The Leukemia & Lymphoma Society's (LLS) Susan Lang Pay-it-Forward Patient Travel Assistance program will
reopen on Monday,
September 19, 2016 at 12PM EST.
LLS recently received funding specifically for pediatric patients defined as “children and
adolescents 19 years of age or
below at the time of application”. The pediatric fund is limited and is expected to fill quickly. Once these allotments are filled, patients may apply to the general fund for assistance.
Qualifying patients can
only receive travel assistance once per fiscal year.
Available Funding
General Fund – provides assistance for
patients with all blood cancers
Pediatric
Fund (limited) –provides assistance for children and adolescents (19 years of age or below at time of
application) with all blood
cancers.
Patient Eligibility
Patient eligibility criteria for
travel assistance:
· Applicants (patients) must be US citizens or
permanent residents which is verified by applicant’s physical address; and
· Applicants must have a confirmed diagnosis of
blood cancer; and
· Applicants may be insured or uninsured; and
· Applicants must meet financial eligibility
criteria defined as an annual income at or below 500% of the Federal Poverty
Level (FPL)
A one-time grant of $500 is
available for qualified patients per year:
· Awards are limited to one per patient, per
year; and
· Awards are based upon a first-come
first-serve basis; and
· The program will be offered for as long as
funding is available; and
· Award is distributed via the Susan Lang
Pay-it-Forward patient travel assistance credit card
Approved Travel
Expenses: ground transportation, tolls, gas, parking, car rental, air
transportation, lodging, and ambulance services.
Expenses NOT Covered: food,
drinks and alcoholic beverages, tobacco products, automotive parts/supplies and
repair, auto dealers, travel agencies, baggage fees, and international travel.
How to Apply
Patients can apply via the online
portal at www.lls.org/travel or by calling ourtoll free
number: 844-565-2269.
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