Payment Assistance

Georgia Department of Public Health
Services
Cancer State Aid

Contact Information
Cancer State Aid
2 Peachtree Street
15th Floor
Atlanta, GA 30303
404-463-5111
www.dph.georgia.gov/cancer-state-aid-2

Georgia Department of Community Health
Services
Women's Health Medicaid Program (WHMP)

Contact Information
2 Peachtree Street, NW
Atlanta, GA 30303
404-656-4507
www.dch.georgia.gov/medicaid

Genentech - Roche Group
Services
Commitment to Patient Access

Contact Information
1-866-422-2377
www.genentechaccesssolutions.com

GlaxoSmithKline (GSK)
Services
Prescription Drug Assistance

Contact Information
GSK For You
1-888-825-5249
www.gskforyou.com

Health Well Foundation
Services
Financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments

Contact Information
1-800-675-8416
www.healthwellfoundation.org

Merck
Services
Patient Assistance Program

Contact Information
Patients: 1-800-727-5400; Healthcare Providers: 1-800-994-2111
www.merckhelps.com/Home.aspx

National Council on the Aging
Services
Benefits Check up

Contact Information
571-527-3900
www.benefitscheckup.org

Needy Meds
Services
Information about many drug assistance programs

Contact Information
1-800-503-6897
www.needymeds.org

Patient Access Network Foundation
Services
Prescription assistance to underinsured patients

Contact Information
1-866-316-7263
www.panfoundation.org/index.php/en/

Partnership for Prescription Assistance
Services
Medications available for reduced or no-cost assistance

Contact Information
1-888-477-2669
www.pparx.org

Pfizer Rx Pathways
Services
A comprehensive assistance program that provides eligible patients with a range of support services, including insurance counseling, co-pay assistance, and access to medicines for free or at a savings.

Contact Information
1-866-706-2400
www.pfizerrxpathways.com

Rx Assist
Services
Patient Assistance Program Center

Contact Information
info@rxassist.org
www.rxassist.org

The Patient Advocate Foundation (PAF)
Services
Co-Pay Relief Program (CPR)- PAF Co-Pay Relief (CPR) provides direct financial assistance to qualified patients, assisting them with prescription drug co-payments their insurance requires relative to their diagnosis

Contact Information
1-866-512-3861
www.copays.org

Together Rx Access Card
Services
Prescription assistance resources

Contact Information
1-800-444-4106
www.togetherrxacces.com

Patient Services Incorporated (PSI)
Services
Provides financial assistance programs cancer patients. Immediate coverage for person with medical history/conditions without a waiting period. Services include breast cancer screenings.

Contact Information
1-800-366-7741
www.patientservicesinc.org

Rx Outreach
Services
Rx Outreach is a fully-licensed mail order pharmacy that is committed to making the use of prescription drugs safer and more affordable. Rx Outreach is not a prescription insurance program nor an Internet pharmacy. Rx Outreach was developed to provide a safe, affordable, and easy way for people of all ages to get medicines they need. The program offers prescription medicines to uninsured and underinsured individuals and families, as well as those who have limited prescription drug coverage.

Contact Information
1-888-796-1234
www.rxoutreach.org

Sue Kassin Memorial Indigent Fund
Services
The Sue Kassin Memorial Indigent Fund provides financial support for women diagnosed with gynecologic cancers in the Atlanta metropolitan area.

Contact Information
segobuddies@gmail.com
www.forthewomenwelove.org/the_sue_kassin_memorial_indigent_fund/index.html

Glory, Hope & Life
Contact Information
725 Jesse Jewell Parkway
Suite 270
Gainesville, GA 30501
770-533-4705
www.gloryhopelife.org

Loving Arms Cancer Outreach
Services
Assist cancer patients in coverage area with up to $600 per year

Contact Information
833 Campbell Hill Street
Suite 220
Marietta, GA 30060
770-590-5153

Cartersville Medical Center Financial Counselors
Contact Information
Theresa Waddell
Debbie Howard
770-382-1530 ext. 1055 or ext. 1434

Astellas Access Program- XTANDI Support Solutions
Services
XTANDI Support Solutions, a component of Astellas Pharma Support SolutionsSM, offers services to help patients and healthcare providers with access and reimbursement. Whether you elect to go directly to one of the specialty pharmacies in our network or to XTANDI Support Solutions, reimbursement services focused on drug coverage and payer-specific requirements are available.

