ANGELS SURVIVING CANCER, INC.
The Janice Workcuff C.A.R.E. Legacy Program
Houston, Texas and surrrounding counties only.
Brazoria, Chambers, Fort Bend, Harris, Galveston, Liberty, Montgomery and waller
at the end of each quarter for that month
January, February March
April,May, June
July, August, September
October, November, December
I. C.A.R.E PROGRAM PURPOSE
The Angel’s Surviving Cancer (ASC) THe Janice Workcuff C.A.R.E. Legacy Program provides support to individuals coping with the care and aftermath of Breast Cancer. ASC’s primary focus is to helps patients and families with critical financial needs brought about by their treatment. Patient must demonstrate need as verified by the application.
ASC desire is to assist every patient that contacts our office, however there are specific requirements that must be met. Approved eligible patients can only receive a maximum of $300 financial assistance within a 90 day period, based on the grant fiscal year. Patients must also understand that services are provided on an as needed and first come first serve basis. ASC cannot hold funds for patient’s future use. Funds are not guaranteed to be available at the time of need.
II. ELIGIBILE EXPENSES UNDER C.A.R.E.
ASC’s C.A.R.E. Program supports the following needs:
- Breast cancer medical co-payments
- Prescriptions related to breast cancer medical care
- Utility assistance to patients undergoing treatment
- Gas cards for patients undergoing treatment to get to and from treatments
- Metro cash cards for patients undergoing treatment, to get to and from treatments. Uber or Lyft not to exceed $50.
- Groceries to support underage children of parent(s)/patient(s) undergoing treatment
- Cell phone limit $100 with receipt notice.
III. HOW DOES C.A.R.E PROGRAM HELP?
ASC Janice Workcuff C.A.R.E. Legacy Program provides support services not to exceed $300 within a 90 day period, within the grant period*. (*varies based on availability of funds) ASC Janice Workcuff C.A.R.E. Legacy Program provides direct financial assistance to qualified patients for the payment of bills such as: mortgages payments, rent payments, utility payments, doctor visit co-pays, and prescription co-payments (for cancer drugs only). The ASC Janice Workcuff Legacy C.A Program will make direct payments to the recipient’s service providers. No funds are directed to the recipient themselves.
You do NOT qualify if your utility bills are currently being paid through a local low-income Home Energy Assistance Program and/or other social service agency.
IV. INELIGIBLE EXPENSES
The ASC Janice Workcuff C.A.R.E. Legacy Program does not make payments for any medical treatments, insurance deductibles, car payments, car insurances, cable television, internet services. ASC only provide additional resource information.
V. SUPPORT DOCUMENTENTATION REQUIRED
Clients that receive services from the ASC Janice Workcuff C.A.R.E. Legacy Program are required to provide a copy of their Texas issued Identification Card or Driver’s License, Proof of Diagnosis of Breast cancer, utility bill with the same address as state issued identification.
The following documentation is needed to receive services:
- Medical Co-payments require a statement from the patient’s insurance company or the Doctors office that details the due co-payment. ASC Janice Workcuff Legacy C.A.R.E. Program will pay at a maximum $100 co-payment.
- Prescription assistance is provided on a reimbursable basis. A patient is required to submit the receipt for cancer drugs only to the ASC Janice Workcuff Legacy C.A.R.E. Program for reimbursement. On a case by case bases a client may request an advance for Prescription assistance. Advance payment for prescription drugs can only be approved by the Executive Director of Angel’s Surviving Cancer.
- Utility assistance can only be provided with a proof of delinquent payment and/or disconnection notice. The utility services must be for the residence in which the patient resides. (water , Lights , Gas)
- All clients are eligible for grocery assistance, if requested. Grocery assistance will not exceed $200.00 within a twelve (12) month period. Clients will be issued gift cards and required to submit receipt of purchases within ten (10) days of distribution. Failure to submit receipts will result in ineligibility of future services.
- All clients are eligible for Gas Cards/Metro Cash Card. Cards will be distributed on an as needed basis, if requested by patient.
- Cell Phone (with Receipt) up to S100
- Offer resource training of life skills to be able to have productie living anf quality of life.
VI. HOW TO APPLY FOR SERVICES
All clients must apply to determine eligibility. Please note that it’s important to make sure that you fill out each part of this application. Applications that are not complete will not be processed. The Application process is brief and concise. In order to continue to serve cancer patients we ask that you please make sure everything is filled out, all copies requested are enclosed, and you send in a picture ID (legible copy).
VII. CONTACT INFORMATION
A client can apply via email or on our website at www.angelssurvivingcancer.org however all support documentation must be received prior to approval of services. Other information under Resource tab on our website.