Chosen Grant
The Chosen Grant was created to help individuals and families financially with their infertility journey. Our ability to hand out grants depends on donations that we receive throughout the year.
IUI Grant 2024 - Gago Center for Fertility
Those in need of financial help with taking the next steps in their infertility treatment are welcome to apply for the Chosen Grant. All applicants must be willing and able to receive treatment through our partner, Gago Center for Fertility.
With our partnership, each grant covers the following:
Baseline Bloodwork & Ultrasounds, Sperm Wash Prep, IUI Procedure & Medications
*All additional expenses for elective services/testing, must be covered by the patient. For cycles using Donor eggs or Donor sperm, additional fees will be the responsibility of the patient.
Chosen Grant funds will NOT be paid to the applicant or his or her spouse or partner; rather funds shall be paid directly to the healthcare providers and/or pharmacies.
Chosen Grants are limited by the amount of funds received via donations and are awarded as frequently as possible. All applicants will receive an email to confirm submission of his or her application, and certain selected grant recipient(s) will be contacted by Chosen. Announcement of such selected recipient(s) will be highlighted on social media within two months following the grant submission deadline.
Applicant understands and agrees that submission of his or her application does not guarantee that he or she will be selected for a Chosen Grant.
Eligibility
Applicants must meet all the following requirements in order to be eligible for a Chosen Grant:
– Be a resident of and live in the state of Michigan or Ohio;
– Be less than 50 years of age;
– Have a diagnosis of infertility certified by a medical provider, with exception for: Applicants who are single, or part of a same sex relationship;
– Have no infertility insurance coverage or have exhausted benefits. If a patient has coverage for monitoring and/or medications, they will still be considered. Patient(s) would be responsible for any deductibles or copays;
– Must confirm financial stability, basic health insurance, adequate living arrangements, and means for child support;
– Be under the care or willing to be under the care of Gago Center for Fertility;
– Be able and willing to start treatment within 3 months following receipt of award; and
– Be willing to receive a background check.
*Record Release fee may apply at offices.
*Considered applicants may be asked for additional documentation and invited to have a consultation with RMA of Michigan prior to selection to review medical records and treatment plan in greater detail.
*Chosen Infertility Group follows all HIPAA standards, discarding all private information and materials immediately following the selection of an applicant.
* Chosen Infertility Group will be notified by Gago Center for Fertility of the outcome of the cycle.
Directions to Apply
- Download and sign Permission to Release Information Including Photographs, Videos, Audio, Electronic, or Other Media Form by clicking here
- Download and sign HIPAA Authorization Form by clicking here
- Download and sign The Chosen Grant Overview Form by clicking here
- Fill out Grant Application by clicking button below
- Complete Wedge Video Interview by clicking button below
- Have had a consult prior to grant deadline with Gago Center for Fertility