Hospital Grant for Mortgage or Insurance Program Participants

Union Plus Hardship Assistance

Benefit Description

$1,000 grant for Union Plus Mortgage or Union Plus Life or Accident Insurance customers to assist in paying for large, out-of-pocket hospital expenses based on eligibility below.
Requirements

  1. You must be a participant in at least one of the following programs for the amount of time specified below and your account or policy must be in good standing:
     
    • Union Plus Mortgage - for at least 12 months
    • Union Plus Life or Accident Insurance - for at least 12 months
  2. You must complete the required application and provide documentation that you or a member of your household had unreimbursed hospital expenses that:
     
    • Are associated with a hospitalization event(s) that took place during the 12 month period prior to the date that you submit an application for a Hospital Grant; and
    • Are equal to 10% of your annual household income.
  3. You must provide documentation of your annual household income by supplying your most recent W-2 Forms or pay stubs covering the applicable period.
     
  4. You must provide the applicable hospital and insurance statements that document:
     
    • The dates and charges for the hospitalization ("Hospital Charges")
    • The amount of the Hospital Charges covered by insurance; and
    • The amount of Hospital Charges for which the patient was financially responsible.
  5. You may only receive one Hospital Grant for any one Union Plus Mortgage or Union Plus Life/Accident Insurance account.
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 your annual household income.
 How to Apply
  1. Collect and copy the required documentation:
     
    • Documentation for your income (tax return(s) or W-2s for your household members for the 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 Hospital Grant Form.
     
  3. Print your confirmation email, sign and mail all required documentation to:

    ATTN: Union Plus Hospital Grants
    Union Plus
    1100 1st Street, NE, Suite 850
    Washington, DC 20002
     
  4. If you choose, you may also scan and email your documents to grants@unionplus.org or fax them to our secure fax line at 866-488-5561. However, please be sure to include the application with the documentation. Cellphone photos of documents are discouraged.
     
  5. Please allow 6-8 weeks for application processing.  You will notified by mail when your application has been approved or denied.
Questions

Please visit our Union Plus Grants FAQ. Please send additional questions to grants@unionplus.org.

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