Application Process for Applicant
1. Complete the Application:
Fill out the entire application form. This application is valid for six months. Any services needed after six months will require a new application and approval.
2. Financial Information:
Complete the financial portion of the application and include proof of income. Preferably the last IRS filing, however you can include check stubs from last two paychecks. If you draw SS or SSDI, include the form showing your payment. You do not have to include proof of your bills.
3. Accuracy and Honesty:
Ensure the form is completely filled out. Forms that are not fully completed will not be eligible for consideration of services. Providing false information will result in your application being denied.
4. Review Process:
The application will be reviewed by the Application Review Committee. You will receive a notification regarding the committee's decision. Decisions are based on MTLSS policies, primarily working with the State of Tennessee Poverty Guidelines. Please understand our funds are limited, and we strive to make decisions that will benefit the most people possible. Although we would like to help everyone, we cannot cover everyone with the funds we have.
5. Appointment Scheduling:
If approved, the application is sent for an appointment. Once the appointment date is set, MTLSS will notify you of the
appointment date, time, place, and the doctor you will be seeing. You will be notified promptly once your appointment has been scheduled.
6. Appointment Day:
Please take your ID with you to your appointment. Also bring with you a list of your medications and glasses (if you have some). On the day of your appointment, bring the sheet that is sent to you with your appointment time and place. That paper serves as your coverage at Middle Tennessee Lions Sight Service. You must have that paper to be seen. Arrive about 30 minutes early for your appointment to allow time to complete the paperwork. The first appointment is your evaluation. Surgery will be scheduled later if needed.
7. Coverage Details:
Your approval covers the initial appointment, evaluation, and cataract surgery at the doctor and facility appointed. We cover anesthesia, surgicenter, and any physician fees. Any additional charges are your responsibility, including eye drops or additional testing.
8. Further Services:
If you need further services or referral to another doctor, we will obtain cost estimates and re-evaluate. Although we will try, we cannot guarantee coverage for additional services.
9. Behavior Expectations:
If approved, please be kind to the medical staff. They are helping us restore your vision. Vision is important, and kindness is important. The physicians assist us with reduced charges, but you will receive the same expertise and skill as if you paid extra. If you are rude, cuss, or are inappropriate, we will terminate your services.
Fill out the entire application form. This application is valid for six months. Any services needed after six months will require a new application and approval.
2. Financial Information:
Complete the financial portion of the application and include proof of income. Preferably the last IRS filing, however you can include check stubs from last two paychecks. If you draw SS or SSDI, include the form showing your payment. You do not have to include proof of your bills.
3. Accuracy and Honesty:
Ensure the form is completely filled out. Forms that are not fully completed will not be eligible for consideration of services. Providing false information will result in your application being denied.
4. Review Process:
The application will be reviewed by the Application Review Committee. You will receive a notification regarding the committee's decision. Decisions are based on MTLSS policies, primarily working with the State of Tennessee Poverty Guidelines. Please understand our funds are limited, and we strive to make decisions that will benefit the most people possible. Although we would like to help everyone, we cannot cover everyone with the funds we have.
5. Appointment Scheduling:
If approved, the application is sent for an appointment. Once the appointment date is set, MTLSS will notify you of the
appointment date, time, place, and the doctor you will be seeing. You will be notified promptly once your appointment has been scheduled.
6. Appointment Day:
Please take your ID with you to your appointment. Also bring with you a list of your medications and glasses (if you have some). On the day of your appointment, bring the sheet that is sent to you with your appointment time and place. That paper serves as your coverage at Middle Tennessee Lions Sight Service. You must have that paper to be seen. Arrive about 30 minutes early for your appointment to allow time to complete the paperwork. The first appointment is your evaluation. Surgery will be scheduled later if needed.
7. Coverage Details:
Your approval covers the initial appointment, evaluation, and cataract surgery at the doctor and facility appointed. We cover anesthesia, surgicenter, and any physician fees. Any additional charges are your responsibility, including eye drops or additional testing.
8. Further Services:
If you need further services or referral to another doctor, we will obtain cost estimates and re-evaluate. Although we will try, we cannot guarantee coverage for additional services.
9. Behavior Expectations:
If approved, please be kind to the medical staff. They are helping us restore your vision. Vision is important, and kindness is important. The physicians assist us with reduced charges, but you will receive the same expertise and skill as if you paid extra. If you are rude, cuss, or are inappropriate, we will terminate your services.
