Eligibility Requirements

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

A family must not exceed the maximum eligible income as documented on IRS Tax Form 1040.

• Family Size of 2– $65,000 or less
• Family Size of 3– $100,000 or less
• Family Size of 4– $135,000 or less
• Family Size of 5 or more– $170,000 or less

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

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.

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, anesthesia, 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.)
• Vehicle modifications, for example lift kits, would be considered for a grant service

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/Investigational/Experimental
• 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, play therapy, group therapy, family therapy, massage therapy, MeRT (Magnetic Resonance Therapy), and social skills therapy.

Any therapy must be performed by a licensed medical professional to be considered.

UHCCF is happy to consider children aged 3-6 for a one-time grant to help cover the cost of ABA therapy. We are unable to include ABA therapy as a grant service for children younger than 3 or older than 6, or multiple grants for ABA for the same child.

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, memberships, subscriptions, well-child, routine care, vaccinations, or concierge services of any kind.

For approved grants, the grant start date is 60 days prior to the date the application is deemed to be complete. If the service or treatment you are seeking a grant for happened more than 60 days prior to the application being complete it will not be considered. The grant expiration date will be one year after board approval unless funds are exhausted prior to that expiration date. Payment requests for medical costs on dates of service outside of this date range will NOT be considered.

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.

Explanation of Benefits Requirement: A copy of the explanation of benefits (EOB) from your primary medical insurance carrier which includes the details of how they have processed the charges for the requested dates of service including the patient responsibility amount. If you choose to go to an out of network provider or a provider that does not accept insurance, you will be responsible for submitting to your insurance for an EOB to be obtained.