What are the grants?
The grants provide financial relief for families who have children with medical needs not covered or not fully covered by their commercial health benefit plan. The Foundation aims to fill the gap between what medical services/items a child needs and what their commercial health benefit plan will pay for.
How does the grant work?
If a grant is approved by the Regional Board of Directors for a child, the grant will help pay for approved medical services/items after the family's commercial health benefit plan submits payment to you (if any) (see graphic to the right). Here is a helpful brochure.
How do I work with a family who is applying for a grant?
The family will need a one-page letter from the child's M.D. or D.O. which must clearly answer the following questions:
- What is the child's specific medical condition(s)?
- What specific impact does the child’s medical condition(s) have on the child’s life? (This may include medical, social, mental, etc.)
- What specific therapy, treatment and/or medical services does the doctor recommend?
- Why does the doctor recommend these?
- Has the child received the therapy, treatment and/or medical services before? If yes, have they been effective?
- What result does the doctor hope to achieve with this therapy, treatment and/or medical services?
How do I work with a family who was approved for a grant?
As the graphic to the right describes, the family must maximize their commercial health benefit plan first for approved medical services/items. Once the health benefit plan has submitted payment to you please send any remaining amount due to the family in the form of an invoice, not a health insurance claim form. The Foundation is not a secondary insurance plan. If the family has no coverage for a requested service/item, please send an invoice to the family. The family will forward to the Foundation and we will pay you directly. If the family has a co-pay that must be rendered at time of service, please provide the family with a clear receipt of what was provided, the date and what was paid. The family will send this and proof of payment to us for reimbursement directly to the family. If you do not participate with insurance, please provide the family with a detailed invoice. A special note on billing: the Foundation will not pay "provider responsibility" amounts as listed on the family's explanation of benefits document.
How can I help support this cause?
You can contribute by:
- making a direct contribution
- offering a discount on services/items for our grant recipients (allowing grant dollars to go further)
- partnering with the Foundation on fundraising (sponsor an event, etc.)
- making a purchase in our online store
Can I see some examples of children who have been helped?
Absolutely. Watch some of our video clips.
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