CRITERIA
• Recipient can be either an adult or child.
• Recipient (or Recipient's guardian) must be uninsured, unable to pay at the time of needed services, and must fall at or below 185 percent of the annual published U.S. Poverty Income Guidelines. Also, a person or certain family members who participate in other benefit programs such as the Supplemental Nutrition Assistance program, medicare/Medicaid, or Temporary Assistance For Needy Families will meet the eligibility requirement.
• Recipient must be experiencing pain and suffering and/or experiencing health threatening dental infections.
• Recipient must be examined by a licensed dentist.
• Diagnosis must be made requiring the removal of an infected tooth or teeth.*
• Recipient must sign a release allowing the treating dentist to show proof of the dental condition in order for the dentist to be reimbursed.
*Financial assistance extends to certain basic services needed to diagnose a necessary tooth extraction(s). These basic services include an initial office visit and certain x-rays needed to diagnose the need for a tooth extraction.
Disbursement of Funds
• Dentist will be eligible for reimbursement for tooth extraction(s).
• Actual amount of reimbursement will be based on reasonable and customary charges in the area.
• Dental Angel Fund Foundation will pre-qualify fund recipients and send all reimbursements for services directly to the treating dentist.
• Dentist must submit proof or verification of recipient's dental condition.