Susan Lang Pay-It-Forward Patient Travel Assistance Program

Contact Us: (877) 557-2672 | FinancialAssistance@LLS.org

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 Program Description

The Leukemia & Lymphoma Society's (LLS) Susan Lang Pay-It-Forward Patient Travel Assistance program is available to blood cancer patients, with significant financial need. Those who qualify will receive $500, once within a 6 month period,  to cover the cost of treatment-related travel and lodging expenses for the patient and caregiver including: ground transportation; tolls; gas; parking; car rental; car maintenance, repairs and parts; air transportation; baggage fees; lodging; and ambulance services.

Please note the following expenses are not covered: food and beverages, alcohol, tobacco, clothing, medical/pharmacy expenses, and international travel. Any expense not covered by the program may be subject to audit and may result in loss of award. 

General Program Eligibility Criteria

Please note, state funds may have additional eligibility criteria.

  • Have a household income that is at or below 600 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 U.S. territories.
  • Have a blood cancer diagnosis confirmed by a doctor
    • Patient must be in active treatment, scheduled to begin treatment, or is being monitored by their doctor.
  • Patients may be insured or uninsured

Patients cannot receive travel assistance from more than one fund in a 6-month period. 
 

Funds

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

If a fund is listed as Fully Subscribed, 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.
 

National Funds

The following funds are available throughout the U.S. and U.S. territories:

  • (Fully Subscribed) National Travel Fund - assists eligible blood cancer patients who are United States citizens or permanent residents of the U.S. or U.S. territories.
  • (Fully Subscribed) Pediatric Fund - provides assistance to eligible patients from birth through 19 years of age who have a blood cancer diagnosis, who are U.S. citizens or permanent residents of the U.S. or U.S. territories. 
  • (Fully Subscribed) Chronic Myelomonocytic Leukemia (CMML) Travel Fund - assists eligible patients diagnosed with Chronic Myelomonocytic Leukemia who are United States citizens or permanent residents of the U.S. or U.S. territories.
  • (Fully Subscribed) Myeloma Fund - assists eligible patients diagnosed with Myeloma who are U.S. citizens or permanent residents of the U.S. or U.S territories. 


**As a non-profit organization, we rely on the generosity of our sponsors. Program continuation is dependent on the availability of funds and the program could be modified or discontinued at any time if funding is limited or no longer available. Please visit our website in the future to become aware of new funding.**

 

Apply Now

STEP 1: Gather the following information:

  • The patient’s demographic information (including their Social Security number and date of birth) and their contact information
    • If the patient is a minor, you will need a guardian's Social Security number as well.
  • The name of the diagnosis.
  • Household financial income.
  • The name of the treating physician and his/her phone/fax numbers.
  • This information will not be shared and is for verification purposes only.

STEP 2: Contact the program 

  • By Phone: (877) 557-2672
    Monday to Friday, 8:30 a.m. to 5:00 p.m. ET
  • Online Portals: Click Here                    
    24/7, Available in English only
     

Awards are based on a first-come first-served basis, for as long as funding is available. Submitting the application doesn't guarantee acceptance in the program. Your application will be reviewed, and you will be notified of your status.

**UPDATE DUE TO COVID-19**

For new applicants, in the event that you are unable to get your doctor to sign off on the Diagnosis Verification Form ​​​​​​for your application, we will accept a portion of your electronic medical record (EMR) or other documentation that shows the diagnosis/ICD-10 code.

Please note, this is a  temporary workaround given the national health emergency.

 

Frequently Asked Questions (FAQs)

The Leukemia & Lymphoma Society (LLS) is pleased to share the story behind our Susan Lang Pay-It-Forward Patient Travel Assistance Program:

We Want to Hear How This Program Has Helped You!

We would love to hear how the financial assistance provided by LLS has helped you. Patient stories help us illustrate the impact and importance of this program in the lives of blood cancer patients.

Submit a Story 

To submit a story by mail, please send to:

The Leukemia & Lymphoma Society
Patient Financial Assistance Programs
3 International Drive, Suite 200, Rye Brook, NY 10573

Thank you for sharing!

Patient Travel Assistance Benefits and Taxable Income

As a charity, LLS is exempt from federal income tax and individuals who receive assistance from a charity to meet their personal needs do not generally have to pay federal income tax on the value of the assistance they receive. With this being said it should not affect their ability to receive financial assistance from the government or affect their income taxes. 
 

Contact Information

The Leukemia & Lymphoma Society
Susan Lang Pay-It-Forward Patient Travel Assistance Program
PO Box 12268
Newport News, VA 23612
Toll Free Number: (877) 557-2672 
E-mail: FinancialAssistance@LLS.org
Fax:  (866) 808-3793
 

Program Support

LLS is a nonprofit organization that relies on the generosity of individual, foundation and corporate contributions to advance its mission. The Susan Lang Pay-It-Forward Patient Travel Assistance program is supported by:  

  • AstraZeneca Pharmaceuticals LP
  • Genentech, A Member of the Roche Group
  • Lang/Stiglitz Family Fund 

 

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