How To Apply for Assistance

NCS Hope Foundation is committed to a clear application process.

A member of the patient’s medical care team (nurse navigator, financial advocate, social worker or health care provider) must submit applications online for eligible patients seeking financial assistance grants. NCS HOPE Foundation will review applications on a rolling deadline to approve or decline your submission. Once a determination has been made, you will be notified by mail.

Step 1:

Patient qualification relies on the following eligibility criteria:

  1. A cancer patient currently receiving cancer treatment in the state of Nebraska
  2. Meet household income requirements (see Income Requirements)
  3. At least one year since you qualified for assistance from NCS HOPE Foundation
  4. Must have read and accepted the Grant Restrictions

Step 2:

Gather information needed for the application

  1. Patient information
  2. Provider information
  3. Household Income information and documentation
  4. Expense information and documentation

Step 3:

Apply for Assistance

English Application
Aplicación en español

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