This $200,000 medical emergency fund has been established to assist full-time graduate students who have significant financial hardship caused by unusually large medical expenses. These medical expenses must be of a clear medical necessity, not fully covered by the student's health insurance, and for which no other financial recourse is available.
Application Process
Eligibility:
In order to be considered under this program, you must meet all of the following criteria:
- You are currently a full-time graduate student at New York University;
- You are currently insured under a health insurance plan;
- You have incurred unusually large medical expenses since September 1, 2008 relating to a catastrophic, acute or chronic illness or injury;
- You have exhausted insurance and other financial resources and have unpaid medical expenses that have caused you a financial hardship.
- You have not submitted a previous application within the current Fund Year.
- Patient Rights and Responsibilities
- Medical Records
- Patient Feedback
Process:
- Obtain the required application forms (both forms must be submitted):
Download the application forms here:
- Application for Medical Emergency Funding (PDF)
- HIPAA Compliant Authorization for Release of Medical Information and Confidential HIV-Related Information (PDF)
Pick up the application forms at the Student Health Center, Patient Accounts, 726 Broadway, Room 457a.
Request that the application forms be mailed to you by calling the Student Health Center, Patient Accounts office at 212-443-1010.
- Complete the application forms and include the following attachments*: (All attachments must be in English or accompanied by an English translation.)
* It may be necessary to review your University Financial Aid file to further assist you.
- All itemized bills related to your medical care;
- Evidence of payments made either by you, your insurance company, or other parties;
- Documentation of other financial resources pursued to resolve medical expenses;
- Fully executed medical release form;
- Documentation of any insurance appeals;
- A letter from your physician attesting to the medical necessity of your treatment.
- Submit your application and make an appointment with a Medical Financial Counselor:
During your appointment, you and the Medical Financial Counselor will review your application. The Medical Financial Counselor may request that you provide additional documentation to complete your application, as well as identify additional sources of funding and help you in seeking that assistance. Based on the information you provide, the Medical Financial Counselor may decide to do one or more of the following:- Work with your insurance company to ensure that your claims are processed accurately;
- Work with your medical providers to ensure that you were billed accurately;
- Identify and assist you in applying for public assistance and/or pharmaceutical assistance programs or any other programs for which you may be eligible;
- Assist you in applying for financial assistance programs available through NYU's Financial Aid Office.
The Medical Emergency Fund is a fund of last resort. If, after working with the resources outlined above, the Medical Financial Counselor is unable to assist you in resolving your medical expenses, your application will be forwarded to the Executive Administrator of the Fund who will present your application to the Fund Committee for consideration.
- Keep a copy:
Make a copy of your application and its attachments. - Award determination:
The Medical Emergency Fund committee will meet quarterly to review all application submissions. The committee will grant awards based on the student's situation, financial need and availability of funds. Awards generally will range from $5,000 to $10,000. Awards are granted four times a year based on the following schedule: - Award notification:
Upon determination of an award, the Executive Administrator will contact you in writing indicating the amount of the award that you have been granted. Payment will be issued directly to you by the University. - Tax liability:
There is expected to be no tax to the Graduate Students under Section 104(a)(3) of the Internal Revenue Code, which covers arrangements having the effect of accident and health insurance. In addition, there should be no tax to foreign students on receipt of these reimbursement payments, as they should have no greater liability to the IRS than U.S. taxpayers.
| Applications received by: | Will be awarded on or about: |
| December 15 | January 15 |
| March 15 | April 15 |
| June 15 | July 15 |
| September 15 | October 15 |