Contact Information
Astellas Pharma US, Inc.
1 Astellas Way
Northbrook, IL 60062
1-800-888-7704
www.astellaspharmasupportsolutions.com/products/xtandi/support_solutions_overview.aspx

Financial Advocacy Network
Services
The Financial Advocacy Network (FAN) provides needed resources and expands the skills and knowledge base of providers who deal directly with patients on complex financial issues surrounding their cancer diagnosis and treatment. Tools and resources include skill-based educational materials for program staff currently providing financial counseling, as well as those new to financial advocacy.

Contact Information
Association of Community Cancer Centers
11600 Nebel Street, Suite 201
Rockville, MD 20852
301-984-9496
www.accc-cancer.org/resources/FinancialAdvocacy-Overview.asp

Organization-Specific

Many cancer centers, programs and practices offer financial assistance to their patient population. Please check with your cancer treatment site to see if payment assistance is available.

Albany

Phoebe Putney Cancer Center
Services
Financial Assistance

Contact Information
425 West 3rd Avenue
Albany, GA 31701
229-312-7141
www.phoebehealth.com/cancer-center/cancer-center-patient-services-financial-assistance

Athens

Athens Regional Medical Center
Services
Medication Assistance, Utility Assistance, Lymphedema Garment Assistance

Contact Information
706-475-3520
www.athenshealth.org/financialassistance

The Cancer Foundation of Northeast Georgia
Services
Financial assistance

Contact Information
Kimberly I. Liebowitz
P.O. Box 49309
Athens, GA 30604
706-353-4354
kliebowitz@cfnega.org
www.cancerfoundationofnega.org

Atlanta

Emory Winship Cancer Institute
Services
Oncology Resource Coordinator

Contact Information
1365 C Clifton Road
Atlanta, GA 30322
404-778-5742
www.winshipcancer.emory.edu

Georgia Cancer Center for Excellence at Grady Health System
Services
Payment assistance

Contact Information
Grady Hospital
80 Jesse Hill Jr. Drive SE
Atlanta, GA 30303
404-616-2991
www.gradyhealth.org/billing-and-insurance

Leukemia & Lymphoma Society, Georgia Chapter
Services
Copay assistance to blood cancer patients

Contact Information
3715 Northside Parkway
Building 400 Suite 300
Atlanta, GA 30327
404-720-7900
www.lls.org/georgia

Northside Hospital
Services
Financial counseling

Contact Information
1100 Johnson Ferry Road NE
Building 2 Suite 780
Atlanta, GA 30342
404-851-8878
www.northside.com/billing-collections

Augusta

University Health Care System- Billing
Services
Financial assistance

Contact Information
1230 Walton Way
Augusta, GA 30901
706-828-2333
www.universityhealth.org

Lawrenceville

Gwinnett Medical Center- Financial Assistance
Services
Payment assistance

Contact Information
1000 Medical Center Boulevard
Lawrenceville, GA 30046
678-312-4406
financialcounselor@gwinnettmedicalcenter.org
www.gwinnettmedicalcenter.org/patients-visitors/patients/patient-financial-assistance-policy

Macon

Central Georgia Cancer Care
Services
Financial Aid Counselor

Contact Information
800 1st Street
Suite 410
Macon, GA 31201
478-743-7068
www.centralgacancercare.com

Rome

Floyd Medical Center
Services
Financial assistance

Contact Information
304 Turner Mccall Boulevard
Rome, GA 30165
706-509-6940
www.floyd.org/patients-visitors/Pages/bill.aspx

Savannah

St. Joseph's/Candler
Services
Financial Assistance Program

Contact Information
5353 Reynolds St.
Savannah, GA 31405
912-819-8455 or 1-800-374-7054
www.sjchs.org/pay-my-bill/financial-assistance

Valdosta

Pearlman Cancer Center
Services
Payment assistance

Contact Information
2501 N. Patterson Street
Valdosta, GA 31602
229-259-4638
www.sgmc.org/services/cancer/patient_services/financial_counseling_and_assistance.aspx