Breast Cancer Financial Assistance Application

Non Breast Cancer Financial Assistance Application

The Financial Assistance Program assists Chenango County residents with cancer diagnosis pay for treatment and/or other needs related to their diagnosis.

Breast Cancer Financial Assistance Program – Assists individuals with a breast cancer diagnosis and is supported with funds from the St. Agatha Foundation, Chenango United Way and donations.

Baker’s Benefits Cancer Assistance Fund – Assists individuals with a cancer diagnosis (other than breast cancer) and is supported with funds from Chenango United Way and donations.

Chenango Health Network (CHN) receives donations from community organizations, businesses and individuals to assist those diagnosed with cancer. CHN uses all of these donated funds to pay for the needs of our clients. Chenango Health Network is not able to provide any cash grants to individuals.

Individuals may ask for help from CHN by calling the agency to discuss their needs and by completing a CHN program application for breast cancer patients or a CHN program application for non-breast related cancer patients. The application must be signed by the individual (or legal designee) and a health care provider who can attest to his/her cancer diagnosis.

CHN understands that not every individual may have the same need. Examples of the type of assistance that will be considered include:
• Travel expense (gas cards)
• Co-pays for prescriptions or health care providers
• Wound care systems
• Lymphedema treatment, sleeves
• Breast reconstruction
• Prostheses
• Post-surgical clothing and wigs
• Treatments not covered by insurance such as acupuncture or massage therapy
• Medications not covered by insurance

Please contact Sandy Myers, Community Health Advocate, for more information.

Phone: 607-337-4331 or Email: sandym@chenangohealth.org