Medical Financial Assistance
Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act. Finally, states are coordinating the application and enrollment process with the messaging and policies for the Health Insurance Marketplace operating in their state to ensure that there is no wrong door to coverage. For more information, click here.
Now that you are all signed up for your insurance plan, learn how to navigate it! NORD hosted a webinar to aid rare disease patients and caregivers in learning how to make their health insurance work for them. The webinar recording here covers how insurance works, an overview on the approval process and tips on how to successfully reverse a denial. To learn more, click here.
Kids’ Waivers is a compilation of information about Medicaid waivers, Katie Beckett or TEFRA programs, and other programs for children with disabilities or medical needs. This website is the product of years of ongoing research on these programs. To learn more about specific programs, you can compare states and obtain basic information using our sortable full list of programs. We also have more detailed pages for each state, which can be accessed by clickable map or text links. Please note that Kids’ Waivers does not operate any of these waiver programs, and we cannot place your child in a program, verify your child’s application, or verify any details about your child’s current program. We can only point you toward the programs that are available in your state. For more information, click here.
Every state has services for children with special health care needs. The Maternal and Child Health Services Block Grant, or Title V of the Social Security Act, funds these services. The grant tasks each state with ensuring the health of our nation’s women and children, including children with special health care needs and their families. Each state is permitted to tailor its services and programs to best meet its specific needs. This variation between states can be confusing because state Title V programs often have different titles and types of service. For more information, click here.
Our friends at Angelman Syndrome Foundation have put together a comprehensive guide to help families navigate the insurance process in their state. Each state has various options of Medicaid and Waivers, which can seem overwhelming and difficult. Our hope is that you find this guide useful and helpful as you try to advocate for your individual with Angelman syndrome. Please note that Waiver wait times, websites, personal and funding can change regularly depending on the state and the agency that oversees Medicaid and various programs. For more information, click here.
PhRMA’s Medicine Assistance Tool (MAT) is a search engine designed to help patients, caregivers and health care providers learn more about the resources available through the various biopharmaceutical industry programs. MAT is not its own patient assistance program, but rather a search engine for many of the patient assistance resources that the biopharmaceutical industry offers.Medicine Assistance Tool
Prescription drug prices are not regulated. The cost of a prescription may differ by more than $100 between pharmacies across the street from each other! Insurance isn’t helping like it used to. In the past 10 years, insurance companies have passed 25-80% more of the cost of drugs onto patients. GoodRx gathers current prices and discounts to help you find the lowest-cost pharmacy for your prescriptions. The average GoodRx customer saves $276 a year on their prescriptions. GoodRx is 100% free. No personal information is required. For more information, click here.
Needy Meds is a nonprofit organization that lists programs that help people who cannot afford medications and healthcare costs. NeedyMeds has information about government programs, low-cost or free medical and dental clinics, and prescription assistance. NeedyMeds also has disease-specific financial aid programs. You can contact them directly at 800-503-6897. For more information, click here.
Since 1987, NORD has provided assistance programs to help patients obtain life-saving or life-sustaining medication they could not otherwise afford. These programs provide medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials or consultations with disease specialists. For more information, click here.
Premium Assistance Program
Your hospital or provider might be able to provide access to financial navigators who are trained to provide guidance and direction toward resources to reduce the costs of care and medications. Ask your provider if they can put you in contact with a financial navigator.
(PAF) provides case management assistance for the uninsured or underinsured with life-threatening or debilitating illnesses. Services include help with the following: access to care; co-pay assistance; social security disability applications; and insurance appeals. PAF also has a National Financial Resource Directory that allows patients to find resources within a given state. You can contact PAF directly at 800-532-5274. For more information, click here.
Chive Charities is committed to championing the underdogs. Targeting three specific causes: rare medical diagnoses, first responders and veterans, we spread awareness through sharing the personal stories of grit, courage, and perseverance. What sort of help does Chive Charities provide to recipients? Therapy equipment & sessions not covered by insurance, Handicap accessible home & car modifications, Mobility items, Purchasing of developmental & learning devices, other medical needs as recommended by a medical professional.
Apply for a Chive Charities Grant — Chive Charities
Sometimes, financial constraints make it impossible for parents and caregivers to cover their child’s medical expenses. Cerner Charitable Foundation accepts individual medical grant applications for medical needs from the United States and through select international providers. Expenses Covered: Treatment: Clinical procedures, medicine, therapy, prosthesis, etc., Equipment: Wheelchairs, assistive technology equipment, care devices, hearing aids, etc., Displacement: Lodging (only if charitable housing is unavailable), gas ($0.33 per mile), parking and transportation related to a child’s care, Vehicle modifications: Lifts, ramps and transfer boards. Request Funding | Cerner Charitable Foundation
Founded by a patient for patients, we know the challenges of chronic illness. We’re here to help pay for your medication, provide health insurance premium and copay assistance, navigate health insurance plans, give legal advice, and be there every step of the way. For more information, click here.
