Emergency Assistance

Myositis Support and Understanding works hard to assist our applicants in addressing their financial difficulties in a way that is fair and sensitive to their circumstances. Assistance is intended only for emergencies and challenging short-term financial situations.

To be eligible for financial assistance, the patient must be diagnosed with one of the idiopathic inflammatory myopathies (Myositis) or be going through the diagnostic process in which doctors strongly suspect and are testing the patient for Myositis.

Details and Eligibility 

• Financial assistance is only available for residents of the U.S.
• Myositis patients may request assistance up to $2,000.00. This is not a guarentee that awardees will receive the full amount.
• Applications that are incomplete or missing required documentation may not be considered.
• DO NOT upload medical records. We do not need them.
• Anyone previously awarded assistance must wait 24 months from the date of their last application before submitting another request.
• This is NOT a copay program.
• We process applications on a first-come, first-serve basis and only process applications that include all required information and supporting documents.
• Payments are made direct to the creditor. 

Processing your application

Please allow at least 14 days for the review and processing of your application. To save on costs and time, and to help the environment, we prefer to use email for notifications, application updates, and requests for additional information in order to make a decision for you quickly. However, there is an option on the form to choose US Mail, but we want to remind you that this will signifciantly slow down your application process. 

Before you start your application

There are various supporting documents that are required, depending on the type of assistance you are requesting. However, below is a list of the documents we require from all applicants.

Please gather copies of the following documents to have ready to upload as you fill out the application:

• All household members - Last year's tax return (please redact/black-out) your social security number OR the last three (3) pay stubs. For Social Security recipients, provide a copy of the income letter sent at the start of each year. 
• All household members - Last 2 months of bank statements for all checking and savings accounts. 
• Personal Statement - provide an short overview of your situation and why you are requesting assistance. This does not have to be formal or lengthy. There is a section where you can type it or upload it.
• Signed Doctor's Form - Get the form here. Do not submit your application without the signed doctor's form.
• Full statements/invoices/receipts for ALL bills with which you are requesting assistance. (we do not accept screenshots or payment stubs)
• In cases of emergency rent assistance, in general, we require a copy of the lease and eviction notice, and a signed letter from the landlord. More details are available on that page of this form.

About using this form

This is a secure online form that you can fill out all at once, or in parts. Each page of the form has a "Save" button which will allow you to save what you have entered so far and come back later to complete the application. You must complete the application within 10 days or it will reset - something out of our control. You will receive an email containing the link to return to your application. (Be sure to check your spam/junk folders)

Please be advised that submitting this form is not a guarantee of approval of assistance.

* Financial Assistance is subject to eligibility and funding availability.
* Access the Financial Assistance Help Guide for addtional information about application fields.

Data Privacy - We take your privacy seriously at MSU. Your information is stored on secure servers. We do not share or sell your information with third-parties except information required to make payments to your creditors. This is only limited to what is absolutely required to make the payment. 

If you have everything you need, click next below.

Providing your documents

What we require you to upload depending on your situation:

• Child's Birth Certificate
• Power of Attorney (POA) documentation
• Any other legal documents

Upload the signed doctor's form below

If you don't have the form to send to your doctor, Get the form here. 

Please DO NOT submit the application without the signed form. You can click "Save" and come back later to complete your application.

If your doctor would like to fax it to us, our fax number is 888-696-7273.

Your Bank Accounts

In the field below, please enter all bank accounts, including checking and savings accounts for all members of your household. 

To use the field below, add your first bank account and click the Save button. This will add your entry and a new line for you to add your next bank account, and so on.

Your Income Documents

The income documents we require for all members of your household are listed below:

• Last year's tax return (please redact your social security number before uploading) OR the last 3 pay stubs. If on Social Security, a copy of the income letter received at the start of the year. 
• Last 2 months of all bank statements, including checking and savings accounts.

This section of the application is asking you to select what type of financial assistance you are requesting. As you move forward, please only answer the assistance sections that apply to the type of assistance you are requesting.

The maximum amount you can request per application is $2,000 (two-thousand dollars). This is a total of all categories.

