Open Options Financial Assistance


Open Options offers financial assistance to individuals and families in financial need.  Individuals with disabilities who reside in the Open Options chartered territory are eligible.  The chartered territory includes the counties of Johnson and Wyandotte in Kansas and Clay, Jackson, and Platte counties in Missouri. After exhausting the community resources for financial assistance, or in conjunction with other community financial assistance resources, Open Options may pay for services or items such as:

  1. Assistive technology that increases a person’s independence and autonomy, including health and equipment supplies, corrective or protective devices, and wheelchair lifts or vehicle adaptations
  1. Medical or other treatment-related evaluations or consultations to ensure a person’s health and safety, when otherwise not covered by a person’s health coverage.

 

Apply here:

Client's Name

Birth Date

Address

City, State, Zip

County of Residence

Email

Phone

Disability or diagnosis:

Equipment requested:

Total cost of equipment:

Amount requested from Open Options:

Family contribution:

Amount covered by insurance:

What other resources have been contacted for assistance? Please indicate the organization and dollar amount granted.

How will the assistive technology increase the individual’s independence and quality of life?

 I verify that the information provided in this application is accurate to the best of my knowledge and agree to complete a follow-up questionnaire if provided with financial assistance.

Electronic signature (please enter your full name):