12VAC30-150-40: Eligibility criteria

An individual is eligible to receive Uninsured Medical Catastrophe Funds for the period of time that he:

1. Is a citizen of the United States or a legally resident alien;

2. Is a resident of the Commonwealth (eligibility will end if the recipient is no longer a resident);

3. Has a gross income equal to or less than 300% of the current federal nonfarm poverty income guidelines;

4. Has a life-threatening illness or injury;

5. Is uninsured for the needed treatment on the date of application and is not eligible for coverage for the needed treatment through private insurance or federal, state, or local government medical assistance programs. If an individual becomes insured for the needed treatment after the date of application, the UMCF will only pay for services not otherwise covered by the existing insurance.