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PCA
Supply Grant

At Patient Care Advocates (PCA), we understand that sometimes all it takes to prevent complications is access to the right supplies. The Supply Grant is a one-time material donation designed to bridge immediate supply gaps for patients struggling with chronic wounds. We donate essential items like gauze, wraps, Coban, and specialized calcium/silver dressings to your home, typically valued between $50–$150.

photo of medical supplies for wound care on a table.jpg

Eligibility Criteria

This one-time grant is focused on immediately stabilizing patients facing acute supply shortages. To ensure we reach those with the greatest need, all applicants must meet the following three criteria:

Current Care Status

The patient must not currently be under the direct care of a provider within the PCA network.

Medical Need

Applicant must provide documentation of a confirmed chronic wound diagnosis requiring the supplies requested. (Current wound photos and diagnosis details are required for verification.)

Financial Burden

Applicant must meet our objective, income-based criteria to demonstrate financial hardship or logistical barriers to accessing essential materials. (Income verification may be required for compliance.)

Compliance & Non-Discrimination Notice

Patient Care Advocates (PCA) grants are provided based on objective, disease-based need and financial eligibility. Grant decisions are independent of the patient’s provider, treatment type, or medication, ensuring adherence to Federal and State Anti Kickback Statutes and the Beneficiary Inducement Statute.

PCA does not discriminate based on race, color, religion, national origin, age, disability, or sex. All applications are reviewed based on the written policy's objective criteria.

Supply Grant Application

Applicant type
Patient birthday
Month
Day
Year

Please include your insurance number for expedited processing.

This helps determine grant eligibility and amount awarded.

Are you interested in exploring options to go straight to Medicare to receive advanced treatment?
Yes, I am interested.
No, I would like to stick with my insurance.

Please tell us where the wound is located, wound type, what supplies you are in need of, etc. Any additional information is helpful.

Has your insurance denied any wound care?
Yes
No
I do not have health insurance

Doctor's note, wound documentation, H&P, PCP wound referral, or other file to show wound history and need for advanced treatment.

Photo must be no more than 7 days old and is necessary for grant eligibility.

Would you be interested in a second opinion from a PCA network specialist?
Yes
No
Have you already joined us for our wound care webinar?
Yes, I attended
No, I have not heard of the wound care webinar
No, I signed up but didn't attend

Any additional notes that will help us understand your case.

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