August 29, 2010 located at Sandy Creek Park. Click here to register for the race. If you are interested in sponsoring this event or volunteering please send an email to info@cfnega.org. For more information please visit our events page.

Financial Assistance Program (FAP)

Eligibility Criteria:

Applicants must meet the following qualifications to be considered for the FAP. 

• Reside in the CFNEGA service area which includes: Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, and Walton counties.
• Must be at least 18 years old. 
• Have a cancer diagnosis as certified by healthcare provider.
• Be receiving active chemotherapy and/or radiation, hormone therapy, or be within a 3 month post-treatment period.
• Have household* income less than or equal to 200% of the 2009 Federal Poverty Limits.

*Household is defined as any persons residing together related by blood, marriage, commitment, or legal adoption that are dependent on the combined income.

• Must be able to provide proof of income for each person in household over 18 years.  Choose one of the following items for  proof of income:
  • Bank statements from the last two months
  • Pay stubs from the last two months
  • Social Security benefit letter
  • Social Security 1099
  • Notarized statement from employer
  • Copy of Social Security check
• If a patient has no income
  • Patient needs to provide a notarized letter stating the reason for no income.
• Have resources** totaling less than   
  • $9,000 (single individual)
  • $12,000 (couple)

    **Resources Include:	**Resources do not include:
    Checking Accounts and/or cash Savings/Money Market Accounts Stocks/Bonds CDs Mutual Funds/Taxable Annuities	Primary residence Two automobiles Retirement Accounts Personal Possessions

  • $15,000 (family)
• Demonstrate attempts to apply for other forms of community financial assistance.
  • List other agencies from which you have requested funding. 
• Financial assistance will be considered for applicants that meet the aforementioned qualifications
• Financial assistance  will be awarded to assist with the following expenses:
  • Past due gas, electric, water, propane and phone
  • Past due rent/mortgage
  • Insurance Premiums (COBRA included)
  • Health insurance co-payments
  • Nutritional  Assistance 
  • Durable medical equipment not covered by insurance, i.e., walkers, wheelchairs, bedside toilets, etc.
  • Pharmacy prescription costs
• Payments will be made directly to company owed. Therefore  applicants must supply copies of the bill, late notice, mortgage statement, statement from landlord and his/her contact information, or any additional information necessary for grant payment.
• There is an annual cap of $500.00 per applicant (Amount may vary based on availability of funds)
• Applicants must wait one year to reapply for financial assistance.
• Applicants must be referred by a physician, physician assistant, nurse, social worker, or patient account representative.
• Only completed applications will be considered.

Referral:

The Financial Assistance Program is based on a referral system. A patient must be referred by a social worker, nurse, physician, physician assistant, or patient account representative.

Click to download Referral Form.

Application:

Referring professionals are asked to mail a completed application to the following address or fax number: The Cancer Foundation of Northeast Georgia
P.O.Box 49309
Athens, GA 30604-9309
Or  Fax to (706) 353-4353

Click to download Application Letter.

Click here to download Application Form.

Application Process:

• Applications are reviewed by The Cancer Foundation’s staff for completeness and whether the patient meets eligibility criteria. 
• If the patient is approved for assistance the referring professional is notified by phone or email regarding the amount of assistance. 
• Financial Assistance checks are made directly to the creditor owed.

What we fund:

Financial assistance  will be awarded to assist with the following expenses:

• Past due gas, electric, water, propane and phone
• Past due rent/mortgage
• Insurance Premiums (COBRA included)
• Health insurance co-payments (does not include deductibles) 
• Nutritional  Assistance 
• Durable medical equipment not covered by insurance, i.e., walkers, wheelchairs, bedside toilets, etc.
• Pharmacy prescription costs