Ensure that your dental condition falls within the specified conditions covered by the grant, including disease control, functional compromise, and/or esthetic embarrassment.
Submit a comprehensive application that includes:
> Personal Information: Full name, contact details, and relevant demographic information
> Dental Condition Details: Clearly outline how your dental condition meets the specified criteria for the grant.
> Procedure Request: Specify the procedures you seek coverage for, ensuring they align with the grant's covered procedures.
Include the following supporting documents:
> Dental Records: Provide relevant dental records that substantiate the need for the specified procedures.
> Treatment Plan: Include a treatment plan from a qualified dental professional detailing the recommended procedures.
> Financial Documentation: Submit proof of financial need, such as income statements or tax returns.
The Grant Approval Board will review applications and assess eligibility based on the specified criteria. Ensure that all information provided is accurate and complete.
The Grant Approval Board will determine the level of the grant award based on the severity of the dental condition and the proposed procedures. Grant amounts may range up to $5,000.
If approved, the grant award will be kept in escrow before distribution directly to the dental service provider. The funds can only be used for the specified covered procedures.
Ensure that your requested procedures are not within the list of non-covered procedures, including tooth whitening, ceramic veneers, cosmetic fillings, gold and ceramic inlays, night guards, sleep appliances, orthodontics, and any elective procedures by the grant approval board.
Grants may be awarded in any amount up to $5,000. Each applicant is eligible for a maximum grant of $5,000 for their lifetime. The Grant Approval Board will determine the final grant amount by assessing the dental condition and proposed procedures.
For any inquiries or additional information, email the Dental Care Grant administration.