Komen Financial Assistance Program

To check the status of an application that has already been submitted, please click here and login to access your account.

At this time, the Komen Financial Assistance Program is taking a brief year-end pause during which we will not be accepting new or renewal applications.

Applications received before December 9th will be processed in the order they were received.

We anticipate re-opening to new applications on January 6, 2025.

Click to translate to Spanish.

Contact us with questions about existing applications.

Email: TreatmentAssistance@Komen.org

Phone: (972) 866-4233

Monday-Friday 9 a.m. – 5 p.m. ET

Se habla Espanol.

Financial Assistance

Program Overview

Funding

Funds may be used for daily-living costs such as rent, utilities, food, transportation, childcare, or medical needs.
Funding payments may only be made directly to the applicant.

Eligibility Criteria

Applicant must:
- Currently be in active treatment for stage 0-3 breast cancer that was diagnosed in the last 24 months OR living with metastatic breast cancer.
- Have a current annual household income at or below 300% of the Federal Poverty Level (FPL) as shown in the chart below.
- Live in the United States or a U.S. Territory.
- Individuals may apply once every 12 months based on the last payment date.

Persons in Family/Household	300% of the 2024 Federal Poverty Level (FPL)
Persons in Family/Household	48 Contiguous States and D.C.	Hawaii	Alaska
1	$45,180	$51,930	$56,430
2	$61,320	$70,500	$76,620
3	$77,460	$89,070	$96,810
4	$93,600	$107,640	$117,000
5	$109,740	$126,210	$137,190
6	$125,880	$144,780	$157,380
7	$142,020	$163,350	$177,570
8	$158,160	$181,920	$197,760

300% of the 2024 Federal Poverty Line (FPL)
Persons in Family / Household	48 Contiguous States and D.C.	Hawaii	Alaska
1	$43,740	$50,310	$54,630
2	$59,160	$68,040	$73,920
3	$74,580	$85,770	$93,210
4	$90,000	$103,500	$112,500
5	$105,420	$121,230	$131,790
6	$120,840	$138,960	$151,080
7	$136,260	$156,690	$170,370
8	$151,680	$174,420	$189,660

Federal Poverty Level (FPL) on HHS.gov

The process can take up to eight weeks from submission of a completed application to payment.
This program does NOT have gender or citizenship requirements.
Payments will only be made to the applicant.
Direct deposit payments are more secure and received faster than a check.
Only online applications through our grant portal will be considered. Handwritten or email submissions will not be reviewed.
Healthcare Providers may apply on behalf of their clients using our Provider Portal.

You will need the following information to complete your application:

Breast Cancer Information

Date of Breast Cancer Diagnosis
Breast Cancer Type
Breast Cancer Subtype
Current Stage
Medical Documentation on official letterhead signed by provider within the last 12 months
- Including applicant’s name and date of birth
- Confirming active treatment
- Confirming stage of breast cancer (stage 0-4)
- Confirming date of current diagnosis

Medical progress notes, summaries, pathology reports, pharmacy notes, and screenshots from MyChart or online chart services are not accepted.

Household Financial Information

Current Annual Household Income (Pre-Tax)

Payment Information

Bank Name
Name on Account (payments are only made to applicants)
Routing Number
Account Number

How can I view the online application in Spanish?

On the Financial Assistance page on MyKomen Health, there is an option to select language at the top of the page.

How long does the entire process take?

The process can take up to eight weeks from submission and review of the application to receiving payment.

How long do I have to work on my application before submitting it?

You will have two weeks after starting an application to submit it through our online portal. After two weeks, your application may be cancelled, and you will need to start a new application.

My application was declined or cancelled; can I apply again?

Your application may have been declined or cancelled because it was not completed within our time guidelines. You can begin a new application.

I went to MyKomen Health and there is a message that new applications are not being accepted.

We occasionally take temporary pauses on the acceptance of new financial assistance applications to allow us to process applications to ensure assistance is provided to those in need as quickly as possible. Our website is the best source of up-to-date information about the program.

How long do I have to send my medical documentation?

Medical documentation (on official letterhead and signed by the provider) must be provided within 3 weeks of submitting your application.

How do I submit medical documentation?

You can attach this to your online application in myKomen Health prior to submission, or
You or your provider can send this directly to us by emailing it to TreatmentAssistance@komen.org or faxing it to 972-454-4657

Can I use my family member’s bank account to receive my payment?

No, payments may only be made to the applicant. Payment will not be issued to other family members or caregivers on behalf of an applicant. Payment will not be deposited into bank accounts that do not have the applicant’s name listed on them.

Can I talk to someone about my diagnosis?

The Komen Patient Care Center can help meet the needs of anyone impacted by breast cancer. Our navigators offer free, personalized navigation services to patients, caregivers and family members, including breast health and breast cancer information, access to services and resources, emotional support and more. Get connected with a Komen navigator at 1-877-GO KOMEN or helpline@komen.org.

What is the Provider Portal?

The Provider Portal allows medical and social work professionals to apply on behalf of their clients for the Komen Financial Assistance Program. Access to the Provider Portal requires approval by Komen staff.

I’m a Healthcare Provider – what updates will I receive after submitting an application?

As a healthcare provider, you will be able to view the status of applications submitted on behalf of your clients in your MyKomen Health Account.

Apply Online Through MyKomen Health

Please Note: Only online applications through our grant portal will be considered. Handwritten or email submissions will not be reviewed.

Patient Portal

The Patient Portal on MyKomen Health is your private, secure space to apply for financial assistance and track the status of your application online.

Provider Portal

The Provider Portal on MyKomen Health is for medical and social work professionals and allows them to apply on behalf of their clients for the Komen Financial Assistance Program.