PATIENT SERVICES GUIDELINES

For assistance, please ask your dialysis center social worker.

EMERGENCY ASSISTANCE FUND

PURPOSE: This service is intended as emergency assistance for essential medical and non-medical needs. Consideration will only be given after all other forms of assistance have been explored. Assistance is intended to supplement the cost of a particular need and not necessarily intended to cover the full cost . No financial assistance will be made for doctor or hospital bills.

Guidelines

– Chronic Renal Failure (requires dialysis or transplant to sustain life)
– Live or dialyze within service area of the Kidney Foundation of Northwest Ohio

Essential Medical Need

– Transportation (medical purposes only)
– Prescription Medications
– Nutritional Supplements
– Medical Equipment

GENERAL FINANCIAL ASSISTANCE

PURPOSE: This service is intended as temporary assistance for transportation or medication needs. Consideration will only be given after all other forms of assistance have been explored. Assistance is intended to supplement the cost of a particular need and not necessarily intended to cover the full cost. No financial assistance will be made for doctor or hospital bills.

Guidelines

– Chronic Renal Failure (requires dialysis or transplant to sustain life)
– Live or dialyze within service area of the Kidney Foundation of Northwest Ohio
– Eligibility is determined based on review of Financial Summary forms
– Income at or below 150% of Poverty Guidelines as determined by the current Federal Poverty Guidelines.

Essential Medical Need

• – Transportation (medical purposes only)
• – Renal Medications (approved medications only)
• – Nutritional Supplements
• – Medical Equipment