Patient Aid Program

Patient Aid Program

Eligible patients will receive a one-time $100 stipend to help offset non-medical expenses.

Available funding

If a fund is listed as Open, please visit the Apply Now section to apply.

If a fund is listed as Closed, it is at maximum capacity, serving those enrolled, and is no longer accepting applications.

Please note: Changes to funds are reflected on this webpage as quickly as possible. For up-to-the-minute fund status, please call (877) 557-2672. If you started an application prior to a fund becoming fully subscribed, please continue with the application.

Lea esta página en español.
 

Program information

The Blood Cancer United Patient Aid Program provides financial assistance to blood cancer patients. Eligible patients will receive a one-time $100 stipend to help offset non-medical expenses like transportation, food, housing, utilities, etc. There are no income criteria to qualify for this program; patients can be insured or uninsured. 

Eligibility requirements

To be eligible for this program:

• Reside in the U.S. or U.S. territories at the time of their application.
• Have a confirmed diagnosis of blood cancer, be in active treatment, scheduled to begin treatment or in follow up care.
• Have NOT received a Patient Aid Program award in the past.

Apply now

Blood Cancer United offers patients, caregivers, pharmacies, and healthcare providers two easy ways to apply on behalf of a patient:

What you need to apply. (PDF)

By phone: (877) 557-2672 (Hablamos Español)
Speak with an Intake Specialist, Monday to Friday, 8:30 a.m. to 5:00 p.m., who can walk you through the application process
 
Online portal
24/7, available in English only
If this is your first time visiting the Blood Cancer United Financial Assistance Online Portal, you will need to register before you can apply. 
Online Portal Registration Guide. (PDF)

Need help?
For portal technical support, please call us at (877) 557-2672 or 
e-mail [email protected].

Patients who are unsure of their Social Security number or Alien ID number should call (877) 557-2672 to apply. Please note that these patients will be required to submit documentation to verify identity.

Online Portal registration

Required Information for application:

• The patient’s Social Security Number and date of birth
  • If patient is a minor (under the age of 18), patient AND guardian’s Social Security Numbers and date of birth are required.
  • Patients who do not have a Social Security number or Alien ID number should call (877) 557-2672 to apply. Please note that these patients will be required to submit documentation to verify identity.
• The patient’s blood cancer diagnosis
• Physician’s information (first and last name, and location)

This information will not be shared and is for verification purposes only.

To create an Online portal account:

If this is your first time visiting the Blood Cancer United Financial Assistance Portal, you will need to register before you can start the online application. To create a portal account you will need the following:

• Patients/Caregivers
  • A valid email address
• Medical Healthcare Providers
  • Healthcare provider’s email address
  • Healthcare provider/Facility’s tax ID*
  • Healthcare provider/Facility’s National Provider Identifier (NPI)*

Once you submit your portal registration, you'll receive an email (typically within five minutes) directing you to a website to create your password. You can then begin entering your application information.

*Healthcare providers without a tax ID or NPI should use that of the primary facility/provider.

HEALTHCARE TEAM MEMBER MUST HAVE THE FOLLOWING TO APPLY:
-    DIRECT ACCESS TO THE PATIENT’S MEDICAL RECORDS TO ATTEST TO THEIR DIAGNOSIS 
-    A VALID NPI NUMBER WHETHER APPLYING ON THE PORTAL OR BY PHONE

Healthcare team members may include:
 

For portal technical support: Please call us at 866-446-7377 or e-mail [email protected].

Frequently asked questions

• Program FAQs (PDF)
• Patient Financial Assistance Programs At A Glance (PDF): Provides an overview of program eligibility, assistance details, and award cycles

Program support

We are a nonprofit organization that relies on the generosity of individuals, foundations, and corporate contributions to advance its mission. Program support is made possible by: 

• AstraZeneca Pharmaceuticals LP