Apply for Financial Assistance

When you need help with cancer-related costs, turn to The APG Foundation. You’ll find financial assistance programs through which you may receive up to $2,000 per year to help cover the cost of medications and other related services. Let the APG Foundation ease the financial stress that comes with cancer treatment. We’re here for cancer patients who have no other readily available means of payment for medications and related medical treatment.

Qualifying Expenses

Funds can be used by patients and their families walking through their cancer treatment journey to assist with costs of:

  • Medications
  • Compression sleeves and stockings
  • Prosthetics, wigs, mastectomy bras
  • Massage, Reiki, acupuncture and other complementary services
  • Medicinal CBD products
  • Medical expenses related to your treatment

How to Get Financial Assistance

To apply for financial assistance, follow these steps:

Choose how you would like to apply for reimbursement:

  1. Online:
    1. Complete the online application below, following the instructions within the application.
    2. Print the Confirmation of Diagnosis form, complete patient section and have your doctor's office complete the diagnosis section.
    3. Scan or photograph the completed form and email or mail the form according to instructions below.
  2. Paper and mail:
    1. Print the Financial Assistance Application form.
    2. Complete the form and sign it.
    3. Mail it to The APG Foundation, P.O. Box 1248, Cedar Rapids, IA 52406-1248 with copies of your receipt(s) if available, showing the date, applicant’s name, name of medication, item or service and the amount paid.

You only need to submit an application once. For recurring purchases, you can submit the receipts by mail or email. If you send receipts by email, for security purposes please attach them to an email generated from the Contact Us page.


    Physician Information:

    Required Supporting Documents

    Please provide receipts which include date, applicant's name, name of item or service purchased and the amount paid. Receipts for medications should be the pharmacy scripts.

    You may submit digital copies (PDFs or images) with this form by clicking on "Upload" below, or you may send print copies to APG Foundation, P.O. Box 1248, Cedar Rapids, IA, 52406-1248.

    Consent & Authorization

    By submitting this form:

    • I attest that to the best of my knowledge the information provided is accurate.

    • I affirm that I have no other readily available means to purchase prescribed medications and prostheses.

    • By submitting your information electronically you acknowledge that you are submitting protected health information (PHI). Please be aware that email communication can be intercepted in transmission or misdirected.

    • I understand that information provide here will only be used by the APG Foundation for processing financial assistance requests and will not be provided outside the APG Foundation.

    • I agree to provide further information if needed.

    Need Help Right Away?

    Learn about Immediate Prescription Assistance.