
|HealthWell Foundation||(800) 675-8416||https://www.healthwellfoundation.org/||Head, Neck, Melenoma. Provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies. Also, if a person is eligible for health insurance, but cannot afford the insurance premium, they may be able to assist with your insurance premium. Funding varies, so check website for up-to-date list of covered diagnoses and medications.|
|Chronic Disease Fund||(877) 968-7233||https://www.mygooddays.org/||Providing assistance to under-insured patients with chronic disease, cancer or other life-altering conditions to help them obtain the fda-approved medications they need.Assist patients throughout the united states who meet income qualification guidelines and have private insurance or a medicare part d plan, but cannot afford the co-payments for their fda-approved drugs. Whenever administratively feasible (and in most cases), they pay the patients out-of-pocket costs for their fda-approved drugs directly to the applicable pharmacies or physicians. The organization provided financial assistance to 99,269 patients and services 115,116 individuals.||To maintain eligibility, you must also log in once a month to an online therapy management program run through the Chronic Disease Management Group.|
|North Fulton County Charities||770-640-0933||https://nfcchelp.org/||Must live in Fulton County|
|Patient Access Network||1-855-845-3663||https://www.panfoundation.org/index.php/en/patients/assistance-programs||National nonprofit organization dedicated to helping federally and commercially insured people living with life-threatening, chronic and rare diseases with the out-of-pocket costs for their prescribed medications. Check website for up-to-date list of diagnoses and medications covered. https://www.panfoundation.org/index.php/en/patients/assistance-programs|
|Patient Service Inc.||1-800-366-7741||http://www.patientservicesinc.org/Patients/Supported-Illnesses||Committed to supporting people with expensive chronic illnesses and conditions through locating solutions with health insurance and assisting with premiums and prescription copayments to facilitate positive health and well-being. Check website for up-to-date list of covered diagnoses and medications. http://www.patientservicesinc.org/Patients/Supported-Illnesses|
|CancerCare Co-Payment Assistance Foundation||866-552-26729||https://www.cancercare.org/copayfoundation#||To qualify for assistance, you must meet certain financial, medical and insurance criteria. Check website for detailed information|
|Good Day||877-968-7233||https://www.mygooddays.org/||Patients must have a valid social security number to apply for assistance and receive treatment in the United States.|
Patients must have valid medical insurance with at least 50% coverage to be eligible for copay assistance.
Patients must have been prescribed a medication that is FDA approved and part of the Good Days program formulary.
Patients income must be at or below 500% the Federal Poverty Level based on household size.
|Leukemia & Lymphoma Society||404-720-7900||http://www.lls.org/support/financial-support/co-pay-assistance-program#Eligibility%20Requirements||Have a household income that is at or below 500 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 Puerto Rico and be medically and financially qualified. Have medical insurance and/or prescription insurance.Have an LLS Co-Pay Assistance Program-covered blood cancer diagnosis confirmed by a doctor (see covered diagnoses listed above). Patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.|
|Georgia Cancer Center for Excellence at Grady Health System||404-616-2991||http://www.gradyhealth.org/billing-and-insurance/||Fulton or DeKalb County|
|Northside Hospital||Atlanta - (404) 851-8878 Cherokee - (770) 224-1535|
Forsyth - (770) 844-3246
|https://www.northside.com/billing-collections||If you are uninsured and think that you may have trouble making payment for the services you receive, Northside Hospital offers financial assistance for medically necessary health care services for persons who meet Northside Hospital’s Financial Assistance Program qualification guidelines||Oncology Application Link: https://www.northside.com/financial-assistance-application-oncology||Oncology Application Link: https://www.northside.com/financial-assistance-application-oncology|