Our patient aid application is currently CLOSED.
We are able to support these grants through the generosity of others, and are hard at work to secure funding so that we can continue providing Patient Aid Grants to all those in need. Thank you for your patience and we look forward to providing more updates soon.
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The Leukemia Texas Patient Aid program awards financial assistance up to $1,000 per patient to help with expenses associated with their leukemia treatment. Applications are accepted on a quarterly basis and grants are awarded at the end of each application cycle. Once awarded a Patient Aid grant, applicants must wait (2) years before applying again.
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Eligibility Criteria
READ CAREFULLY BEFORE APPLYING.
• Patient must have a leukemia diagnosis and be undergoing treatment by a licensed physician.
• Diagnosis or relapse must be within the past (3) years.
• Patient must be a legal citizen or legal resident of the United States of America.
• Patient must be a legal resident of the state of Texas.
• Patient cannot have received Leukemia Texas Patient Aid Assistance within in the past (2) years.
• Applications MUST be submitted electronically through our secure online platform.
• Applications MUST be completed entirely. All questions and sections are required.
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Application Process:
1. Applications to the program are accepted on a quarterly basis, at the end of March, June, September, and December, and grants are awarded at the end of each application cycle.
2. Each application has the most current quarter deadline. Previous versions or old applications will not be considered.
3. Leukemia Texas sends out status notifications to patients within 6-8 weeks of the quarterly deadline date.
4. You will receive an email confirmation of your application once you apply.
5. All notifications are mailed out through the US Postal Service with tracking.
6. If you have a change of address after you submit your application, please reach out to Leukemia Texas to provide us with the current information.
7. If you have not heard from Leukemia Texas eight weeks after deadline, you may reach out to Leukemia Texas to check on the status of your application.
8. Calls or emails about status updates may not be returned.
9. Applicants who receive Patient Aid assistance must wait (2) years before applying again.
10. Patient’s treatment and diagnoses must be validated by (2) persons providing care or assistance to the patient through their current physician’s office or hospital.
11. Provider information MUST include Name, Title, Valid Phone Number and Email.
12. Accepted Providers: Physician (MD or DO), Physician Assistant, Nurse Practitioner, Social Worker, Financial Advisor, Practice Manager
13. Diagnosis/ICD-10 codes: Type of leukemia must be indicated on the application and the ICD-10 code must match the diagnosis.
14. Priority will be given to patients that have expressed a financial need based on the treatment they will undergo requiring 100+ total inpatient or outpatient days for treatment
15. Priority will also be given to those that may require travel of longer distances to receive their therapy, incurring higher expenses due to the length of travel, cost of parking or even multiple overnight stays during treatment.
16. Priority will be given to those patients in a situation of little or no insurance. We recognize that having insurance coverage can still present very costly attributes like high deductibles and prescription copays. We also recognize that certain treatments are not covered by insurance, such as experimental medications and clinical trials. Through a proper description of their financial situation in the narrative of the application, patients can best present their needs, even while having insurance.
17. If you have a question that has not been answered here, please feel free to contact the Leukemia Texas Program Manager at (214) 265-7393 or PatientAid@leukemiatexas.org