Pilot Program
The Colorado Ovarian Cancer Alliance is dedicated to raising awareness about ovarian cancer and supporting women with an ovarian cancer diagnosis. With this effort in mind, we have created a small financial assistance fund to help women diagnosed with ovarian cancer who find themselves in a situation of critical financial need due to the hardship of their ovarian cancer diagnosis.
We are currently running this as a pilot program, with the intention of having all aspects of it finalized on March 31, 2012. At that time we will send information and print materials out to the medical community. Applicants are welcome to apply now by contacting Susan Hess, MA, LPC, Program Manager, at 720-519-3122,
susan@colo-ovariancancer.org.
Our Assistance Program:
Grants may be given to qualified applicants for:
- Monthly financial assistance for expenses like rent, mortgage, medical insurance premiums, groceries, childcare, transportation, utilities and medical bills. $500/month/six months.
- Medical expense assistance associated with seeing a Gynecologic Oncologist for a first-time or second opinion visit. $500 maximum.
- Limited transportation assistance to join a clinical research drug trial. $500 maximum.
- The COCACares program pays bills and does not award funds directly to individuals.
Colorado Ovarian Cancer Alliance grants assistance at their sole discretion. We review each application individually and speak with each applicant personally. Submission of an application is not a guarantee of assistance
To Qualify for Assistance:
We offer financial assistance to
ovarian cancer patients if the applicant meets the residency, medical and financial qualifications listed below:
Residency:
1. Must be a resident of the State of Colorado.
2. A copy of ID is required.
Medical:
1.
Monthly Assistance. To qualify for monthly assistance you must:
- be diagnosed with ovarian cancer
- currently be in chemotherapy or other oncologist-directed treatment for ovarian cancer
- OR, have completed surgery or treatment for ovarian cancer within the last three months
- provide verification of your medical status from your oncologist (see application).
2.
Medical Assistance. To qualify for assistance with the cost of a visit to a Gynecologic
Oncologist, you must:
- be diagnosed with ovarian cancer
- have no health insurance
- OR, have health insurance that will not cover the cost of a first time or second opinion visit
- provide verification of your medical status with your doctor (see application).
3. Clinical Trial transportation. To qualify for clinical trial transportation assistance you must:
- be diagnosed with ovarian cancer
- provide medical verification from the clinical trial doctor (see application).
Financial:
- Income. Your monthly household expenses must be more than your monthly household income. In addition, we will be checking to see if your total household income is comparable to the Area Media Income for the county where you live.
- Assets. Your available assets, including cash, investments, and real estate properties other than your home, are less than the total of 6 months of your household expenses during treatment.
- Assistance in paying mortgage. A copy of your current year’s property tax is required for mortgage assistance, and that total is compared to the median home sales price for your county.
You may be asked to provide additional paperwork to COCA in order to verify your qualifications. If any misleading or false information is submitted in writing or by phone, COCA has the right to withdraw your application, stop all assistance and take steps to recover previous awards.
Our Application
If you feel you meet the criteria above, please contact Susan Hess, Program Manager, at 720-519-3122, susan@colo-ovariancancer.org for a copy of the application.
Our Financial Assistance Committee will review your application and let you know if you qualify for assistance from COCA.
Please check our Financial Assistance web page for more assistance resources.
Click here to see our page of additional financial resources >>
