FINANCIAL AID
SO YOU CAN FOCUS ON HEALTH

Pink Lemonade Project provides two financial assistance programs: Pink Practicalities and the Treatment Access Program (Toni Mountain Fund). The programs provide financial assistance to breast cancer patients who are experiencing hardship during treatment or recovery and who live and/or receive healthcare in Clark County, Washington and Oregon.

Pink Practicalities: Financial assistance includes food, transportation, lymphedema compression sleeves, neuropathy treatment, wigs, co-insurance for prostheses and surgical bras. Other types of requests for those in active breast cancer treatment and recovery will be considered like health insurance premiums and co-pays, and home technology (like Zoom, Uber Conference, or GoTo Meeting, etc.), and/or other urgent needs. Please include specific details of your needs, the approximate cost, and your situation in the application form.

Treatment Access Program (Toni Mountain Fund): Financial assistance includes gas, transportation, food and lodging for individuals who have barriers to their cancer treatment. Patients work with their healthcare provider to apply with application below. Criteria for support: person is at or below 250% of the federal poverty level, currently in treatment and live in SW Washington or Oregon.

See below for all the details, guidelines, and the application.

Other items to be considered:

  • Pink Lemonade Project is open to reviewing requests for other needs for those in active breast cancer treatment and recovery.

  • Please include specific details of your needs, the approximate cost, and your situation in the application form.

COVID-19 Program Expansion:

Specific to the COVID-19 pandemic, Pink Lemonade Project has received some recent additional financial support from some generous local foundations and donors to help expand Pink Practicalities support for those going through breast cancer right now. We are currently considering requests for assistance in covering health insurance premiums and co-pays, and home-technology (like Zoom, Uber Conference, or GoTo Meeting, etc), and/or other urgent needs.

The Treatment Access Program is administered by 211info and provides individuals who are at or below 250% of the federal poverty level and have barriers to their cancer treatment with gift cards.

Patients work with their healthcare provider to apply.

Other Guidelines for Pink Practicalities:

  • All requests will be reviewed.

  • We accept requests from those who live and/or receive care in Clark County, Washington, and the Portland metro area.

  • The maximum request considered will be approximately $1,000.

  • Participation in this program does not affect eligibility for Pink Lemonade Project’s Holiday Glow.

  • In some cases payments will be made directly to vendors, and in some cases to the patients.

Process for Pink Practicalities:

  • Requests must be submitted/validated by a Vancouver-Portland area healthcare professional and will be considered based on financial need of the patient.

  • Requests are reviewed by the Pink Lemonade Project Program Committee, typically monthly, although, we are prepared to review applications more regularly throughout 2021.

  • Communications to individuals receiving assistance will be limited, but will include a survey within 30 days of allocation.

The online application is below.

Click here to download a PDF version of the application to complete and mail to 1207 Washington Street, Suite 125, Vancouver WA, 98660.

Online Application for Assistance through Pink Practicalities

PLEASE READ PRIOR TO COMPLETING THE FORM BELOW TO APPLY

Welcome to Pink Practicalities! This program is designed for people who are experiencing financial hardship while in treatment, recovery or survivorship for breast cancer and live in the Vancouver-Portland metropolitan area. This form must be completed by a care provider and is protected by a HIPAA-compliant forms processor so the patient information is protected. Applications will be reviewed and responded to within 30 days. Completion of the form does not guarantee approval for funding. Asterisk denotes a required field.

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