Financial Support

Diagnosis and treatment of heart defects are costly. Families may need help paying for these services. The state of Pennsylvania provides medical coverage to all disabled children (up to age 21) living in the state. Eligibility does not depend on family income or insurance coverage. All families whose children have significant heart disease should apply. Your cardiologist can tell you if your child has significant heart disease. The hospital financial interviewer’s office will assist you with the application. Even infants and children (up to age 21) without significant heart disease may be eligible for the Pennsylvania State Children’s Cardiac Program if they do not qualify for any of the state-funded HMO plans. The amount of financial assistance a family is entitled to from this program depends on their financial status and other insurance coverage. Public health nurses can furnish additional information about the program and assist you in applying for it. Other people at Children’s Hospital who can help you answer financial questions include the billing clerks in the Heart Institute or the Patient Accounting Department.

If a family has no medical insurance, their children may be eligible for state-funded HMO programs. In addition, programs for special aid can be accessed by asking the social worker or other hospital staff.

Children with severe and disabling cardiac conditions are eligible for a federal government program called Supplemental Security Income (SSI). This provides a monthly stipend and state-funded health care that is dependent on family income. Application for this funding can be made through the Social Security Office.

Finally, getting the most coverage from your private health insurance is important. The Heart Institute social worker/patient care coordinator can help you appeal insurance decisions if payment for treatment/procedures is denied.