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Medication Administration Fundraiser

 

 

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Mammography Fund

CROSS PETROLEUM MAMMOGRAPHY FUND

The Fairchild Medical Center Foundation is grateful to Cross Petroleum for providing this valuable service to the women in our community.

The Cross Petroleum Mammography Fund provides limited payments for mammography screening. These monies are to be used by women who do not qualify for other financial aide programs due to age, medical history, uninsured, underinsured or are without sufficient funds to cover the services.

This fund is sponsored and supported by Cross Petroleum in cooperation with Fairchild Medical Center and Radiologists Dr. Gary Wade and Dr. Michael Maloney.

 

 

Criteria

• A formal referral for services must be initiated by the patient’s physician.
• Patient must have household income at or below 200% of the Federal poverty level and be:
1. Uninsured - Defined as without public or private insurance coverage
2. Underinsured
    - Patient has only Medicare part A
    - Patient has Medi-Cal with benefit restrictions or
    -Medi-Cal with an unmet share of cost
    -Patient has private insurance with barriers such as restricted benefits, deductibles, or co-payments.
        (May include Medicare parts A & B if client cannot afford co-pay).
3. Mammogram screening must be done at Fairchild Medical Center.
4. All patients must reside in Siskiyou County.

Procedure

A referral for services must be initiated by the patient’s physician to Fairchild Medical Center. Upon completion of the Cross Petroleum Mammography Fund application form, Fairchild Medical Center will review patient income and establish eligibility for the Mammography Program. Fairchild Medical Center assumes no responsibility in validating accuracy or reported income by patient. Subsequent payment processing is handled by Susan Ikenberry, Fund Development Director for Fairchild Medical Center Foundation.
 

For more info Contact Susan Ikenberry @

 

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