Patient Assistance Program

Program Purpose and Mission:

The Pink Ribbon Riders organization's Patient Assistance Program is made available to provide direct financial assistance for men and women currently diagnosed with breast cancer in current treatment (chemo, radiation, surgery or awaiting surgery).

The program is for patients that are behind on medical bills or need financial assistance because the disease of breast cancer has impacted them financially and become a financial burden.

Patients must be current residents in the states of: New York, Michigan, Wisconsin, Minnesota and Wyoming. Some county restrictions apply.  The gift of financial assistance is in the amount of $500.00 once in a lifetime. The organization and it's gift of assistance was created in hopes of making one day less stressful in person's battle against breast cancer.

Disclosures:

The Pink Ribbon Riders organization has and will change notifications/ dates/ giving amounts/ announcements or the process of the program as needed based on organization resources, staff or world events may happen or affect the organization in any form.

Summary of the Program:

  • To be eligible:
  • You must meet all 4 eligibility requirements:
    • Financial stress
    • US Citizen
    • Current resident in : New York, Michigan, Wisconsin, Minnesota or Wyoming.
    • Currently undergoing breast cancer treatments: chemo, radiation, surgery, or awaiting surgery, or within a 6 month grace period of these treatments with outstanding bills related to your diagnosis.  This does not include hormonal therapy maintenance.

How We are Able to Give the Gifts:

  • The program is available due to the generosity of our donors and the volunteers that help with our fundraising events.
  • A completed application is not a guarantee of receiving the gift.
  • The committee reserves the right to distribute assistance amounts based on funds available at the time.

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Are you in need of the Pink Ribbon Riders organization Patient Assistance Program to help make one day less stressful? We are here to help and want to make the application fast and easy for you. Please read the below section and gather as many of the documents needed BEFORE you apply online. This will help speed up your acceptance opportunity. 

                                                       Answer these 4 questions below before applying: 

 #1  – Are you a current resident with proof living in one of the states shown here? If you live in New York or Michigan, please see if your county is eligible.  If, YES then keep going.

MN_27_00-[Converted]_Grey

MINNESOTA

WI_55_00-[Converted]_Grey

WISCONSIN

WY_56_00-[Converted]_Grey

WYOMING

NY_36_00-[Converted]_Grey

*NEW YORK - Limited

 * Not accepting patients from the NYC, Staten Island or Long Island area   

Check Counties Here

MI_26_00-[Converted]Grey

 *MICHIGAN - Limited

  *Not accepting patients from the Detroit metro area

#2  – Are you a U.S. citizen? You will need to provide proof.  Get this before you apply.

#3  –  Are you in “Current” treatment for breast cancer (see the definition below). If you can answer yes to this question, then keep moving on. Please know that you will need to have a doctor verify information that will be explained shortly. 

  • Current treatment is defined as: Receiving chemo, radiation, awaiting your surgery, going through surgery or within in 6 months of your treatment. Hormonal therapy does not qualify for this program. 

#4 - have you felt financial stress due to being diagnosed with Breast Cancer? If so, You will need to explain and provide one document. Get this ready before you apply. 

Examples:

    •  Are you behind on medical bills or household bills because you have acquired bills or extra gas costs to get to treatments?
    • Does your medical insurance not pay for all your medical needs and they will be more than you can afford?
    • Has your car broke down and you can not get to treatments or surgery?
    • Are you driving a far distance to treatments and your gas expenses have gone up?
    • Do you need a wig or medical supplies that you can not afford at this time?
  • PLEASE NOTE:
    • You will need to show us your financial need, not just tell us about it.  All details are provided as you proceed.

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open period: 5/29/26 - 3:00pm est

Closing Date: 6/12/26 - 5:00pm EST

next opening announcement: July

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Definitions of "Open" and "Closed" periods and the Financial Assistance Distribution


*Open Period- The open date is the date that we begin accepting pre-applications. The length of time that pre-applications are accepted will vary based on the amount of people applying.

*Closed Period- The closed date is the date when we stop accepting pre-applications. The time frame between the closed date and the next open date is considered our closed period when we are processing applications, preparing for the financial distribution, and fundraising

*Financial Assistance Distribution Date- The Financial Assistance Distribution date is the date on which the approved applicants are awarded.

*Other times of the year we are fundraising to make the giving possible.


 

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If you are a new referrer to our program as a nurse/ social worker or cancer center, please email assistance@pinkribbonriders.com with your name, cancer center, address, phone, email, position, and any questions you may have.

 


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