developed a financial navigation program in collaboration with Consumer Education and Training Services (CENTS) and the Patient Advocate Foundation (PAF), to improve patient knowledge about treatment costs, provide financial counseling, and to help manage out-of-pocket expenses ( Table 1). While the high prevalence and importance of financial distress among cancer patients is clear from published studies, only a handful of financial assistance programs for cancer patients have been implemented, evaluated, and reported to date. This framework has been widely adopted within oncology. considers three areas of hardship: material conditions (actual costs to the patient, including direct and indirect costs), psychological response (stress caused by the direct/indirect costs of care), and coping behaviors (behavioral responses like skipping medications or delaying care). A framework of financial hardships developed by Altice et al. Women, younger patients, racial and ethnic minorities, low-income patients, and those without health insurance have an increased risk of financial distress. Cancer patients may struggle to pay out-of-pocket expenses due to the high expenses incurred, the medical debt, or loss of work. Financial hardship in cancer patients has been shown to be associated with decreased treatment adherence, poorer quality of life, and worse survival. The high costs of oncology care can lead to financial stress and have deleterious effects on the well-being of patients and their families. RxAssist Patient Assistance ProgramsĬomprehensive directory of patient assistance programs.In the past two decades, a burgeoning literature has emerged documenting the problem of financial distress among cancer patients. Provides direct co-payment assistance for pharmaceutical products to insured patients. Patient Advocate Foundation’s Co-Pay Relief Program Helps qualifying patients get the prescriptions they need free or nearly free. Information for people who need assistance with the cost of medicine and other health expenses. The only organization in the country that assists breast cancer survivors by providing free breast reconstruction, following mastectomy, to those who qualify. Provides assistance to patients who cannot afford treatments due to out-of-pocket costs, such as deductibles, co-payments, and co-insurance. Linking ArmsĪ Cancer Care program that provides grants for breast cancer patients that can help pay for oral medications and lymphedema supplies. Provides assistance to individuals who cannot afford insurance co-payments, premiums, co-insurance or other out-of-pocket health care costs. Provides direct co-payment assistance for pharmaceutical products to qualifying, insured Americans. Co-Pay Relief Patient Assistance Program of the Patient Advocate Foundation Provides co-payment assistance for pharmaceutical products to insured individuals. Information about and contact information for pharmaceutical programs. Provides co-payment assistance for pharmaceutical products to insured individuals who have a household income less than 400% of the U.S. Some local offices may provide other types of assistance (transportation, temporary housing, wigs, etc.) Cancer Care Co-Payment Assistance Foundation Provides referrals for financial assistance.
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