Requesting Financial Assistance

QUALIFICATIONS FOR RECEIVING FINANCIAL ASSISTANCE

  • Applicant must have been recently diagnosed with blood cancer. Leukemia (Chronic or Acute), Lymphoma (NHL or HL), Multiple Myeloma, or MDS. 
  • In the sad event that a family member or love one has succumbed to their illness a family member (spouse or parent) can request help with expenses.
  • Applicants must be in need of financial help.
  • Applicants must reside in Michigan.
  • Please include some sort of documentation that shows proof of illness: Include one of the items below.
    • A medical bill with patient’s name and diagnosis code.
    • A doctor’s letter or note on official letterhead from the treatment facility or clinic.
    • Any official document showing proof of treatment.
  • Applicants must write an email or letter requesting financial help and explaining why it is needed.  Include all information above. 
 
PROCESS FOR RECEIVING FINANCIAL ASSISTANCE Financial Aid Application 
  • Applicant must submit a completed “Financial Aid questionnaire form and send in mail or by email. If the patient is unable to submit the request on their behalf, then a representative of the patient is sufficient.  Please, no verbal requests.
  • Please make sure the form is completed. Do not forget:
    • Patients name
    • Address to mail the donation to
    • Blood cancer diagnosis and date of diagnosis

Mail request to: Michelle Lunn HOPE Foundation
6361 Redington Dr. SE
Ada, MI 49301

Email: sue@mlhope.org

The donation is a gift and never needs to be paid back.  Financial Assistance is designed to be a help-up, but not a continuous source of household support. Financial Assistance will be paid directly to the patient or responsible representative (spouse, etc.). 

Other place to look for assistance for blood cancer:

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