Finances

Families of children with hemiplegia often experience financial challenges. Some of these challenges include:  no or inadequate insurance coverage, insurance coverage with high co-pays and deductibles,  not qualifying for government assistance because they make just a little too much money, limited number of therapy visits, loss of income due to therapy and doctor visits, and loss of income when one parent stays home to care for their child.  The information provided below will help you explore insurance and government benefit options.  Your child may also benefit from a special needs trust which may allow your child to qualify for special benefits and programs while still maintaining a good quality of life.

Private Insurance

Insurance Information (PDF)-  an informative page written by a CHASA volunteer

Special Hospitals

Shriners Hospital for Children – Various locations across US. Provides orthopedic services, often at no cost.

Texas Scottish Rite Hospital – Texas Scottish Rite Hospital for Children provides care for orthopedic patients who may have related neurological disorders and neuromuscular diseases. Because a physical orthopedic condition can be related to another condition or underlying disorder, TSRHC offers other medical services to its orthopedic patients. Visits, procedures, surgeries, orthotics, and other medical needs often provided at no cost and not usually based on income.

Government Programs

CHASA Medicaid Waiver Fact Sheet

Medicaid Waiver Program – federal information on the Medicaid waiver program. This program is NOT based on parent income. It is based on the child’s income and many children with hemiplegic cerebral palsy will qualify. These programs may pay for special therapies, medical co-pays and medication, transportation to medical visits, attendant care, respite, home adaptations, and a variety of services your child with hemiplegia may need. Some states have very long waiting lists, so even if you do not believe your child currently needs services, we recommend that you add their name to the waiting list and evaluate your child’s situation when they become eligible for the program. Sometimes it’s difficult to even find the page that explains how to apply for this program. Try searching for: Medicaid Waiver and the name of your state.

Every parent of a child with special needs should read this fact sheet www.InsureKidsNow.gov

These following services vary from state to state:

Special Needs Trust

A  major concern for families of children with hemiplegia is how to best fund the child’s long-term personal and financial needs in a manner that will provide them with a fulfilling lifestyle.  Some families choose to set up a “Special Needs Trust.”

Other Resources for Families of Children with Hemiplegia

2-1-1 Information and Referral Call Centers - call for help with food, housing, employment, health care, counseling, and more
UnitedHealthcare Children’s Foundation – medical grants
Variety the Children’s Charity – assistance to children with mobility concerns
Disabled Children’s Relief Fund
Partnership for Prescription Assistance
UCP Bellows Fund
– funds for assistive technology equipment
College Scholarships and Financial Aid
Directory of State Insurance Departments
Finding Insurance Options
The Special Needs Trust
: an informative article on KidSource.com (last updated 2000, so information may be dated)

Financial Cost of Pediatric Stroke

The 5-Year Direct Medical Cost of Neonatal and Childhood Stroke in a Population-Based Cohort
The Cost of Pediatric Stroke Acute Care in the United States
Cost of Raising a Child with Special Needs:  Where Does Your State Rank?