You have enough to worry about right now. Figuring out how to pay for your prescriptions shouldn’t be another stressor. For decades, PhRMA has been committed to advocating for policies that help patients access the medicines they need, but today, America’s biopharmaceutical companies are individually expanding their programs to help more patients during these uncertain times. MAT, the Medicine Assistance Tool, matches patients like you with resources and cost-sharing programs that may help lower your out-of-pocket costs, whether or not you have insurance. For more information, click here.
The HealthWell Foundation is a leading non-profit dedicated to improving access to care for America’s underinsured. When health insurance is not enough, we fill the gap by assisting with copays, premiums, deductibles and out-of-pocket expenses. Provide financial assistance to help with: Prescription copays, Health insurance premiums, deductibles and coinsurance, Pediatric treatment costs, and travel costs. For more information, click here.
UHCCF’s mission is to help fill the gap between what medical services/items a child needs and what their commercial health benefit plan will pay for. UHCCF grants provide financial help/assistance for families with children that have medical needs not covered or not fully covered by their commercial health insurance plan. For more information, click here.
Kiddos Clubhouse Foundations mission is to better shape lives for children with special needs. Kiddos’ Clubhouse Foundation provides therapy scholarships to help families pay for critical therapies. Through partnerships and generous support from corporate and private donors, grants, and charitable events, we are able to relieve financial burdens and help families regain hope for their children. For more information, click here.
General Financial Assistance
Our mission is to enhance the daily functioning of a child with a physical disability from a lower income family by awarding grants for life-changing equipment, medical supplies, essential family bills, specialized camps, and therapeutic toys. We classify special needs as those children under the age of 21 with any type of physical disability. $500 maximum one-time grant allowance per recipient family. $50,000 maximum annual income threshold. For more information, click here.
Keep Swimming Foundation is a nonprofit organization that provides financial relief to families of critically ill patients who require extended inpatient medical care at an accredited USA hospital. While health insurance provides support for medical costs, families faced with extended inpatient care typically shoulder the burden of the external costs associated with visiting and caring for their loved one. Because of this need, Keep Swimming Foundation was born. Expenses Covered: Hotel Rooms, Bedside Meals, Parking, Public Transportation, Gasoline, Rent and Mortgage Payments. For more information, click here.
Children being referred for assistance must reside or be treated in Pennsylvania, New Jersey, or Delaware. Families may not apply to the Fund directly. Referrals must be made by a healthcare professional (for example, a social worker, case manager, nurse, doctor, or therapist). Provide assistance with expenses not covered by insurance, such as: Utility and phone bills, Mortgage/Rent, Car payments, Transportation costs, Disability needs, Air conditioners for children with severe pulmonary, cardiac, skin, liver, and kidney diseases, Medically necessary dietary supplements, special foods, and formulas, Co-pays, Child care, Funeral expenses. Assistance is paid directly to vendors or creditors to avoid misappropriation of funds. For more information, click here.
The Tuition & Therapy Assistance Program offers scholarships ranging from $1,000 to $5,000 to help ease the financial burden of therapeutic treatments and intervention for autism. To be eligible, the child must be between the ages of 12 months and 18 years of age and must have already received a clinical diagnosis of Autism Spectrum Disorder. These awards may be used for behavioral intervention programs, occupational therapy, speech therapy, social skills groups, special needs schools, and/or special education programs. Apply for Assistance – KNOWAutism Foundation (know-autism.org)
The Special Interest Fund was established to help children with autism access adaptive and inclusive programs and services that do not fall under the umbrella of traditional autism treatments or interventions. Awards range from $500 to $1,000 per child. Eligible programs include specialized camps, music therapy, art therapy, yoga therapy, therapeutic horseback riding, adaptive swim lessons, and similar programming. This fund may also be used to cover fees for the services of autism/disability advocates (up to $1,000). Apply for Assistance – KNOWAutism Foundation (know-autism.org)
Financial Resources for Equipment
While no device has been proven to prevent epilepsy-related mortality (including SUDEP), the Danny Did Foundation (DDF) is devoted to seeking out seizure detection and seizure prediction devices – as well as other technologies – that are designed to enable intervention by a caregiver. Intervention is believed to reduce the risks that accompany epilepsy. If you are seeking funds to help with the cost of a device, review and research the products at Danny Did and then complete the application. https://www.dannydid.org/mobile/epilepsy-sudep/devices-technology/
Provides grants on behalf of children with speech and language disorders for therapies, treatments, communicative devices, and other services aimed at improving their communication skills. Small Steps in Speech will accept applications on behalf of children between 3 and 22 years of age at the time of the application deadline and families with a combined household income under $100,000. http://www.smallstepsinspeech.org/grant-application/
The Orange Effect Foundation empowers children and young adults with speech disorders to effectively communicate through technology and speech therapy.While there are many wonderful organizations that focus on autism and research into speech disorders, there are very few that focus on providing grants to children who desperately need consistent speech therapy or equipment. https://theorangeeffect.org/grant-application/
