Read our frequently asked questions to get more information about Medication & Dental Assistance.
All of our programs use the income guidelines established by the government to determine eligibility for assistance. Guidelines are based on gross annual income, which means deductions, wage garnishments, and monthly expenses are not taken into account. At 200% of the poverty line for 2018, monthly and yearly income looks like this:
Yes. Our program can help with medication, medical supplies, or emergency dental assistance even if you have insurance coverage. As long as you qualify based on income (200% of the Federal Poverty Level) and live in Kosciusko County, we should be able to help.
Medication & Dental Assistance is fully funded through donations and private organizations. The K21 Health Foundation is the primary funder of the agency’s programs and operations. Medication & Dental Assistance is not a program of the government and does not receive any governmental funding.
To have accurate information for each specific program, please visit the program tab and look at the Eligibility Information. Generally, individuals who are Kosciusko County residents and have family income at or below 200% Federal Poverty Guidelines may be eligible for Medication & Dental Assistance programs. For any questions, call or visit our office to speak with a staff member to help determine if you may be eligible for one or more of our programs.
A picture ID with current living address will provide the proof we require. If your picture ID does not have your current living address, please bring a piece of mail, bill, or other professional document with such information.
Family size is determined by the number of individuals the client would claim if filing a federal tax return. Documentation of income is needed for any family member over the age of 18.
Income documentation includes, but is not limited to:
For verification of no income, a form is completed with our staff to document how you are financially supported.
To qualify for the Emergency Voucher Program, you must:
We provide two (2) types of Emergency Vouchers: Medication and Medical Supply. Individuals who qualify for the program can receive up to five (5) medication and/or five (5) medical supply vouchers. Each voucher can pay for a maximum of $100. Any cost above the voucher limit is the responsibility of the individual.
Yes. Our program can help pay for medications not covered by insurance. Additionally, we can help pay for copays.
Yes. As long as there is a prescription for the OTC medication and the purchase is made at the pharmacy counter.
The following is a list of the pharmacies that accept our vouchers. If you use a pharmacy that is not listed, you will have to transfer your script to a participating pharmacy before we could issue you a voucher.
To qualify for the Long Term Prescription Assistance, you must:
When we enroll you in the Long Term Prescription Assistance program, we first request a Medication List from your doctor(s). We use the information from that list to determine if any pharmaceutical companies offer your medications through the Long Term programs. If any of your medications qualify, we complete the application(s) for you and send all the necessary information to your doctor to sign and submit to the pharmaceutical company.
We research your medications both by the brand and generic names. We use the NeedyMeds website, which you can access here to determine if your medication would qualify. If you need help navigating the website, call or visit our office.
Generally the process for an initial application for enrollment takes anywhere from 4-6 weeks from the time we begin researching until you receive your medication(s) in the mail. A reorder typically takes 1-3 weeks depending on the medication. We suggest you contact our office for a reorder when you begin your last 30-day supply of medication to ensure you do not run out of medication before your next supply is delivered.
Once your enrollment begins, you qualify for one (1) years’ worth of medication for free, as long as you do not obtain prescription insurance during that time. Typically in one (1) order you will receive a 90-day supply of your medication and you will be responsible for contacting our office when you need a refill for your next 90-day supply.
Individuals who qualify for the program may receive one (1) Dental Voucher per calendar year. Minors (ages 17 and younger) can receive two (2) Dental Vouchers per calendar year.
The dentist will complete a treatment plan to meet the emergency dental needs of the patient. Any other needs or services completed at the time of treatment or scheduled thereafter could be the responsibility of the patient.
At this time, Medication & Dental Assistance is limited to covering emergency treatment services such as extractions, fillings, and root canals. We understand that routine, professional dental cleanings are an important part of your oral health; however, we are unable to help pay for these services. Similarly, Medication & Dental Assistance does not fund fluoride treatments, sealants, caps/crowns, orthodontics, or dentures due to program limitations of treating only the emergency or immediate needs.
To qualify for Dental Assistance you must:
The Dental Voucher covers the cost for the evaluation and services needed to resolve the emergency situation.
The voucher can pay for up to four (4) extractions, or four (4) fillings, or one (1) root canal; however, the treatment completed is up to the dentist and is limited only to the emergency need.
Any child who is in 3rd grade or younger would qualify for a free dental examination and necessary treatment. If the child is eligible for free or reduced price lunch, or has family income at or below 200% Federal Poverty Level would qualify. Medication & Dental Assistance will make every attempt to serve a child, regardless of age or grade, to meet his/her emergency dental need.
The voucher will cover the cost of the examination which may include an oral evaluation, x-rays, and treatment planning. Treatment planning is up to the discretion of the dentist. Vouchers will cover the cost of extraction(s), filling(s), root canal(s), and stainless steel crown(s), as specified by the dentist. The dentist can complete a full preventative exam with the voucher, which includes a professional cleaning and fluoride varnish.
The dentist will complete a treatment plan to meet the immediate needs of the patient. Anything thereafter could be the financial responsibility of the patient.
The Dental Assistance program is restricted to emergency situations, collects a $10 cash application fee, and serves adults and children 4th grade and older. Kids Smile is not limited to emergency situations, provides vouchers to include preventative dental care (i.e. cleanings, fluoride), collects no application fee, and only serves children in 3rd grade or younger.
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