Financial Assistance Program
UVSC aims to assist those with financial need associated with experiencing cancer treatment or caring for a family member in cancer treatment.
PROGRAM OVERVIEW
At UVSC, our team understands that undergoing cancer treatment or having a family member in cancer treatment can be extremely stressful in many ways. We aim to help cancer survivors ease their financial burden so they and their families can focus on healing and living on. The Financial Assistance Program helps to cover out-of-pocket expenses that are incurred due to cancer treatment and/or to help pay for basic necessities that individuals/families struggle to meet due to income disruption related to cancer treatment.
Hawaii is geographically isolated making the best care often hundreds, or even thousands of miles away. The cost of traveling to a treatment center can be overwhelming — especially combined with the cost of treatment, medication, childcare, food, household bills — and time away from work.
This program is funded through private donations and grants from the community and is managed by UVSC under the supervision of its Board of Directors. UVSC resources are limited. Any and all financial assistance requests may be subject to budgetary restrictions and availability of funds as approved by its Board of Directors.
Eligibility and Application Process
The UVSC Financial Assistance Program Guidelines describe the specific process through which eligible individuals and families may apply for financial assistance from UVSC, and the types of expenses that will be considered by UVSC for reimbursement.
For questions, please contact us.
Important Information
How To Apply
Complete and submit each of these items:
- CLICK HERE to complete the UVSC Financial Assistance Application
- CLICK HERE to download and complete the Provider Referral Form
- CLICK HERE to download and complete the Authorization for Release of Information
- Supporting Documents: Two (2) forms of supporting documentation to verify financial need (e.g. bank statements, pay stub, W2 (or other annual tax filing), financial aid/scholarship award letters, or other documentation to support applicant’s Statement of Financial Need.)
Please submit completed forms via mail to: UVSC, P.O. Box 81615, Haiku, HI 96708. You may also submit all completed forms to team@uvsc.org.
NOTE: Applications will NOT be considered complete until all required forms are received by UVSC.