Although our name may be Wheelchairs 4 Kids, our plan involves so much more than providing wheelchairs for America’s disabled children. Our goal is to give every child with mobility challenges the best opportunity to live life at its’ fullest. We provide wheelchairs, gait trainers, AFO’s, hoyer lifts, adaptive strollers, adaptive bikes, bathing solutions, vehicle modifications (contingent on the type of vehicle) and some home modifications providing the family owns the home. The child must be under the age of 21 and have a member of their medical team verify their medical condition and mobility needs. https://wheelchairs4kids.org/about/whatwedo/referachild/
Comprehensive list of all grants/assistance to help buy handicap vans and adaptive equipment in all 50 states. These grants and other programs could help you finance a wheelchair van, scooter, wheelchair lift, adaptive driving equipment, or other mobility product. https://www.themobilityresource.com/financing-handicap-accessible-vehicles/state-grants
Kids Mobility Network is a 501(c)3 non-profit organization providing children with disabilities with complex rehab technology and durable medical equipment such as wheelchairs, walkers and other medical equipment. We operate our organization with caring and integrity. https://www.kidsmobility.org/families/
Other Useful Links
Resources & advice to help you take on epilepsy. Here you’ll find helpful resources compiled from around the Web, stories, videos, and articles written by medical professionals, caregivers, and epilepsy experts like yourself.
Special Needs Resource Project (SNRP) provides a basic guide for parents of children with chronic health issues, disabilities and special needs. This site is designed to help you get a jump-start in your search for helpful information and resources. Every situation is unique. Our aim is to help you learn the basic skills you’ll need to obtain the specific resource information, equipment, and services your child and family needs. Though focused on children ages 0-22, most of the information we offer is applicable to adults as well.
eParent Special Needs Resource Directory
eParent Special Needs Resource Directory provides a comprehensive guide for parents and families of children with chronic health issues, disabilities and special needs, as well as to physicians, allied health care professionals and educational professionals who are involved in their care and development. This directory is designed to assist in your search for helpful information and resources for every situation.
At A Mother’s Rest, we believe that frequent, affordable respite is a key factor in keeping special needs parents and caregivers healthy. Ensuring the best care of disabled children and adults means ensuring the best care for their parents.
Before the Affordable Care Act (ACA) was enacted in 2010, rare disease patients could not access health care coverage due to various discriminatory insurance practices, limited Medicaid eligibility, and debilitating cost-sharing. While imperfect, the Affordable Care Act successfully reformed these practices by forbidding insurers from discriminating against rare disease patients, outlawing annual and lifetime caps, expanding Medicaid, closing the Medicare Part D donut hole, and more.
Understanding Accessible Housting: The Fair Housing Act
An accessible home is one that allows its occupant to do what he or she wants and needs to do, as independently as possible. If you or someone in your family is disabled, your home may need specific modifications to make it accessible for daily living. You are protected under the Fair Housing Act, which stipulates property owners to make, or allow residents to make, a home accessible for those with specific or special needs.
We know that 15-20% of our school children have IEPs. Why are we not educating communities about this? We owe it to our kids, both the non-disabled and disabled ones. They have to learn how to interact, how to live and work together. This is their future and it’s ours.
At the Kids Crew, we want you to use your imagination and think creatively. We know kids have unique gifts that can be used to give back to others under the three areas on which we focus. We want you to take it upon yourself to come up with ideas that can impact your community based on what you have experienced. Doing so allows for teamwork, helps you learn more about epilepsy, and gives you confidence. Our belief is that you can use your talents to give back to others and to make a real difference. The program is free to join and is for kids ages 14 and under of all abilities. If you don’t have epilepsy, we still want you to join. Often, siblings, friends, and relatives of those with epilepsy are the best advocates. We are looking for those who want to learn, spread awareness, and make a difference. And have fun, too!!
The Mission of Angel Flight East: To provide free air transportation to qualified patients and their families by arranging flights to distant medical facilities, delivering supplies to disaster areas, and reuniting families during desperate times. Angel Flight East facilitates transportation in the Northeastern region of the United States for distances up to 1,000 miles. The minimum distance AFE travels is 100 miles. (See our Service Area Map) For flights longer than 1,000 miles or flights originating in other states, please visit the Air Care Alliance.
Darby’s Dancers is a 501(c)(3) organization dedicated to providing dance classes to children with special needs at no cost to their parents. With locations across the US, Darby’s Dancers learn all types of dance in a fun, encouraging atmosphere. Dancers in the program gain confidence, coordination, strength and lifelong friends, all while feeling like a star. DD also provides volunteer opportunities for teens. Our youth volunteers learn important lessons in responsibility and friendship by providing one-on-one assistance to each of Darby’s dancers.