In order to be eligible for VAKKAS’ services, you must submit the following documents to VAKKAS P.O. Box 8313:
(1) A copy of your financial eligibility determination letter by your 501(c) (3) Hospital in line with the Patient Financial Assistance Policy, PFAP. (Please see alternative documentation below if your hospital is NOT a 501(c)(3) Hospital).
(2) A copy of your hospital statement which shows the outstanding balance for your treatment after all insurance, gifts, charity assistance are taken into account. The amount shown must match the amount you indicated on your online pre-registration form.
(3) If you are receiving treatment at a non a 501(c)(3) Hospital, then you must provide in lieu of (1) above, a written and signed statement from the Financial Counselor or the Billing Department of your Hospital that you are being charged industry-negotiated rates and/or are receiving a self-pay discount. You must still provide (2) above.
(4) If you are diagnosed with an illness other than cancer, then you must provide in addition to (1) and (2), and (3) if applicable, a written and signed statement from your main hospital physician that “you are diagnosed with and are being treated for a "catastrophic illness"
Please remember that VAKKAS donations are only sent to the qualified and financial aid eligible patients` Hospital Accounts uniquely for help with their treatment cost not covered by insurance and other gifts.