APPLICATION

Apply for a Subsidy for Your Scalp Cooling Treatment

 

HairToStay is a nonprofit organization that offers need-based grants to offset the expense of scalp cooling systems for chemotherapy patients being treated in the United States.

ABOUT SCALP COOLING

There are two basic approaches to scalp cooling:  Manual Scalp Cooling Systems and Automated Scalp Cooling Systems.  Click here for more information about your options for scalp cooling.

Scalp cooling minimizes chemotherapy induced hair loss by continuous application of precisely cooled caps (either individual caps or a scalp cooling machine) to the scalp in stages before, during and after chemotherapy infusions.  The length of time for each stage is determined by each patient’s particular drug protocol, hair length and thickness, age, and other factors. Scalp cooling systems are rented, not sold. Most insurance companies do not cover the costs of scalp cooling currently, but might if you ask for a cranial prosthesis.

HOW TO APPLY

First, read the Eligibility Requirements below.  If you qualify for a subsidy, download and fill out the Scalp Cooling Subsidy Program Application (en Espanol) and submit it along with the documentation requested in the application. You can submit it by email HairToStay@pap-apps.org, by fax to 888-246-6527 or by US mail to HairToStay Subsidy Program, P.O. Box 219, Gloucester, MA 01930. There is no deadline. Applications are accepted throughout the year. Please use the same name on your application as you use for ordering your scalp cooling treatment.

ELIGIBILITY REQUIREMENTS

To apply for a subsidy from HairToStay, you must meet the following requirements and provide supporting documentation as described in the Scalp Cooling Subsidy Program Application (en Espanol):

  • Demonstrate Financial Need – Generally, your household income must be at or below 300% of the Federal Poverty Level and you must document that as described in the Scalp Cooling Subsidy Program Application  (en Espanol). However, this can vary by geographic regions and medical facilities which have set up special funds, up to 400% of the Federal Poverty Level.  You can email info@hairtostay.org for a list of these regions.

Federal Poverty Level Chart

  • Be a chemotherapy patient who has been diagnosed with a solid tumor cancer. [Scalp cooling is not recommended for blood (hematological) cancer patients and those patients are not eligible for subsidy.]
  • Be a full-time US resident receiving treatment in a medical facility located in the United States.
  • Be already using or ready to use a scalp cooling system from one of the following Qualified Scalp Cooling Suppliers:      (IMPORTANT: We do not subsidize treatment expenses incurred prior to you application being approved)

For information on becoming a Qualified Scalp Cooling Supplier click here.

NOTIFICATION AND REIMBURSEMENT

You will usually be notified within one week of submission regarding the status of your application. If you have not heard back, please email us again. Subsidy recipients will usually be reimbursed up to $250 per month, up to $1,000 total.  In order to be reimbursed, copies of statements from your scalp cooling treatment provider must be provided within one month of the invoice date.

ADDITIONAL SUPPORT

In addition to providing treatment subsidies, HairToStay is available to provide information to patients who are considering the use of scalp cooling, as well as guidance and support through the treatment process.

If you have questions about scalp cooling in general, please email Patsy Graham at patsy@HairToStay.org.

For all questions about the Scalp Cooling Subsidy Program please email HairToStay@pap-apps.org or call toll free at 800-270-1897.