Benefit Description

$1,000 grants to assist in paying for large, out-of-pocket hospital expenses for union members, your spouses or dependent household members.

Requirements

1. You must be a union member or union retiree.
2. You must be a participant in at least one of the following programs for at least one year and your account or policy must be in good standing:
   
   
   • Union Plus Credit Card
   • Union Plus Mortgage
   • Union Plus Life or Accident Insurance
3. You, your spouse or your dependent household member must have had unreimbursed hospital expenses related to an event resulting in hospitalization that occurred within 12 months prior to your application.
4. Your out-of-pocket hospital expenses (after insurance) must be equal to or more than 10% of your household income.
5. Lifetime limit: one $1,000 hospital care grant per household

Eligible hospital expenses:

• When you calculate your out-of-pocket hospital expenses, you may include the insurance deductibles, any hospital charges, physician charges, medications and other medical expenses incurred during the hospitalization.
• Include only those hospital expenses related to an event resulting in hospitalization that occurred within 12 months prior to your application.
• Do not include expenses that were covered by your (or your spouse/dependent’s) health insurance.
• Do not include expenses from care before or after the time of hospitalization.
• Unreimbursed expenses must total at least 10% of household’s gross income.

How to apply

1. Collect the following:
   
   
   • Documentation for household income (tax return(s) or W-2s for your household members for last year)
   • Hospital bills, insurance Explanation of Benefit (EOB) forms. Make sure you have documentation for all periods of hospitalization and explanation of insurance benefits for all coverage you received.
2. Complete the online application form.

Print the online application PDF, sign and mail all required documentation to:

ATTN: Union SAFE Hospital Care Grants
Union Privilege
1100 1st Street, NE, Suite 850
Washington, DC 20002

3. Please allow 4-5 weeks for application processing.  You will notified by mail when your application has been approved or denied.