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Marilyn Westbrook Garment Fund FAQs

1. Am I eligible for the MWGF?
Patients must meet the following requirements to be eligible:

  1. Be a member of the National Lymphedema Network
  2. Demonstrate genuine financial need
  3. Be receiving treatment at an NLN-affiliated clinic or with an NLN-affiliated therapist. (Please contact the NLN office for a list of affiliated clinics and therapists.)

2. Does my therapist need to be an affiliate member?
Yes, patients must be receiving treatment at an NLN affiliated clinic or with an NLN affiliated therapist. Please contact the NLN office for a list of affiliated clinics and therapists. You can also search for affiliate members by zip code on our website: http://lymphnet.org/resourceGuide/findTreatment.htm

Therapists: Please contact the NLN office for more information about affiliated membership or log onto our website at
http://www.lymphnet.org/aboutNLN/affiliateMembership.htm

3. How does the application/review process work?
Patients who are eligible for the MWGF must fill out an application either online or by printing out a form from our website. Only complete applications will be reviewed. Please be sure to include all the requested documents and answer all the questions in the medical history section. You can send your application and requested documents via regular mail to National Lymphedema Network, 116 New Montgomery St, Suite 235, San Francisco, CA 94105.

All applications will be reviewed by a committee consisting of lymphedema therapists and the NLN staff; personal information will be kept confidential within the review committee. Please allow 2 - 4 weeks for review. You will be notified by mail of the decision.

4. Does the NLN reimburse for garments?
No, the NLN does not reimburse for garments; our industry partners donate the garments. If you would like to receive garments from the MWGF you will need to apply to the fund and go through the review process. If you are approved we will work directly with the garment company to help obtain the requested garment(s).

5. How many times a year can I apply?
Patients are only eligible for one set of garment(s) per year.

6. What do I need to send to have a complete application?
Please send in your application fully filled out including your NLN member number, have your NLN-affiliated therapist fill out your medical necessity form either online or on this printed form, a prescription that includes style, compression class and manufacturer, your Explanation of Benefits and/or denials from your insurance company if available, and a $25 non-refundable application fee.

Materials and questions can be emailed to nlngarmentfund@lymphnet.org.

APPLICATION

Please use this form to apply for the MWGF.

For the fastest processing time, please fill out the pdf form and email it back to nlngarmentfund@lymphnet.org. You can also print the form out and either mail it to 116 New Montgomery St, Suite 235, San Francisco, CA 94105 or fax it to 415-908-3813.