Directions for Completing and
Submitting an Application Requesting Assistance for Surgery
No after-the-fact cases will be accepted.
The sponsoring club will pay for any examinations.
The Foundation will pay up to the amounts approved.
The Medical Agencies will bill the State Projects Chairperson. The District Chairperson will provide this information to the agencies at the time of approval.
When you receive a request for financial assistance for surgery, complete the Eligibility Application for Financial Assistance form in full, with necessary signatures, using the Poverty Level Schedule as a guideline. At the Foundation meeting on August 7, 2005, it was voted to once again provide bilateral cataract surgical procedures if other sources of financial assistance to pay for one eye are denied (DBS - Vocational Rehab - Knights Templar - Eye Care America, etc.).
If the patient is of working age and not on Medicare, they must apply for assistance from the Division of Blind Services and Vocational Rehab before coming to the Foundation. If they are denied assistance from DBS or Voc Rehab have them get a letter stating the reason and submit it with the application.
Your club's co-payment must accompany the required forms when submitting a request for assistance. Please make the check payable to: The Florida Lions Foundation for the Blind, Inc. The requested amount is $200.00
Please attach a copy of the patient's social security card or a copy of their green card if applicable to the forms.
EMERGENCY CASES:
A. Clubs with emergency cases must notify the District Projects Chairperson
immediately.
B. One-eye cataract cases are not emergency cases.
C. Esotropia, exotropia, and lazy eye are emergencies only for ages 5 and
under.
If a case is not completed within 6 months following approval it will be cancelled.
Note: Your assistance in making sure that all information needed is provided on the forms will greatly expedite the process. Please remember that it is not the responsibility of the Projects Chairperson to acquire the client's information. It is our responsibility to try to negotiate costs with medical agencies once we receive the precise procedure to be done with the code numbers and the estimated costs.
If you have any questions, please call your District Projects Chairperson. Their name and phone number is listed in your District Directory under Florida Lions Foundation for the Blind, Inc, or on this website by clicking here. The Foundation is here to assist all Lions clubs in Florida.