Due to an increased demand for individual grants and limited funding caused by the global pandemic, we are prioritizing new grant requests for dental services in Missouri and Kansas only. We are accepting applications for grants outside of these funding areas but will only make awards if and when additional funding becomes available. 

Application for Individual Financial Assistance

1
2
3
4
5
6
7

Criteria for Consideration of Financial Assistance

  • Applicant must be under active treatment for head and neck cancer or has undergone treatment for head and neck cancer by an established oncologist.
  • Applicant must complete and submit this HNC Living Foundation Individual Application for Assistance.
  • Applicant must meet income qualifications.

Not Covered:

  • Expenses not related to head and neck cancer treatment or recovery
  • Expenses that can be paid for through other community resources (i.e., emergency assistance funds for rent or utilities, food pantries)
  • Expenses that are covered by private insurance, Medicare or Medicaid
  • Debt reduction, past due medical/dental bills, or costs incurred BEFORE application submission date
  • Home modifications

HNC Living Foundation Can Assist Patients Diagnosed With the Following Types of Head and Neck Cancer:

  • Oral Cancers
  • Salivary Gland Cancer
  • Throat Cancer
  • Upper Esophageal Cancer
  • Nasal & Sinus Cancer
  • Thyroid Cancer
  • Laryngeal Cancer

Eligible Covered Expenses after Approval May Include but Are Not Limited To:

  • Co-pays and deductibles for appointments and treatments
  • Dental care (pre-treatment and post-treatment)
  • Travel costs, including gas cards, for appointments related to treatment
  • Nutritional supplements
  • Doctor ordered and approved medical supplies and equipment not covered by insurance
  • Medication and prescriptions related to head and neck, trained and board-certified medical oncologist
  • Oral nutritional supplements and enteral nutrition (tube feeding) during treatment

Review of Applications and Payment of Grants

  • Requests of less than $1,500 will be reviewed and financial aid determined within 10 business days
  • of receipt of completed application and supporting documents. Requests of more than $1,500 will be reviewed by HNC Living Foundation’s Grant Committee and financial aid determined within 30 days.
  • Payment will be made directly to service providers or vendors for future services.
  • No cash payments will go directly to the patient.