Bismarck Sertoma Speech and Hearing Assistance Donation Guidelines

HEARING

  • No formal income guidelines
  • Completion of Financial Application Form
  • Explanation of Insurance amount
    • Request of monetary amount
  • Payment must be Medicaid pricing

SPEECH THERAPY

  • NO INSURANCE COVERAGE
    • Child must receive speech/language therapy in the school
    • Completion of Financial Application Form
    • Explanation of Insurance Benefits
    • Referral to Scottish Rite for determine of services
    • Payment must be Medicaid pricing
    • Maximum donation: $1,000.00

 

  • MEDICAL INSURANCE COVERAGE
    • Child must complete a speech/language evaluation and provide recommendations
    • Completion of Financial Application Form
    • Explanation of insurance benefits
      • submission of Explaination of Benefits (EOB) one time per month to ensure appropriate costs.
    • Maximum donation: $500.00

 

 

Speech and Hearing Assistance Form