Eligible Expenses
Eligible residents may apply for funds from the Organ Transplant Fund to cover medical, rehabilitation or other costs deemed necessary to maintain the transplant recipient’s health and organ function. Recipients may use funds to cover the following out-of-pocket costs or partial costs of:

  • transplant related drugs,
  • health insurance premiums,
  • medical co-pays,
  • transportation to medical and post-operative appointments.

Eligible residents may not use funds from the Organ Transplant Fund to pay for items or expenses covered by government programs (such as ESRD Program or Medicare), their public or private insurance or other reimbursement program. Eligibility requirements are subject to change and changes will be posted on this site.

 

Annual Application Process
Eligible residents are encouraged to apply and should complete the Massachusetts Organ Transplant Fund Application Form each year.  The Application will be used to determine if residents meet the medical and financial eligibility requirements.  If a transplant recipient’s application is accepted, information on how to submit receipts for reimbursement will be provided.  Residents applying for funding must include the following in their application packet:

  • Massachusetts Organ Transplant Fund Application Form (PDF) | (DOCX)

The application is used to determine medical and financial eligibility.

 

Applications must include the following:

  • The completed application form
  • A signed letter from the established transplant center, or current physician overseeing direct care related to the transplant. The letter should include:
    • Patient’s diagnosis
    • Patient’s status
    • Patient’s current level of activity
  • A copy of most recent Massachusetts and Federal Income Tax Returns
  • A copy of the Schedule HC (health insurance verification form)

NOTE:  ALL IDENTIFYING NUMBERS (SUCH AS SOCIAL SECURITY NUMBERS) SHOULD BE BLACKED OUT FROM ALL FORMS BEFORE SUBMISSION.

Information on how to submit receipts will be provided after an application has been accepted and approved.

Submission
Mail completed application form along with required documentation to:
New England Donor Services
Attention: Organ Transplant Fund
60 1st Avenue
Waltham, MA 02451

Or scan and email the application and required documentation to MassOTF@NEDS.org