Breast Healthcare Fund Grant

Focus Area: Breast healthcare assistance

Program Overview: The Breast Healthcare Fund provides grants to individuals for breast healthcare services.

Eligibility Requirements:

• Must be uninsured or underinsured for medical/healthcare services
• Applicants must meet income and coverage requirements as determined by the foundation

Geographic Scope: Lane County, Kansas area

Language: Applications available in English and Spanish

Application Process

Required Information:

1. Personal Information:
   • First Name
   • Last Name
   • Email
   • Phone
   • Address (Country, Address Line 1, Address Line 2, City, State, ZIP Code)
2. Additional Information:
   • Date of Birth
   • Sex (Male/Female)
   • Insurance status (Yes/No)
   • If insured, insurance carrier name
   • Reason for applying
3. Declaration:
   • Applicant must declare that the individual has no medical insurance or is underinsured
   • Applicant must certify that information provided is true and complete
   • Applicant must agree to all terms by checking declaration box

Submission: Online application form

Languages: English and Spanish versions available