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What Are the Requirements for Grant Eligibility?

Age

Child must be 16 years of age or younger at the time of application.

Income Requirements

Family must not exceed maximum eligible income as documented on IRS Tax Form 1040. $55,000 or less for a family of 2. $85,000 or less for a family of 3. $115,000 or less for a family of 4. $145,000 or less for a family of 5 or more.

U.S. Citizenship

Child must have a Social Security Number issued by the Social Security Administration. TIN numbers are not accepted.

Conditions of Eligibility

Medically Insured

Primary coverage for the child must be by a commercial health plan, either through an employer or individually purchased. Secondary insurance through Medicaid or CHIP is permissible.

Under Care of a Medical Professional

Child’s care, medical services, treatments and/or therapies MUST be administered by a licensed medical professional. Treatments/equipment/services included in the application must be prescribed by a Medical Doctor (M.D.), Doctor of Osteopathic Medicine (D.O.) or Doctor of Audiology (Au.D.) for hearing conditions. Medical Services and/or Purchased Equipment MUST be administered or purchased in the United States (excludes U.S. Virgin Islands, Puerto Rico, and other United States Territories).

Timing of Service(s)

Don’t wait, apply right away! Grants are available for medical costs incurred within 60 days of the time UHCCF determines the application to be complete. Grants are good for one year following the month in which they are approved.

 

Exclusions

The following exclusion areas are not eligible for UHCCF grant funding.

Dental Exclusions

Dental Care and Orthodontics are not covered by UHCCF unless they are related to a serious medical condition (such as cleft palate, cancer, etc.) Examples of dental exclusions include Annual Cleaning, Fillings, X-rays, Braces, Invisalign, Check-Ups, etc.

Education Exclusions

School Tutoring, Testing for a Learning Disability, Tuition for School or Camp (including day camps for therapies), Electronic Devices- Computers, Laptops, iPad/Tablets, or Smart Phones not specifically designed for medical or clinical treatment purposes.

Home and Vehicle Exclusions

Home improvements/modifications, Service dogs or other animals/pets, Purchase of vehicles (cars, vans, trucks, etc.).

Prescription Drug Exclusions

Drugs not approved by the United States Food & Drug Administration (FDA), Drugs not purchased within the United States, Homeopathic supplements not prescribed by a licensed professional.

Procedure and Treatment Exclusions

  • Biofeedback/Biomedical consultations
  • Clinical Trials
  • Heavy metal toxicity testing/Chelation therapy, unless for proven medical indication of lead or copper or iron
  • Hyperbaric oxygen treatment
  • Herbal testing
  • Relationship Development Intervention (RDI)

Reproduction Exclusions

Egg Retrieval/Infertility, Pregnancy/Birthing, Sperm Banking

Therapy Exclusions

Listening therapy, vision therapy, hippotherapy/equine therapy, music therapy, and social-skills therapy

Travel and Lodging Exclusions

Cost for gas, flight, food, mileage, or hotel/motel

Miscellaneous Exclusions

Autopsy, burial costs, camera/video surveillance equipment, alert bracelet/GPS tracker, food-unless related to a medical condition, funeral costs, pools/whirlpools

Terms and Conditions

Grant awards are retroactive to sixty days prior to the date of application and have an expiration date of one year unless the funds are exhausted prior to the expiration date. The grant will NOT cover any medical costs outside this date range.

The amount awarded to an individual within a 12-month period is limited to $5,000. Awards to any one individual are limited to a lifetime maximum of $10,000.

Grant recipients who are awarded less than $5,000 may re-apply for another grant once the current grant funds have been completely exhausted.

Reimbursement to the family with adequate documentation showing the health care professional has been paid, or direct payment to the medical professional is available.

Applications not approved by the Regional Board must wait twelve months before re-applying unless the medical condition and requested items have significantly changed from the original request.

Continuous commercial health insurance coverage is required for entire duration of the application, approval, and grant process. Loss of commercial health insurance coverage will result in the closure of the grant and any remaining grant funds will revert to UHCCF.

Required Documents

Health Insurance Icon

Insurance Card

Electronic copy of the front and back of current Commercial/Private insurance card.

Health Condition Icon

Medical Condition Form

Completed and signed Physician Certification of Medical Condition Form.

Physician’s Certification of Medical Condition