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Financial Assistance for Individuals

Our financial support for individuals comes in many forms. Have a last wish to fulfill? Need help covering the cost of hospice or palliative care? We can help with these things and even help with costs of after-life services like burial or cremation. Explore our individual assistance opportunities below and don’t hesitate to contact us with any questions you may have.

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"My Wishes"

This assistance allows hospice patients who have a terminal diagnosis to seek peace and closure through the realization of a final wish, but are unable to fulfill that wish due to the financial distress related to the terminal diagnosis. “My Wishes” assistance is limited to $1,000.00 per Wish with a lifetime maximum amount of $1,000.00 per patient.

 

“My Wishes” is generously sponsored in part by the:

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Some examples of Wishes include (list is not all inclusive, contact HCF for more information):

  • Entertainment (concerts, movies, plays)
  • Gift Baskets (containing patient’s favorite foods, snacks, candles, crosswords, books, gift cards to favorite restaurants, store gift cards)
  • iPod, Kindle, audio books w/player or large print books
  • Domestic travel, including travel for family (cab fare, bus fare, limo cost, gas card, hotel, etc.)
  • Personal treatments (spa day, lotions, candles, massage, music thanatology, hair treatments, pedicure, manicure)
  • Other small things that matter (warming blankets, visit from a family member, a night out)

 

Assistance Eligibility Criteria

  1. Hospice Care Foundation will consider assistance requests from any hospice patient or family member/hospice worker on behalf of a hospice patient who has a terminal diagnosis regardless of care provider.
  1. A maximum lifetime limit of up to $1,000.00 can be awarded on behalf of each applicant, with no more than $1,000.00 at any one time and at least 30 days between requests.
  1. Recipient Must Be:
    • A Legal Resident or Citizen of the United States of America
    • Capable of experiencing the wish and be willing to sign the liability release form
    • Able to obtain approval from their physician (if necessary)

 

The Fine Print

  • Assistance is not given as cash but in form of an item (concert ticket, bus fare, iPad, etc.).
  • More than one “My Wishes” application can be submitted per hospice patient but the total amount awarded is limited to $1,000.00/person (lifetime limit) and subsequent applications may not be submitted until 30 days after the initial award.
  • Assistance requests seeking travel arrangements must include the following information under the “Describe the Wish” field located on the assistance application:
    • Name of Traveler(s) as listed on photo ID
    • Date of birth for each Traveler
    • Address & phone number for each Traveler
    • Departure and arrival airports (if applicable)
    • Dates/times available to travel (departure and arrivals)
    • Email address for Traveler(s)
      • NOTE: Hospice Care Foundation reserves the right to evaluate ticketing options and to purchase tickets directly.
      • HCF complies with all HIPAA regulations regarding confidentiality as well as all federal and state regulations regarding record retention.

 

We regret that we are unable to fund the following types of “My Wishes” requests:

  • Requests for patients with chronic illnesses, unless they have received a terminal diagnosis and are receiving hospice care.
  • Requests from individuals living outside the United States.
  • Requests for cash.
  • Requests for legal assistance.
  • Requests for automobile, lift, and RV rentals or repairs.
  • Requests for hunting excursions.
  • Requests for property and/or home improvements or repairs.
  • Requests for funeral arrangements or posthumous requests.
  • Requests for travel outside of the United States and/or cruises.
  • Requests for medical treatment/supplies/equipment/transportation or dental extractions.

 

How to Apply
The online application is to be filled out by either the patient themselves, a family member or a hospice/palliative care provider requesting the assistance on behalf of the patient.

After reviewing the guidelines above, if you have any questions about the appropriateness of your request, contact our office at (406) 541-2255 or admin@hcfmissoula.com to discuss your potential application.

 

Application Process

Step 1: Read the Application Guidelines outlined above.

Step 2: Complete the Eligibility Quiz below.

Step 3: Fill out Online Application.

Step 4: Attach additional forms, letters, etc. to the online application.

Incomplete Applications Cannot Be Processed

 

Review Process

  1. The application is received by the Hospice Care Foundation. Complete applications include supporting documents and required signatures from the person recommending this request.
  2. The information is reviewed by the HCF to ensure its completeness.
  3. The attachments are reviewed to ensure all required documents are included.
  4. HCF will call the applicant if more information is needed.
  5. Complete applications will be forwarded to the CEO of the Hospice Care Foundation.
  6. A decision is made after the complete application is received to award none, some or the entire request amount. The CEO may review the request with the Board President prior to approving the request.
  7. The person who made the request is contacted with the decision.
  8. If the request is for travel, HCF will either coordinate with the requesting person/agency and/or make the necessary arrangements on behalf of the applicant. The following information is needed:
    • Name of traveler(s)
    • Current, unexpired photo identification
    • Name of airport for departure
    • Name of airport for return flight
    • Dates of travel
  9. Payment
    • If applicable, the check is mailed along with a cover letter to the vendor with all of the pertinent information as soon as possible.
    • A “Wish Basket” or gift card may be given directly to the applicant for requests of food, clothes, fuel, etc.

