Patient Assistance Program

 The Patient Assistance Program is currently closed and not accepting applications.  

Do you need help?   Refer to chart below.

Only during the “open period” will be when you can apply. If we are in a “closed” period, you can not apply, but you can get a jump start on the things you will need and get ready for our next open period.

Open and Closed Periods

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Did you miss our last "Open" period? 

ADD your name to our notification list. Please only add your name ONE time.   We will email you when we reopen.  *If you are a nurse navigator or social worker, please specify that in the message section:   

  • Dates are tentative, if we postpone a tentative date to another date, we will notify you when the program will open, not about the postponement. You do not need to add your name again.

ADD ME TO YOUR LIST

Program Purpose and Mission:

The Assistance Program is made available to provide emergency direct financial support 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.

The program gives financial support in the form of a gift card to patients in states in which the Pink Ribbon Riders fundraise in through their volunteers and donor support. The funds stay in the states in which we fundraise in. The mission and the program was created to help those in financial need by people helping people right in their own communities.

Our hopes are to make the days less stressful by helping with expenses faced during that time.

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.

The Gift of Financial Assistance:  

  • The gift of emergency financial assistance is available for men and women that have been diagnosed with breast cancer and must be in current treatment and meet all program requirements.
  • Each applicant may apply once in a lifetime.
  • The gift is given in the amount of $500.00.

Summary of the Program:

  • To apply you must fill out the online application, and complete all required steps.
  • You must meet all 4 eligibility requirements:
    • Financial stress
    • US Citizen
    • Must reside in a program state (Michigan, Minnesota, New York, Wisconsin, Wyoming)
    • You must be currently undergoing breast cancer treatments (chemo, radiation, surgery, or awaiting surgery, not including hormonal therapy) to apply.

The Do's and Don'ts:

  • All required documents must be received at one time via email.
  • Incomplete applications will be denied.

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 emergency financial gift.
  • The committee reserves the right to distribute assistance amounts based on funds available at the time.

Before proceeding to the  NEXT STEP please review the below requirements:

 #1  – You must reside in one of the states below:

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  – Be  a US Citizen and be able to provide documentation. 

  • See the right side of this page for: Definitions and Examples of what you need.

#3  – You must be in “Current” treatment for breast cancer receiving:

  • Current treatment is defined as: Receiving chemo, radiation or awaiting your surgery or going thru surgery.
  • You are recently diagnosed involved in one the treatments named in our guidelines.
  •  Hormonal therapy does not qualify for this program.

#4  – You must be in financial need. 

  • The program was created for a patient that is experiencing financial stress because of their diagnosis.
  • Examples:
    • Has your income been decreased due to your diagnosis.
    •  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 in the next step.

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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 click on: "ADD ME TO YOUR LIST" to be added to our referrer list. Make sure to specify your position in the message section.  We will notify all by email once you have asked to be on our referral list.

 


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