Apply for Assistance

Both Financial and Transportation assistance available

Policy Guidelines

The New York Cancer Foundation is a 501(c)(3) organization which offers financial assistance grants for non-medical expenses to qualifying patients who are under care for a cancer diagnosis in New York State. The Foundation strives to relieve some of the financial burden patients face so they may focus on their treatment and healing.

Do I Qualify?

Must be 18 years of age or older.
Must be a United States citizen.
Must have a cancer diagnosis.
Must be a current New York State resident.
Must have an annual income at or below 400% of the National Poverty Guideline.
Must have no more than $12,500 total in liquid assets (cash, checking or savings account, stocks, etc.) for patients and households combined.

2025 Poverty Guidelines for the 48 Contiguous States and the District of Columbia

PERSONS IN FAMILY - POVERTY GUIDELINE 400%

1-$62,600

2-$84,600

3-$106,600

4-$128,600

5-$150,600

6-$172,600

7-$194,600

8-$216,600

How Do I Get Approved?

Submit the following documents to The New York Cancer Foundation as these documents are essential for processing your application.

The required documents for the applicant:

Complete this application. Please be sure to sign page 5.
Copy of a Driver License or Non-Driver License.
Provide a letter signed by your oncologist on letterhead stating the cancer diagnosis.

The required documents for the applicant’s, as well as for the spouse or significant other:

Provide all pages of the statement(s) for the following accounts from last month’s: savings, checking, stocks, credit unions, certificates of deposit (CD’s), etc.
Documents regarding current income. See below for examples.

Please provide the one(s) that apply to your family income:

Two (2) most recent pay stubs.
A copy of the Award Letter that shows the Social Security benefits.
Copy of Workers' Compensation benefits.
Benefits for short-term and long-term disability.
Pension account statement.
Documents that show the amount and source of government income assistance, such as public assistance and SNAP benefits.
A full report of the money you received from Unemployment Insurance.
Additional Sources of Revenue (such as Property Leasing, Spousal Support, etc.).

**Once all documents are received we will be able to review the application for Board Approval.**

How can I send my application?

Mailing Address:

New York Cancer Foundation

20 Ramsey Road

Shirley, NY 11967

Email Address:

hope@nycancerfoundation.org

Fax Number:

(631) 569-8519

FREQUENTLY ASKED QUESTIONS

Once I am approved, what should I expect?

We will contact you via call or email.
Will go over the bills that we are able to help with
Bills will be mailed out at the end of the week if we receive them by Tuesday of the same week.
You will be able to reapply in 12 months from the month that you were approved in.

Once I am approved, what bills can I receive assistance with?

Rent/Mortgage payments (patient must be lessee or homeowner)
Utility payments (water, sewer, electric, etc.)
Phone payment (landline or mobile)
Cable or Internet payments
Car insurance or payment
Storage Unit payment
Life insurance/ Homeowner's insurance/ Renter's insurance
Property Tax

What bills does the New York Cancer Foundation NOT assist with?

Medical Bills Credit Card Bills
Co-Payments
Tuition
Subscriptions (newspaper, streaming services)

How are the bills paid?

A check is written out and mailed directly to the creditor. Payments will NOT be made directly to the applicant

Once I am approved, how does the transportation grant work?

The New York Cancer Foundation provides transportation assistance through Uber Health for up to $750.
The applicant will need to call us to set up their ride.Rides are only permitted to and from oncology-related appointments.
Please call us 1-3 days prior to any oncology-related appointments in order to schedule transportation in a timely manner.
You will receive notifications and updates regarding your rides through Uber Health over text and landline as they are scheduled.

What are the office hours for the New York Cancer Foundation?

We are open Monday-Friday, 9 AM-5 PM

DOWNLOAD OUR APPLICATION OR APPLY ONLINE TODAY!

Download PDF Apply Online

Once the application is filled out, please email the application and all documents to hope@nycancerfoundation.org. For any additional questions, please contact the Foundation at 1-833.588.6923.

**Once all documents are received we will be able to review the application for Board Approval.**

Please allow up to 6 weeks for application review and payment processing.

Get Involved

Our mission is to help relieve the financial stresses experienced by patients who are under care for a cancer diagnosis.

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