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| Insulin Pumps for Underinsured Mellitus Patients (IPUMP) |
General Eligibility
To qualify for a free, refurbished insulin pump you must have diabetes, legally reside in the United States, and:
- Submit a doctor's prescription for an insulin pump;
- Have no insurance coverage for an insulin pump; and
- Have satisfactorily demonstrated other reasons for financial hardship, and
- All applicants must show that they will be able to afford pump supplies.
About the program
This program assists qualifying persons of any age with assistance in obtaining a recertified insulin pump. This program requires participation from your doctor. We will not work with anyone who does not have a doctor that has prescribed a pump. Under this program we do not reimburse for expenses already incurred or provide cash assistance to help with a co-pay for a pump. We will not help you purchase or obtain an insulin pump through the Internet, private sale, or any other means.
To qualify you will have to show financial hardship AND how you will pay for the pump supplies on your own. If you are approved to for a free pump you need to know the following:
- All free pumps that we send have been previously used. Pumps are donated to us and we then have them recertified (that means we send them to the pump company who made them and have them checked out and repaired if necessary). Sometimes, a pump company will choose to upgrade the pump for free.
- The recertification fee for a used pump is $200.00. You will need to pay this fee prior to a pump being sent you. You do NOT have to pay this fee to apply for a free pump -- this fee is only due if you are approved and we have a specific pump for you. Do NOT send money with your application. In some cases, a pump company will recertify your pump for free. If we do not have to pay a fee, neither do you.
- We will not send a pump directly to you. All pumps must be sent to a doctor, CDE, or your local insulin pump representative. Under no circumstances can we send a pump directly to a client. All pump training, maintenance and any future repairs of the pump will be your sole responsibility.
About Recertified Pump Warranties
Some pumps donated to us are about four years old, however, many pumps we receive are 1-2 years old and still under warranty. Insulin pump companies often choose to upgrade pumps for free. Any pump you receive will have been sent to the manufacturer just prior to it being placed with you to be checked, service, and recertified. Federal law prohobits the transfer of warranties on medical devices. Original pump warranties are not transferrable to you. In most cases, the pump company will offer a limited warranty for free, and allow the new pump user to purchase an extended warranty. The purchase of any additional warranties are the sole responsibility of the person who gets the pump and not iPump's responsibilitiy.
See what pumps may be available
Download and Print The Application
Print COMPLETE APPLICATION in one .pdf file.
You can also print individual files but you MUST print and complete all these forms to apply:
- Application Checklist
- HIPAA Consent Form
- Assistance Application
- Attachment 3 - IPUMP Disclaimer & Waiver
We Cannot Mail You an Application
Due to severe budget restrictions, we are no longer able to mail applications. If you do not have a printer, please visit your local library or have a friend or relative print an application for you. Your doctor's office might even be willing to print one for you.
We regret this inconvenience but were spending an average of $200 per month mailing applications and need to preserve our funds for direct assistance programs.
Social workers and agencies - we will NOT send applications to your own clients/patients on your behalf. If you have someone you are working with, you need to print the application for them. We were receiving many requests from social workers to mail applications only to have the applications returned to us as a bad address. This is very costly to our organization. We ask now that you print the applications and give them to your clients (or mail them, if necessary).
Disclaimer: Submitting an application is not a promise or guarantee by iPump.org, Inc. that an applicant will be approved. Our ability to help others is restricted by available program funding at any give time. Applications are reviewed by iPump.org's Program Director and approved by the board of directors based upon eligibility, need and individual program funding availability. We offer no promises or guarantee that we can meet the needs of all applicants but we try to help as best we can.
We do not reimburse for expenses you have already incurred.
We will not purchase pumps or pump supplies for you.
We will not make your co-pays for you.
We will not send send pumps directly to you under any circumstance. Pumps will be delivered by the manufacturer or to your doctor for safety and training purposes.
We will NOT be supplying you with free insulin pump supplies.
Recommended reading before you apply
What type of assistance does iPump offer?
Three Important Ways Clients Can Help Us!
Many of our clients ask how they can ever repay us for helping them. There is no need to repay us for our help ... it's what we are happy and able to do thanks to our generous donors.
But if you want to help tjere are two things you can do for free that really make a difference:
1. Use Goodsearch.com and Goodshop.com when you use the Internet. There is no cost to you at all and when you select iPump.org as your charity of choice you can raise money for us simply by surfing the net.
2. Visit our new blog and simply post a note of thanks or tell others how we helped. While donors give without expecting anything in return it is always nice for them to be able to read personal notes from people that their contributions helped.
3. Tell your employer about iPump. Because we are a 501(c)(3) nonprofit we can get matching grants for anyone else who donates through your employer.
Other Resources
There are other organizations and assistance programs that may be able to help you with the purchase of an insulin pump, a free pump, or with your pump, and/or diabetes supplies and insulin. Please visit the following links to look for other program resources:
Medicare Coverage of Insulin Pumps
