Oncology Patient
Financial Assistance
Program

Gifts of encouragement and support.

Our Memorial Health Foundation offers a program to assist patients receiving oncology care at Memorial Health. Our Oncology Patient Financial Assistance Program provides funds to financially assist patients with appointment co-pays, prescriptions, and/or transportation costs. Our hope is to alleviate some of the financial burden for patients so they may focus on their health while undergoing cancer treatment.

Our program is funded by generous corporate and individual contributors, special fundraisers, as well as funds from the United Way of Union County as a Funded Partner.

PROGRAM DETAILS

All patients of Memorial Health who are currently undergoing oncology treatment at Memorial Oncology & Hematology/Memorial Hospital are eligible to apply for funds from the Oncology Patient Financial Assistance Program.

Funds will be allocated toward financially assisting patients with:

• Appointment co-pays – the maximum amount distributed will be $200 per patient per year.
• Prescriptions – a patient can receive $100 per month for up to six months, with a maximum amount of $600 per year.
• Transportation – a patient can receive a maximum of $400 per year, reimbursed at $.15 per mile.
• A year is defined as 365 days from the date of diagnosis, with funds awarded on a rolling diagnosis year basis. A patient is eligible to apply each year as defined above as long as they are in active treatment.

Those seeking support must complete the required application and provide required documents for approval (physician diagnosis, prescriptions, etc). After processing, patients will be notified if the application is approved or denied. Funds will only be allocated after the patient’s insurance has been depleted.

APPLICATION FOR ONCOLOGY PATIENT FINANCIAL ASSISTANCE PROGRAM

The Memorial Health Foundation/Oncology Patient Financial Assistance Program does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.