KIDNEY FOUNDATION OF MEDINA COUNTY PROGRAM POLICIES
The Kidney Foundation of Medina County may assist individuals in paying for medications prescribed as a result of their kidney disease and may reimburse kidney patients for transportation to and from Dialysis Centers for treatment associated with kidney disease. YOU MUST AGREE TO NOTIFY THE KIDNEY FOUNDATION OF ANY CHANGE IN PHONE NUMBER OR ADDRESS. Failure to do so may result in an interruption or discontinuation of assistance.
It is the policy of the Kidney Foundation of Medina County to provide services without discrimination based upon race, gender, sexual orientation, creed, disability, religion, color or national origin.
WHO IS ELIGIBLE? Any kidney patient residing in Medina County, Ohio is eligible to apply for assistance from the Kidney Foundation of Medina County. Determination will be made based on financial need of the resident. Families with incomes below 200 % of Federal Poverty Guidelines will be given first priority.
HOW DO I APPLY? Completed application, signed by your physician (for Medication Assistance) and your social worker should be sent to the Kidney Foundation of Medina County. Applications may be submitted at any time. Incomplete applications will not be accepted, and will be returned to the applicant.
ALL FINANCIAL ASSISTANCE IS BASED ON AVAILABLE FUNDING
PATIENT MEDICATION ASSISTANCE POLICY
WHAT MEDICATIONS ARE COVERED? The Foundation maintains an approved list of medications generally prescribed for kidney patients. The Foundation will only pay for medications which appear on this list and only generic equivalents, if available. You will be asked to pay the difference between the generic and the brand name.
Patients who are covered by Medicare or private insurance programs MUST use the benefits these programs provide in paying for their medications. The Foundation will cover only those medications NOT covered elsewhere. If insurance covers a portion of the cost of patient medications, the Foundation may be able to assist in paying for premiums. Include your insurance name, address, policy number and premium amount on your application.
HOW DOES THE PROGRAM WORK? Based on your completed application, determination will be made for each grant amount, and you will be notified by mail. One Buehler’s Pharmacy (Brunswick, Forest Meadows, River Styx, Wadsworth or Wooster) will be authorized to fill your prescriptions and the bill will be sent to the Foundation (you MUST indicate your preferred pharmacy on your application). You will receive a statement listing the medications charged to your grant. If your grant runs out, you are required to submit a copy of documentation of income (a pay stub, letter from Social Security or a recent 1040). Funds remaining at the end of the year cannot be carried over to the following year. A new application must be on file by December 20, to insure that a new grant is in place by January 1.
Please call the Kidney Foundation of Medina County for more information,
(330) 722-9300 X 204
232 Northland Drive – Medina, Ohio 44256-1533