Skip to main content

Programs to Help with Medical Expenses

By Kerry Bonney

Help!  I have insurance, and I’m still drowning in medical bills!

Medical bills for children with special healthcare needs add up fast.  Even when a family has private insurance, co-pays and deductibles can be overwhelming on the budget.  There are, however, programs in addition to private insurance that offer relief to families.  The purpose of this article is to highlight a few of these programs.

Medicaid or Medicaid Disability can be utilized as a secondary payer to private insurance, and so families should consider applying to the Medicaid program for the child in need of services.  An application can be done online or at the local Division of Family Resources office.  Eligibility will consider income and assets.

Children’s Special Healthcare Services, or CSHCS, is a program administered by the Indiana State Department of Health that supplements Medicaid or other coverage; the child qualifies for the program by diagnosis, as well as income.  The income guidelines are higher than those for Medicaid – up to 250% of poverty level.  CSHCS pays after other insurance (including Medicaid) has paid.  This program helps with co-pays and deductibles, virtually eliminating them for the child with special healthcare needs.  Of note is that CSHCS also offers travel reimbursement for trips to providers that exceed 49 miles.  More about the program and an application can be found here:

National grants, which are characteristically geared towards a specific disability, are available, and there is typically a small window for application.  Families should become familiar with the application and selection process for any grant that the child might be eligible for and be ready to apply as soon as the grant opens.  One grant available now is the United Healthcare Children’s Foundation Grant, which offers money for medical care to the insured for services which may be a serious burden on the family.  Grant guidelines should always be reviewed carefully before applying.

Service clubs and organizations, such as Kiwanis or Sertoma clubs, often sponsor small grants of up to $500 for the purchase of specialty equipment or other needs.  Applications for these types of grants are made through the club members.

For some out-of-the-box ideas and more information on the above programs, please consider watching our Filling the Funding Gaps video on YouTube, or contact us at Family Voices Indiana for further assistance with medical bills. 317.944.8982

Popular posts from this blog

Pandemic Snap benefits: Free and Reduced Lunch Recipients

Pandemic Snap benefits: Those that have children on free and reduced lunch will receive their EBT card in the mail by the end of May if you are not already receiving SNAP benefits. It will be $319 per school aged child. You do not need to apply for this benefit. The DOE will provide your information to FSSA. 5767.htm?fbclid= IwAR0zhdr9tS1wMovtNNPngc55HCms QSX_4k_E_ GRAjPpNRHWF5ExZgCLUjOE

Sample Medical Order, Letter of Medical Necessity and Appeal Letter for #ABA Services

From The Arc Autism Insurance Project in collaboration with Family Voices Indiana and About Special Kids Feel free to contact Family Voices Indiana at 317 944 8982 or if you need additional resources or support. Sample Medical Order, Letter of Medical Necessity and Appeal Letter for ABA Services – Medicaid under EPSDT (ages 0-21) EPSDT – Early, Periodic Screening Diagnosis and T reatment MEDICAL TREATMENT ORDER SAMPLE FORMAT The prescribing physician should include: Physician’s order for ABA therapy Letter of medical necessity written by the physician or ABA provider, which includes: Patient history Diagnosis and prognosis Description of recommended services and explanation of why the services are medically necessary What the benefit to the patient will be, and Recommended length of time for the services Medical Necessity According to the Health and Human Services website: Medical Necessity under EPSDT   In a rep