Treatment Assistance Program
Project HEAL aims to help as many people as possible with their recovery. Unfortunately, our resources are limited, and we can provide treatment assistance grants to only a fraction of our hundreds of deserving applicants. To maximize the number of people who we are able to help, we are currently accepting applications from individuals who have health insurance coverage, including private health insurance through your state’s Affordable Care Act marketplace; commercial health insurance through a parent, spouse or employer; Medicaid; Medicare; and Tricare.
We understand that some people do not have health insurance. If you are currently uninsured, please complete this form before applying for a Project HEAL grant. Please let us know if you are experiencing special circumstances that require immediate attention, or if you are not qualified for Medicaid but cannot afford a policy on the open marketplace. Within a week, we will review your form and either invite you to apply for a grant or connect you to a volunteer, who will assist you with a health insurance application.
If you do not have any health insurance, we encourage you to apply for health insurance plan through your state’s Affordable Care Act marketplace or Medicaid. Medicaid covers some low-income people, families and children; pregnant women; the elderly; and people with disabilities.
If you need help with your Medicaid application, a Project HEAL volunteer may be able to assist you. Please click here to request assistance.
You will be required to upload a number of documents to your application. Before you apply for a Project HEAL treatment grant, please have the following ready:
A PDF version (both sides) of your health insurance card. A photo taken by your phone is acceptable.
Two letters of recommendation (PDFs). Ideally, at least one of those letters should be written by a provider (physician, therapist, psychiatrist, nutritionist, etc.). The letter should discuss your why your provider believes you need a certain level of care, your motivation for recovery, etc.
Two recent bank statements
Your most recent tax return
If possible, a PDF version of your health insurance benefits booklet. You can get a copy from your health insurer or your employer’s human resources representative. If you do not have a copy of your benefits booklet, you may want to request one from your insurer now. If you are among our final candidates, you will be asked to provide one.
*Tip: There are several apps that will enable you to scan documents from your phone.
Applications are accepted at any time and reviewed on a quarterly basis. Applicants who submit a complete application by the deadline should expect to hear back regarding the status of your application within 60 days from the deadline.
January 15, 2018
April 15, 2018
July 15, 2018
October 15, 2018
UCSD INTENSIVE FAMILY PROGRAM
For families of applicants under the age of 24: Project HEAL is currently collaborating with the UCSD Eating Disorders Center for Treatment and Research to offer their Intensive Family Therapy (IFT) program to adolescents and their families struggling with Anorexia Nervosa. The IFT program was designed to provide an immersion into Family Based Treatment, the gold standard of treatment for adolescents with Anorexia Nervosa. IFT is a weeklong, multifamily program, involving 35-40 hours of treatment (approximately 8 hours per day).
For more information on the adolescent IFT program, please click here.
If you are a family member of a loved one with an eating disorder, you can apply for this treatment grant below.
If you have any questions, please contact firstname.lastname@example.org.
FOR POTENTIAL TREATMENT PARTNERS
As Project HEAL continues to grow, we’ve been working to enhance our treatment grant program to help more people access resources and care. This summer, we brought on our first treatment program manager, Laurie Marie Pisciotta, who has been working with our new board member, Lisa Kantor, to help strengthen this program.
We have made many significant changes to our program with the goal of increasing access to care and continuing to provide grant recipients with excellent treatment. Here are our new guidelines.
Our first significant change to the program is asking you to treat Project Heal applicants until, in your clinical opinion, they are ready to step down to a lower level of care. Some of you know this concept as “treat to outcome.” We believe strongly that in order to give patients the best chance of success in recovery, providers need to treat patients to a level where they feel confident stepping them down. This process relies on clinical expertise, and should not be guided by insurance decisions.
Project HEAL aims to increase the number of people served. To this end, our Treatment Assistance Program will maximize health insurance utilization as much as possible. We ask that our treatment partners offer donated care to one (1) Project HEAL grant recipient per year. We have learned that we can help the majority of applicants to access care by utilizing insurance as much as possible; the problem occurs in the midst of treatment when insurance decides to stop paying. This sets off a vicious cycle, where patients are discharged before they are ready, leading to relapse.
We ask that you treat to outcome while Project HEAL works to utilize the grant recipient’s health insurance coverage through pre-authorization forms, appeals, and single case agreements. If our attempts to utilize insurance fail, Project HEAL, the treatment provider, and Kantor & Kantor will collaboratively assess the case and decide if pursuing litigation is appropriate. If litigation is successful, and we are able to recover costs from the insurance company, the treatment provider will receive a partial or full reimbursement for the treatment provided to our grant recipient.
We also ask our treatment center partners to work more closely with us towards our ultimate goal to reform the coverage system. This will require participating in regular insurance utilization calls with Project HEAL, submitting post service claims when a client is denied treatment, and sharing copies of treatment denial letters, peer to peer reviews, and any appeals that you have submitted.
If you are interested in partnering with us, please email Laurie@theprojectheal.org.