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Financial Assistance

The New York Proton Center recognizes that some of its patients may be unable to pay for proton therapy without financial assistance. Our financial assistance policy allows patients to apply for a discount to cover some medically necessary out-of-pocket expenses. Eligibility is based on several factors including income and family size.

 

Financial Assistance Documents

The New York Proton Center’s Financial Assistance Full Policy.

 

The New York Proton Center’s Financial Assistance Policy Summary.

 

Sliding Fee Discount Table

 

 

Financial Assistance Application Form

You can apply for financial assistance by completing the Financial Assistance Application Form.

 

Please print out and complete the form and return it to the New York Proton Center within 21 days of receipt of a billing statement.

 

How can we help?

Want to find out if proton therapy might be a good fit for you or your patient? Call us at 833-NYPROTON (833-697-7686) or fill out the appropriate form below.