ELIGIBILITY QUIZ

If you are eligible to apply, a link will appear for you to fill out the assistance application online after completion of the quiz below.

Individual and/or Family Financial Assistance

This type of need-based assistance provides monetary help for terminally ill individuals and their families who are experiencing financial distress and are unable to be self-sufficient due to the circumstances of the terminal diagnosis. Assistance is typically in the range of $250.00 with maximum of $500.00 per request and with a lifetime maximum of $1,000.00. Assistance may be applied to rent, utilities, food, personal care items, medications, etc. Assistance may be requested by family members of a Hospice Patient for bereavement or respite care. Applicants must meet income criteria.

Assistance Eligibility Criteria

  1. Hospice Care Foundation will consider assistance requests from any patient who has a terminal diagnosis and is within the last six months to a year of life, regardless of care provider.
  1. In order to adhere to IRS guidelines for charitable giving, detailed financial information must be collected from the patient and/or the family members, representing the entire household, applying for assistance.
  1. An assistance application PDF Worksheet is provided to assist in the collection of this information from the applicant before submitting the online application.
  1. This information will be used to determine the eligibility of the applicant for assistance.
  1. Additional supporting documentation may be requested by HCF including but not limited to:
    • Bank Statements
    • Copies of Bills
    • Proof of Income
  1. Individual and/or family financial assistance can be awarded only if the individual or family is considered “needy and distressed” which is defined as monthly expenses that exceed monthly income by $500.00 or more and having less than $500.00 in liquid assets. Specifically, the applicant must be temporarily unable to be self-sufficient as a result of the terminal diagnosis. Financial need must be related to the patient’s terminal diagnosis.
  1. The applicant must exhaust all other community resources prior to seeking funds from the Hospice Care Foundation.
  1. A maximum lifetime limit of up to $1,000.00 can be awarded on behalf of each applicant, with no more than $500.00 at any one time and at least 30 days between requests.
  1. If the assistance application demonstrates an asset of life insurance, you must obtain the cash value. If no cash value, please state this on the application.

Emergency Assistance Application Procedures

  1. Emergency applications will be reviewed on an as-needed basis during regular business hours.
  2. Emergency requests will typically be reviewed within (1) business day. HCF is normally open from 8:00a-2:00p, Monday through Friday.
  3. After completing the online application for an emergency assistance request, the hospice agency should call the Hospice Care Foundation office at (406) 541-2255 to alert staff of the emergency assistance submission.
  4. Emergency assistance is defined as assistance that requires immediate review. In most cases, emergency assistance is related to a patient who is actively dying, where travel arrangements or items significantly affecting the patient’s quality of life are needed immediately.

Individual & Family Financial Assistance applications will be declined in the following circumstances:

  1. If an application is submitted with the patient’s income and the expense information and the patient dies prior to Assistance Officer review.
  2. If the assistance application demonstrates monthly household income that is $500.00 or more greater than monthly household expenses.
  3. If the assistance application shows evidence of $500.00 or more in liquid cash assets.

The Fine Print

  1. The hospice benefit covers all care related to the terminal diagnosis. Hospice Care Foundation cannot pay for expenses that the hospice agency is legally responsible to cover under the benefit reimbursement.
  2. Hospice Care Foundation cannot pay for medical bills that an applicant has accumulated with any health care company. In these cases, if the patient or family meets the criteria of financial distress, an assistance request can be submitted for assistance with other living expenses to help alleviate the financial distress.
  3. If an assistance recipient is residing in a medical facility, assistance payments will not be made to the patient but to the appropriate vendor.
  4. Individual and/or family financial assistance checks cannot be made to a power of attorney (POA) unless complete financial information is provided by the POA, and he/she is determined to be financially needy.
  5. Individual and/or family financial assistance will not be awarded to pay for the following:
    • Home Loans, Property Taxes, or Insurances
    • Automotive/Motor Vehicle Loans or Insurances
    • Personal Loans
    • Educational Loans
    • Income Taxes
    • Credit Card Payments & Fees
    • Legal Fees
    • Medical Expenses (including hospital stays and/or nursing home fees)
    • Income Replacement
    • Home Improvements/Renovations/Remodels
    • Reimbursements: Hospice Care Foundation will not support assistance requests to cover costs that were paid prior to application submission.
  6. HCF complies with all HIPAA regulations regarding confidentiality as well as all federal and state regulations regarding record retention.

