Specialty Assistance

Helping Meet Needs Not Covered by Insurance

MSSP recognizes that living with Multiple Sclerosis can create expenses that may not be covered by insurance or other assistance programs. The MSSP Special Assistance Program is designed to help individuals with MS obtain items, equipment, or services that can improve their independence, safety, comfort, or quality of life.

For more information, contact us at 503 297-9544 or email us at info@msoregon.org. A completed application along with proof of diagnosis is required.

Specialty assistance limited to $250 per year per individual.

Application Instructions

In order to apply, you will need to provide documentation of your MS diagnosis. This can be either a medical chart note that includes your name and diagnosis, SSI/SSDI verification or the cardboard cover off of one of the following medications:

Injectable medications

Avonex® (interferon beta-1a)
Betaseron® (interferon beta-1b)
Copaxone® (glatiramer acetate)
Extavia® (interferon beta-1b)
Glatopa® (glatiramer acetate—generic of Copaxone)
Plegridy® (peginterferon beta-1a)
Glatopa (glatiramer acetate – generic equivalent of Copaxone 20mg and 40mg doses)
Rebif® (interferon beta-1a)
Kesimpta® (ofatumumab)

Oral medications

Aubagio® (teriflunomide)
Bafiertam™ (monomethyl fumarate)
Dimethyl Fumarate (dimethyl fumarate – generic equivalent of Tecfidera)
Gilenya® (fingolimod)
Mavenclad® (cladribine)
Mayzent® (siponimod)
Tecfidera® (dimethyl fumarate)
Vumerity® (diroximel fumarate)
Zeposia® (ozanimod)

Infused medications

Lemtrada® (alemtuzumab)
Novantrone® (mitoxantrone)
Ocrevus® (ocrelizumab)
Tysabri® (natalizumab)

Specialty Assistance Application

Contact Information

First Name

Last Name

Address (Street)

City

State

Zip

Phone

Briefly what are you requesting assistance for and how would it improve your quality of life:

Employed?
YesNoRetired

If you marked "Yes" to employed, please provide occupation:

Medical Information

Type of MS

Date Diagnosed

Where/By

Please upload evidence of MS diagnosis (chart, doctor’s note, or a copy of MS medication).

By signing below I certify the information provided to the MSSP is true and accurate. Furthermore, I have read this application and hereby submit it along with proof of my diagnosis. I understand this application is to be submitted to MSSP to be reviewed. I grant permission for MSSP to use my name and photograph for program promotional purposes.