Go Jen Go’s Patient Assistance Program helps patients during a critical time when they are facing the financial burden of a breast cancer diagnosis.
Grants are awarded based on financial need for assistance with daily living expenses including housing, utilities, transportation, groceries and necessities. Medical expenses are not eligible for funding.
Below you’ll find some of our most frequently asked questions about applying for Go Jen Go’s Patient Assistance Program. If you have questions that aren’t addressed here, please feel free to reach out and contact us. We’re here to help.
Active treatment, for the purposes of The Go Jen Go Foundation, is defined as the period after a positive breast cancer diagnosis has been made and during which therapies are being administered, including surgical procedures to remove the cancer (ex. Single or bilateral mastectomy, lumpectomy), chemotherapy, or radiation.
The Go Jen Go Foundation provides financial support to help meet basic needs, decrease stress levels, and allow breast cancer patients in active treatment to focus on healing while improving survivorship outcomes. Our Patient Assistance Program allows us to subsidize their critical expenses for rent/mortgage/hotel expenses, transportation, utilities, and groceries/necessities.
There may be special circumstances where we help support co-pays, recovery medical supplies, and other bills that fall within the categories we support.
A quick overview of the information needed for the application is best described as: patient contact information, diagnosis and treatment information, medical team information/contact information, and financial need information (ex. income, monthly expenses, etc.)
We require a dated letter from your medical provider, nurse navigator, or social worker on letterhead including full information about diagnosis. This should include breast cancer type/subtype, stage, and date of diagnosis, treatment plan and dates, and any other information relevant for consideration. This letter must include the healthcare teammates email, direct phone number and title.
We require a copy of your overdue bill(s) or monthly bill(s) you are requesting support for to confirm your monthly expenses.
There is not a deadline to apply, but you must have been diagnosed within the past 24 months and be in active treatment.
The application can be completed by the breast cancer patient, a family member or healthcare teammate (provider, nurse navigator or social worker). Please make sure to answer the question in the application, so we know who is completing the application for the patient.
Applications are reviewed twice a month. You will receive an update or request for additional information typically within three weeks of your application submission. Questions can be directed to [email protected] and [email protected].
We support breast cancer patients living in the greater Charlotte area and receiving care from a local healthcare provider.
A quick overview of the information needed for the application is best described as: patient contact information, diagnosis and treatment information, medical team information/contact information, and financial need information (ex. income, monthly expenses, etc.)
We require a dated letter from your medical provider, nurse navigator, or social worker on letterhead including full information about diagnosis. This should include breast cancer type/subtype, stage, and date of diagnosis, treatment plan and dates, and any other information relevant for consideration.
We highly recommend submitting a copy of your overdue bills or monthly bill(s) you are requesting support for to confirm your monthly expenses.
For tracking and accuracy, we initially correspond through email and an application must be completed to be considered for financial assistance. We cannot discuss anything regarding your application over the phone. Please feel free to reach out to our program manager, Jessie Nash at [email protected] with any questions or concerns you may have. She’ll be happy to assist you.
If your situation changes, such as a re-diagnosis or recurrence, continued/extended treatment or new financial burden while still in active treatment, we may be able to help. Please resubmit an application and make sure you note that you have received support before and we will do our best to assess your circumstances and offer any available support. You must still be in active treatment to be considered for additional support or an extension.
Patients must be in active treatment and experiencing reduced household working income throughout any funding. If you’ve completed your treatment, but are still unable to return to work, you can still reapply for consideration.
We will accept this letter from your oncologist, patient navigator, nurse navigator, or social worker. The letter must be on their letterhead, including the date and their signature. The letter must state the date of your diagnosis, diagnosis information, treatment plan and dates and any additional information they would provide about your overall situation and financial needs.
The letter is in addition to the medical information requested within the application.
Lab reports and office visit summaries are not an acceptable substitution for the letter from your doctor. We prefer .pdf files rather than photos/screenshots (jpgs).
Ready to apply? Please click the button below to access the Patient Assistance Program Application.