How to Apply
The online application is to be filled out by either the patient themselves, a family member requesting the assistance or the hospice/palliative care provider.

After reviewing the guidelines above, if you have any questions about the appropriateness of your request, contact our office at (406) 541-2255 or admin@hcfmissoula.com to discuss your potential application.

 

Application Process

Step 1: Read the Application Guidelines outlined above.

Step 2: Complete the Eligibility Quiz below.

Step 3: Complete the Financial Assistance Worksheet linked below.

Step 4: Complete the Online or Paper Application.

Step 5: Attach additional forms, letters, etc. to the application.

 

Review Process

  1. The application is received by the Hospice Care Foundation. Complete applications include supporting documents and required signatures from the person recommending this request.
  2. The information is reviewed by the HCF to ensure its completeness.
    • The attachments are reviewed to ensure all required documents are included.
    • HCF will call the applicant if more information is needed.
  3. Complete applications will be forwarded to the CEO of the Hospice Care Foundation.
  4. A decision is made after the complete application is received to award none, some or the entire request amount. The CEO may review the request with the Board President prior to approving the request.
  5. The person who made the request on behalf of a patient is contacted to let them know the decision.
  6. Payment
    • If applicable, the check is mailed along with a cover letter to the vendor with all of the pertinent information as soon as possible.
    • Otherwise, tangible goods will be purchased by HCF for delivery to hospice patient.

WORKSHEET: TO BE DONE PRIOR TO ASSISTANCE APPLICATION

This worksheet is designed as a tool for the applicant to collect the required information from the individual/family who is applying for Financial Assistance. The information collected on this worksheet can then be used to submit the online grant application.

Worksheet as PDF

ELIGIBILITY QUIZ

If you are eligible to apply, a link will appear for you to fill out the assistance application online after completion of the quiz below.

Burial or Cremation Assistance

This type of assistance supports requests from individuals for expenses from qualified funeral homes, mortuaries and/or crematoriums in relation to cremation and burial expenses for hospice patients. Assistance is limited to $500.00 per request with a lifetime, family maximum of $1,000.00. Applicants must meet income criteria.

Assistance Eligibility Criteria

  1. HCF will only provide assistance to qualified organizations who have provided cremation and/or burial services for individuals who have passed away while receiving hospice care. Applicants must be deemed “in-need” which is defined as monthly expenses that exceed monthly income by $500.00 or more and having less than $500.00 in liquid assets.
  1. Maximum allowance through Hospice Care Foundation for burial and/or cremation assistance is $500.00 per family, per burial/cremation, per person who has passed away. Maximum family lifetime limit is $1,000.00.
  1. HCF will only reimburse for the actual costs of cremation and burial including transportation of the body, preparing the body (including embalming), staffing costs, etc. HCF will not reimburse for costs of the funeral services, coffin, plot or obituary as these costs can be selective/elective.
  1. Additional supporting documentation will be requested by the Assistance Officer including but not limited to:
    1. Copy of unpaid, itemized bill.
    2. List of other financial resources sought and outcome.

The Fine Print

  1. The hospice benefit covers all care related to the terminal diagnosis. Hospice Care Foundation cannot pay for expenses that the hospice agency is legally responsible to cover under the benefit reimbursement.
  2. Burial/Cremation Assistance checks will be made only to a qualified mortuary, crematory and/or funeral home.
  3. Burial/Cremation Assistance can be awarded only if the family or company requesting funding has exhausted all other alternative funding sources. These sources may include, but are not limited to: city, state, and/or governmental funding; private pay; life insurance allocation; asset sales or financial gifts to surviving family members.
  4. Hospice Care Foundation will not make checks out to individuals.
  5. HCF complies with all HIPAA regulations regarding confidentiality as well as all federal and state regulations regarding record retention.

WORKSHEET: TO BE DONE PRIOR TO ASSISTANCE APPLICATION

This worksheet is designed as a tool for the applicant to collect the required information from the individual/family who is applying for Burial/Cremation Assistance. The information collected on this worksheet can then be used to submit the online grant application.

Worksheet as PDF

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