Passing this eligibility test only means you may be
 eligible to apply for assistance.  
It does not mean that you are approved for assistance!

We are currently only accepting applications for children with type 1 diabetes who do have not insurance or whose insurance does not cover diabetes care.

Diabetes Assistance Program Eligibility Test

YOU MUST HAVE TYPE 1 DIABETES OR BE INSULIN DEPENDENT FOR ANOTHER
MEDICAL REASON TO BE ELIGIBLE FOR ASSISTANCE FROM US.

If you cannot answer "Yes" to at least one of the questions below, you are not eligible for our services.

 

1.  Are you applying for a dependent child under the age of 18 and who does not have insurance coverage for diabetes care or an insulin pump?  

       

OR

2.  Are you applying for a dependent child age 18-20, who attends college full-time and you does not have insurance coverage for diabetes care or an insulin pump?   (Full-time" means a student enrolled in a college or university  taking 9 or more credits per semester.)

       

       

OR

3.  Are you applying for yourself, age 18-20, a full-time college student and you do not have insurance coverage for diabetes care or an insulin pump?   ("Full-time" means a student enrolled in a college or university  taking 9 or more credits per semester.)