Financial Assistance

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 $3,000 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 items.

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
  • Meals
  • Groceries
  • Massage, Reiki, acupuncture and other complementary services
  • Gas Cards
  • Medicinal CBD products
  • Utility Bills
  • Rent
  • Transportation

How to Get Financial Assistance

To apply for financial assistance, follow these steps:

  1. Purchase your medication or other qualifying item and get an itemized receipt.
  2. Complete the Financial Assistance application below, or download, print, complete and mail a paper application.
  3. Submit the completed application form and receipt.
Choose how you would like to apply for reimbursement:

  1. Complete the online application below, following the instructions within the application, OR
  2. Complete a paper Financial Assistance Application and mail it to The APG Foundation, P.O. Box 1248, Cedar Rapids, IA 52406-1248 with copies of receipt(s) showing the date, applicant’s name, name of medication, item or service and the amount paid.

    Applicant

    Physician Information:

    Required Supporting Documents

    Please provide documents outlined below.

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

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


    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.
    • I agree to provide a confirmation of diagnosis form and receipt(s) with information identified above.
    • I agree to provide further information if needed.

    Need Help Right Away?

    Learn about Immediate Prescription Assistance.