Select the type or types of assistance you are requesting below. 

Emergency Household Expenses are defined in a case-by-case situation but may include utility bills, mortgage or rent payments, etc. Use the field below to enter the bills you are requesting assistance with and the amounts. Then, in the upload field, provide us with full copies of the statements/invoices/receipts. We do not accept screenshots, we require full copies of all bills. 

Statements/Invoices must include the company payment mailing address, telephone number, amount due, and account number. If a telephone number is not included on the bill, please provide us with this information as it is required for us to make payment on your behalf. 

Rent payment assistance - Emergency requests only 

If your request for financial assistance includes emergency rent payment assistance, please note the additional required documents listed below. The landlord can send these items directly to us via email (Office@Understandingmyositis.org) or fax (888-696-7273) or provide them to you to upload with this application. 

We are not able to provide assistance with security deposits. Rent assistance is provided on a case-by-case basis. We may verify property records in cases where the documents received are insufficient.

Rent assistance is divided into two categories: rentals from property management companies and rentals from other or private sources. 

Rent payment assistance documents required

If you are renting from a property management company, provide:

• A copy of an eviction notice if provided by the landlord;
• A valid signed copy of your lease.
• A letter from the property management company on company letterhead that includes how much you currently owe, payment mailing address, account number, and phone number and if the company will accept a check payment from MSU.

If you are renting from a private, non-commercial source, provide

• A copy of an eviction notice if provided by the landlord; 
• A notarized letter from the landlord that includes the payment mailing address, telephone number, and the amount of the monthly rent, and the amount you are past due and if the landloard will accept a check payment from MSU.
• A valid signed copy of your lease. 

Upload Emergency supporting documents

Below, upload all emergency bills/statements. These must be full statements. We do not accept screenshots.

If requesting rent assistance, be sure to also upload the documents required listed at the top of this page.

Medical Bills are defined as bills payable for Myositis-related medical diagnosis, treatment, and care to pharmacies (or formularies) for prescriptions, accredited hospitals, labs, Licensed Medical Doctors, Doctors of Osteopathy, urgent care centers, and other like institutions. This is not a co-pay program. These are not reimbursable expenses.  If approved, we will pay directly to your creditor(s) according to a recent statement you provide to us. We do not accept screenshots. 

What if my health insurance company has not paid its part?

Please contact the insurance company first to determine if they are going to cover a portion of the bill and when their payment will likely be applied. If they are going to cover a portion of the bill, please wait until you receive a statement showing the insurance payment applied and the updated balance due. Then, submit your financial assistance request with the updated statement.

Upload supporting documents

Below, provide us with a copy of all medical bills/statements and/or receipts. These must be full documents. We do not accept screenshots or payment coupon stubs.

Mobility/Assistive Devices are defined as devices that help people with Myositis enjoy greater mobility, freedom, and independence and include things such as wheelchairs, power wheelchairs, stair lifts, Hoyer lifts, ramps, transfer devices, certain home and bathroom modifications, portable showers, and others.   

Since mobility and assistive devices vary based on need and complexity, applications will be determined on a case-by-case basis, using multiple factors including medical need as determined by your doctor, device purpose, health insurance coverage, and if the device meets a definition of standard devices likely to be covered under an assistance program. 

Please upload a copy of the insurance approval or denial

• If you submitted the device through health or other insurance, provide a copy of the documents you received showing costs and coverage.
• For Medicare applicants with a supplemental policy - Did your supplemental (secondary) insurance deny coverage for the device? If so, have you appealed the decision? Please provide any details regarding these questions in a brief personal statement or as a part of the letter mentioned in a previous request above.

You may apply for pre-approval and if approved, arrangements can be made to pay the creditor directly or to potentially reimburse you if you provide a copy of the original receipt, as well as all other documents related to the purchase. Reimbursement may not be made without prior approval. 

Upload Mobility Device Documents

Please upload ALL documents relating to the device you are requesting assistance for. This should include: 

• Information about the device such as a PDF information sheet or brochure. 
• Full estimate/statement/invoice (we do not accept screenshots or payment coupons)
• Insurance approval or denial letter.