Application

Educational Programming

If you are interested in booking Luminous Foundation for educational programming, please email Alexandra Boos at alexandra.boos@luminousfoundation.org

Or call (571) 970-3303

Assistance With Products

The All4One Breast Form Fund

The cost of post-mastectomy products can be overwhelming and not covered by insurance.  Luminous Foundation founded the All4OneAlliance in conjunction with CancerCare, Inc., The Breast Form Fund, and The Cancer Resource Foundation, Inc. in 2010.  Please click the link to be directed to an on-line application; Patient Assistance Link Plus (PAL+) Create an account and you will be guided through an easy, step-by-step application.  You may view the status of your application at anytime, although please allow 2-4 days for the approval process.  After acceptance, you will be notified by email or text-just indicate your choice on the application. Please follow the link so that Luminous, in conjunction with the All4One Breast Form Fund, can assist you with letting nothing stop your indistinguishable inner light to shine!

Please click the link for assistance:

You may be eligible for the program if your insurance does not cover the costs of your product and your household income is below 250% of the federal poverty level.  See income table below for more information.

Maximum Household Income*
FAMILY SIZE MONTHLY YEARLY
1 $2,327 $27,925
2 $3,152 $37,825
3 $3,977 $47,725
4 $4,802 $57,625
5 $5,627 $67,525
6 $6,452 $77,425
Each additional + $825 + $9,900

 

You will need the following information for your application:

The fund will pay your out-of-pocket costs for the following:

 

Please note the following: The maximum annual allowance is $520. The program will only reimburse your mastectomy fitter directly, and must be registered with us. If not registered with us, we are always open to new vendors, stores and mastectomy fitters.

To apply to become a registered fitter, please call 508-630-2242 during regular business hours, Monday-Friday. For additional questions, comments or general inquiries, please email the All4One Breast Form Fund at breastformfund@all4onealliance.org

You must be fitted by a certified mastectomy fitter:

A Certified Mastectomy Fitter is a healthcare professional specifically educated and trained in breast prostheses and post-mastectomy products and services.

To find a fitter near you:

All information is held in strict confidence and is for the Luminous Breast Cancer Foundation only.  Please call (571) 970-3303 with any questions.

Read our privacy policy here.