Please read carefully. The following information will help determine if you meet our qualification guidelines.
The Pink Fund distributes short-term financial aid, for basic living expenses, on behalf of breast cancer patients who have lost all or a part of their income during active treatment. Payments are made directly to the patient’s creditors. Aid may be available for patients during recovery, up to 90 days post active treatment.
Short term is defined as a period of up to three consecutive months.
Basic living expenses consideredare health insurance premiums, mortgage or rent payments, car payments, car insurance, or utilities. The Pink Fund does not make payments for any medical treatments, prescription drugs (including hormone therapy), medical co- pays, insurance deductibles, prostheses, wigs, food, gasoline, or car repairs.
Active treatment is defined as the period after a positive diagnosis of breast cancer has been made (with a diagnostic biopsy), and during which therapies are being administered, including surgical procedures (e.g., single or bi-lateral mastectomy, lumpectomy, axillary dissection or sentinel node biopsy), chemotherapy or radiation. For the purposes of The Pink Fund, active treatment does not include long-term hormonal therapies (including Tamoxifen, Fareston, Arimidex, Aromasin, Femara, Zoladex/Lupron, Megace, and Halotestin).
Recovery is defined as a time period determined by your physician and includes a return-to-work date.
Should an applicant qualify, The Pink Fund will make direct payments to the recipient’s creditors. No funds are directed to the recipients themselves. Expenses withdrawn automatically from a bank account will not be considered unless The Pink Fund can make the payment directly to the creditor.
Who does NOT qualify for aid from The Pink Fund?
1. You do NOT qualify if you were unemployed at the time of your diagnosis, or cannot show a reduction in your income as a result of your diagnosis. 2. You do NOT qualify if you are currently receiving monthly financial aid through the State and/or Social Security Insurance Disability (SSID) programs. 3. You do NOT qualify if you are retired and receiving a monthly pension check from your former employer and do not require a second job to pay for basic monthly living expenses. 4. You do NOT qualify if you are working in an unrecognized revenue producing position in which you are currently not paying federal or state taxes, or receiving cash under the table which is not reported to the government, (babysitting, grass cutting, dog watching, etc.).
How Do I Apply?
How does one qualify for Pink Fund support?
The first step is to answer a few questions which will determine if you meet our guidelines. Once those questions are answered, and provided you meet our guidelines, you will be able to download our application.
Active treatment is defined as the period after positive diagnosis of breast cancer has been made, and a surgical procedure has taken place. Surgical procedure is defined as a single or bi-lateral mastectomy, lumpectomy, axillary dissection or sentinel node biopsy, or you are currently undergoing chemotherapy, or radiation. Please note that complications from surgery, (i.e., blood clots, staph infections like cellulites, lymphadema, etc.), are not considered part of active treatment for breast cancer nor is biological therapy.
Are you taking Tamoxifen or Arimadex? (check all that apply)
Tamoxifen
Arimadex
None of the Above
Your projected return to work date will be determined by your physician. If you do not know, please ask your Doctor.
Are you receiving Social Security Disability Insurance?
Yes
No
We are sorry, but based on the answers you have provided you do not meet our guidelines for support.
The Social Worker, Patient Advocate, or Nurse Navigator at the facility where you are receiving treatment is best suited to redirect you to other resources of support. Many hospitals have programs to assist patients.
Patients taking Afinitor, Arimidex, Aromasin, Tamoxifen, Femara or Xeloda may contact Diplomat Specialty Pharmacy's Toll Free Hotline at 1-855-284-4642.
The Pink Fund provides direct payment of bills such as: car payments, house or rent payments,
payments for medical or auto insurance, and utility payments. The Pink Fund does not make
payments for any medical treatments, prescription drugs (including hormone therapy), medical co pays,
insurance deductibles, prostheses, wigs, etc.
Should an applicant qualify, The Pink Fund will make direct payments to recipient’s creditors. No
funds are directed to the recipients themselves.
Only completed applications with ALL verifying paperwork will be considered.
Applicants are notified by email or mail if they qualify.
The Pink Fund Qualification's committee meets monthly on the last Monday of every month with the intention of paying bills on behalf of the patient for the following month. All awards are made at the sole discretion of The Pink Fund. Each application is given careful, individual consideration, but The Pink Fund does not guarantee assistance to anyone. Please notice that if you provide incorrect or misleading information on your application, on additional materials, or in any verbal communication with our Pink Fund representatives, The Pink Fund reserves the right to suspend immediately any and all current and future funding, and recover all such amounts already paid.
The Pink Fund in most cases will not be able to meet all your financial needs while you are undergoing breast cancer treatment. We strongly encourage you to explore all other options for assistance during this time.
Email is our preferred method of communication.
Inquiries regarding the application should be sent by email to Processor@ThePinkFund.org
Phone inquiries may be made to 1-877-234-7465 (PINK). Please note, this number is manned by volunteers who will make every effort to return your call within 48 hours Monday through Friday.