Written by a parent, not a doctor. Nothing here is medical advice.

Four Diamonds

Eligible Out-of-Pocket Medical Expense Coverage · About this organization

What you get

Payment of eligible cancer-treatment and medical expenses your insurance does not cover.

How to start

Go to the linked program page for the application instructions. Have diagnosis confirmation and proof of your address ready.

Good to know

  • Coverage is limited to eligible out-of-pocket medical expenses.
  • Enrollment and bill handling are integrated with qualifying hospital care; no separate public deadline is published.

The details, as published

B-ALL is in scope Hospital Mediated

Four Diamonds covers 100% of eligible cancer-related medical expenses and out-of-pocket costs not paid by insurance for a Pennsylvania resident diagnosed before age 22 and treated at Penn State Health Golisano Children’s Hospital, with possible exceptions for additional outside care. There is no public family grant application, income or asset test, dollar ceiling, renewal limit, or deadline; a Four Diamonds oncology social worker is assigned shortly after diagnosis through the hospital workflow.

What help you may get

Household Bills And Cash Assistance

Eligible Out-of-Pocket Medical Expense Coverage — household bills and cash assistance

Four Diamonds covers 100% of eligible cancer-related medical expenses and out-of-pocket costs not paid by insurance for a Pennsylvania resident diagnosed before age 22 and treated at Penn State Health Golisano Children’s Hospital, with possible exceptions for additional outside care. There is no public family grant application, income or asset test, dollar ceiling, renewal limit, or deadline; a Four Diamonds oncology social worker is assigned shortly after diagnosis through the hospital workflow.

Amount not published · Recurring

Can cover

  • Eligible cancer-treatment and medical expenses not covered by insurance

Does not cover

  • Care outside the qualifying hospital arrangement unless an exception applies
  • Expenses that the program determines are not eligible
  • The organization states that it covers 100% of eligible patient out-of-pocket medical bills; no dollar ceiling is published.
  • Coverage is tied to eligible bills during qualifying care rather than a one-time grant.

Medical And Insurance Costs

Eligible Out-of-Pocket Medical Expense Coverage — medical and insurance costs

Four Diamonds covers 100% of eligible cancer-related medical expenses and out-of-pocket costs not paid by insurance for a Pennsylvania resident diagnosed before age 22 and treated at Penn State Health Golisano Children’s Hospital, with possible exceptions for additional outside care. There is no public family grant application, income or asset test, dollar ceiling, renewal limit, or deadline; a Four Diamonds oncology social worker is assigned shortly after diagnosis through the hospital workflow.

Amount not published · Recurring

Can cover

  • Eligible cancer-treatment and medical expenses not covered by insurance

Does not cover

  • Care outside the qualifying hospital arrangement unless an exception applies
  • Expenses that the program determines are not eligible
  • The organization states that it covers 100% of eligible patient out-of-pocket medical bills; no dollar ceiling is published.
  • Coverage is tied to eligible bills during qualifying care rather than a one-time grant.

Check the main eligibility rules

Diagnosis

B-ALL is in scope. The official program serves children with cancer or children with serious medical conditions that include cancer; pediatric B-ALL is within that scope.

Age

Age 0 to age 21, measured at diagnosis.

  • The patient must be under age 22 at diagnosis.

Treatment status

Active Treatment

  • A provider must verify the patient or diagnosis.
  • Treatment must be at Penn State Health Golisano Children’s Hospital unless the program approves an exception for additional care elsewhere.
  • The reviewed official eligibility material does not publish an income or means-test rule.
  • Coverage applies to eligible out-of-pocket medical expenses not covered by insurance.

Where you live and where your child is treated

Where your family lives

You must live in: PA.

  • The cancer patient and family must be Pennsylvania residents.

Where your child is treated

Treatment must be through: The patient must receive cancer treatment at Penn State Health Golisano Children’s Hospital, with some exceptions when an enrolled patient requires additional care elsewhere..

  • The patient must receive cancer treatment at Penn State Health Golisano Children’s Hospital, with some exceptions when an enrolled patient requires additional care elsewhere.
Where the service, camp, stay, or experience happens
  • Pennsylvania — Pennsylvania — Pennsylvania

How to get started

Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.

Who can start: Healthcare Team, Hospital Representative, Parent Or Guardian

  1. A Four Diamonds social worker is assigned and coordinates enrollment and expense coverage.
  2. Ask the treating hospital team or Four Diamonds to confirm patient enrollment and eligible-expense rules.
  3. Confirm Pennsylvania residence and treatment at Penn State Health Golisano Children’s Hospital.
  4. Eligible out-of-pocket cancer-related medical expenses are covered through the program’s hospital billing workflow.
  5. Provide insurance and billing information through the hospital process.
  6. Receive eligible oncology care through Penn State Health Golisano Children’s Hospital.

Ways to apply or ask

Documents to prepare

  • Diagnosis and hospital treatment verification
  • Insurance and billing information
  • Residency verification as requested
  • Eligible patient bills are covered through the hospital-associated program.

Availability and timing

ProgramActive
ApplicationsHospital Mediated
Funding or spaceAvailable
Application windowNot Published
Last checkedAug 24, 2026
  • The organization currently presents the coverage as a core active benefit for qualifying families.
  • Enrollment and bill handling are integrated with qualifying hospital care; no separate public deadline is published.

Limitations and things to confirm

  • Coverage is limited to eligible out-of-pocket medical expenses.
  • Pennsylvania residence and treatment at the named Penn State Health children’s hospital are ordinarily required.
  • The public site does not describe the complete enrollment or bill-adjudication process.
  • What enrollment documents and bill-adjudication process apply?

Official sources

Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.

Official program