Skip to main content

How can we help you today?

Help & FAQ > Financial assistance

How can I apply for the Financial Assistance Program?

To apply for Financial Assistance please call us at (800) 995-5727 or visit the Financial Assistance Program page to apply online. Applications are available in multiple languages.

You have 90 days from the date you received treatment to apply for the Financial Assistance Program. You will be asked to provide supporting documentation as part of the application. Please review the instructions carefully.