Financial Assistance

Program Overview

This is an “on-line grant program” for “reimbursable event related support” –meaning, the grant does not support unpaid expenses, only expenses validated with a current / original invoice & payment receipt for said expense.  Receipts are required to be submitted with the grant application.

Application Requirements

1. Application is complete and signed by both the patient’s guardian and the Recommending healthcare provider.

2. In the case of attached receipts and support documentation, we should receive the following:

  •  Transportation: Attach a description of required travel for treatment including treatment dates, to/from destination and either gas receipts for respective dates or mileage amounts for each specific reimbursement date being requested. If mileage is requested, we will reimburse at a rate of $.20 per mile which is the approved IRS rate for medical mileage. We will either reimburse for mileage or gas receipts but not a combination of the two.
  •  Medical Supplies: Include description of supplies or equipment being requested and corresponding receipt evidencing payment of equipment.
  •  Medication: Include corresponding receipts for prescribed medication or over the counter medication needed. We will reimburse any out of pocket costs not covered by insurance.
  •  Insurance Co Payment and Deductibles: Attach receipts for payment of any co-payment and/ or deductibles either for doctor visits, hospital stays, or medical care incurred for patient.

3. All receipts should fall within the treatment dates shown in the application.

4. Household Income Information –Attach latest Income Tax return for said household

Support Qualifications

Support is limited to the following reasons:

1. Durable home-based medical supplies/equipment/mobility aids

2. Medication -prescription and over the counter

3. Transportation costs to and/or from treatment

4. Insurance co-payments & out-of-pocket plan deductibles

Eligibility Requirements

  1. Patient must be currently undergoing treatment in relation to a cancer related clinical trial or advanced form of cancer therapy treatment
  2. Patient must be a legal citizen of the USA and be under the age of 18 as of the day of treatment
  3. Patient’s treatment must be validated (signature on application) by a licensed healthcare provider providing said treatment and by supporting parent/legal guardian
  4. Financial assistance by the NPCF is considered “last resort” funding
  5. Applicants must demonstrate financial need on the patient application.  Financial needs will be assessed based on numerous factors including household income, and size as compared to the cost of basic needs by county.
  6. Patients must be alive at the time that the grant is issued. Financial assistance related to postmortem expenses or expenditures incurred after death will not be considered for reimbursement
  7. Applicants may apply at six-month intervals –limited to two per calendar year. The maximum grant amount per application is $500.00
  8. Number of annual grants –current program awards one $500 grant per six-month period .

Step 1 of 2 - Step One: Personal Information

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Our Mission

National Pediatric Cancer Foundation (NPCF) is a nonprofit organization dedicated to funding research to eliminate childhood cancer. 

Top Rated Charity

The National Pediatric Cancer Foundation has received a perfect 100% score for financial health and transparency and is the top-rated childhood cancer charity in the United States by Charity Navigator.

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813-269-0955

EIN# 59-3097333

CFC# 43259

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