Please carefully read the criteria. Applications submitted that do not meet the criteria will not be considered. The Foundation may also request additional information from you after the application is submitted.
In evaluating applications, the Regional Board will consider applications based on the following criteria:
Grant awards are retroactive to sixty days prior to the date of application and have an expiration date of approximately 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 potential of the intervention to significantly enhance either the clinical condition or the quality of life for the child, the financial status of the family and the severity of the child's illness. If a grant is approved, services must be provided by a trained, and if appropriate, licensed professional.
Financial need of the child's family will be evaluated and documented through information provided on the application and by submission of a photocopy of the most recently filed Federal tax return (Internal Revenue Service 1040, 1040-A, or 1040-EZ). The following scale will be used to determine financial eligibility:
Other financial resources to meet the health care need are not available.
The amount awarded to an individual within a 12-month period is limited to either $5,000 or 85% of the fund balance, whichever amount is less. 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. The 12-month $5,000 limit (or 85% of the fund balance) and $10,000 lifetime maximum limits apply.
An application must be submitted prior to the child's 17th birthday.
The health care professional is to be paid directly; exceptions can be made to reimburse the family if adequate documentation is submitted showing the health care professional has been paid.
Applications are to be reviewed by a health care professional appointed by the Foundation to determine the medical appropriateness of the treatment.
Applicants who are not approved by the Regional Board must wait a period of twelve months before re-applying, unless the medical condition and requested items have significantly changed from the original request.
In order to apply for your child, the child must live with you 51% or more and be listed as a dependent on your most recently filed IRS 1040. If the child is not listed on your most recently filed IRS 1040, then we need a copy of both your most recently filed IRS 1040 and the most recently filed IRS 1040 on which the child is listed as a dependent.
October 16, 2017
Maryland Golf Classic, Rockville, MD
October 16, 2017
To learn more or to sign up, visit www.planmygol... more >
September 26, 2017
The 6th Annual UHCCF Northeast Golf Event at Lake of Isles Golf Club & Resort in Connecticut will take p... more >
July 31, 2017
Please join us on Monday, July 31, 2017 at the Hazeltine Golf Classic to benefit the UnitedHealthcare Chi... more >
Could your child benefit from a medical grant?
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