Please fill out the simple form below and we'll tell you what programs you qualify for.

Is the account holder 62 years or older?
영구적으로 사용 중지되었나요?
본인 또는 가족 구성원 중 집에 생명 유지 장치가 있나요?
Some examples of eligible life support devices are
  • Aerosol Tents
  • Apnea Monitors
  • Breather Machines (IPPB)
  • Compressors / Concentrators
  • Dialysis Machines
  • Electronic Nerve Stimulators
  • Electrostatic Nebulizers
  • Hemodialysis Machines
  • Inhalation Pulmonary Pressure Devices
  • Iron Lungs
  • Motorized Wheelchairs
  • Oxygen Generators
  • Pressure Pads
  • Respirators 
  • Suction Machines
  • Ultrasonic Nebulizers
  • If you use a life support device not listed above, you may still be eligible.
가족 구성원 중 한 명이 생명을 위협하는 질병으로 치료를 받고 있나요?
보안 문자