Financial Aid – Not Working

financial aid

Making treatment affordable

Hasidah’s IVF Grant cycle is open

If you are considering applying, read the FAQ first

FAQ's

Read this before applying!

CheckList

for applying

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Financial Resoruces

Want to know if you would be eligible for an IVF grant? Most criteria are outlined on the FAQ page.

FAQ

FAQ's

FREQUENTLY ASKED QUESTIONS FOR HASIDAH GRANTS – FAQ

Your fertility journey is very important and that looking for financial is yet another task you did not plan on the road to parenthood. To help make the best use of your time and efforts, PLEASE READ THE financial assistance FAQ page FIRST. It answers all he questions we get asked and some questions we wished you asked. If you have more questions please please ask!

After reading the fine print, prepare so you can carefully and completely answer all questions. Applications are reviewed by volunteers and they cannot edit or correct applications.  Applications that are incomplete or incorrectly completed may not be considered.

CHECK LIST

CHECK LIST FOR APPLYING

Use the checklist below to ensure you have all the documents and information you will need to complete the application. A sample application* is also available for you to get an idea of the information requested on the online application. It is NOT the actual application and questions will vary.

  • A personal statement – read the instructions and take time to write this thoughtfully!
  • Reference letter(s) – not required but strongly recommended
  • The last two IRS returns for both applicants (and/or joint filing)
  • The two most recent pay stubs for both applicants
  • A copy of both sides of your insurance cards (both applicants if different)
  • A completed Financial Worksheet*
  • A Doctor Referral Form* This is to be completed entirely by the doctor providing the IVF. Leave nothing blank (put in N/A or 0). Please make sure this is legible and  provides clear explanations.
  • If you are utilize TESE or surrogacy, please include forms and  information in the medical file upload.
  • A copy of a signed Clinic Release of Information Form from your clinic. In order for anyone at Hasidah order to speak to your clinic, you have to give permission. Your clinic will provide you a form to make this possible. Please submit a copy of your completed form.
  • Do NOT send us your medical record files.
  • Please note there is a $50 application fee.
  • You will be asked to sign the Authorization, Informed Consent and Release Form* as part of your application.
Print out of Checklist
Sample Application Form
Hasidah Consent form (Do not submit, Reference only)

Forms >>>

Financial Form

Keep as .xls file

Doctor Referral Form
Male Medical Referral Form

For TESE only

Hasidah grant recipients benefit from discounts at the follow partner clinics

MORE RESOURCES

ADDITIONAL FINANCIAL RESOURCES

26 WAYS TO FUND FERTILITY TREATMENTS​ (Download)

Please note that most fertility preservation programs are tied to cancer treatment or other medical conditions.

  • TheChickMission –  cancer related fertility preservation assistance  through direct financial support and educational programs.
  • LiveStrongFertility – Discounted Services for patients undergoing cancer treatment
  • HeartBeatProgram– Pharmaceutical Discounts
  • SAMFund – twice a year through grants in two categories: Financial Assistance Grants and Family Building Grants.
  • Verna’s Purse – Financial assistance for fertility preservation.
  • WorthTheWait – preservation and treatment for people affected by cancer.

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