“No human being should have to stare at death in the eye
because they can’t afford to stay alive.”

Apply For Assistance

What Financial Assistance does Different Shades of Pink provide?

Different Shades of Pink provides limited financial assistance to help with the costs of treatment-related transportation, medicines, co- payments, cranial prosthesis and patients “right now needs”, for breast cancer.

Different Shades of Pink financial assistance does not cover basic living expenses such as rent, mortgages and utility payments.

Who is eligible?

In order to be eligible for financial assistance you must:

  • Have a diagnosis of cancer as certified by an oncology healthcare provider
  • Be in active treatment for your cancer

Meet our financial eligibility guidelines of 400% of the Federal Poverty Limits AND provide proof of income. Acceptable proof of income include:

How do I apply?

You MUST submit a completed financial assistance application.

Please PRINT clearly, as illegible applications cannot be processed.

Please fill in each blank space in the application. Use ‘no’, ‘none’, or ‘0’ as appropriate; do not leave a blank response.

A medical oncology professional must complete all sections of the Medical Information Section and provide a signature and date. You or your family member cannot complete this section!

Please note: An application is not a guarantee of receiving a Different Shades of Pink grant. Funds are limited, and based on eligibility and availability. We are unable to process incomplete applications.