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Surgical Assistance Fund 2025

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4.8 out of 5

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The UFA/UFOA Surgical Assistance Fund provides financial support for surgical procedures to active and retired members of the New York City Fire Department, offering benefits between $15.00 and $300.00 per procedure, with a maximum annual limit of $1,000. Membership dues are $10.00 for individuals and $15.00 for families. Coverage includes various surgical procedures but excludes dental work, radiology, and cosmetic surgery. Claims must be submitted within one year of the procedure.

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Click ‘Get Form’ to open the Surgical Assistance Fund application in the editor.
Begin by entering the date of your application at the top of the form. This is essential for processing your claim.
Fill in your rank, unit, and retirement date if applicable. Ensure that you provide accurate information as it verifies your eligibility.
Complete your personal details including your name, last four digits of your Social Security number, address, and telephone number.
Provide patient information such as their name, age, relationship to you, and if applicable, their date of birth.
Indicate whether the surgical procedure was a result of a Line of Duty (LOD) injury by checking 'YES' or 'NO'.
Clearly state the name of the surgical procedure performed.
Attach one of the required documents: a signed statement from the doctor or a GHI/Medicare benefit form that includes necessary details about the procedure.
Finally, sign the application at the bottom to confirm all information is accurate before submitting it for review.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (38 Votes)
2005	4.3 Satisfied (48 Votes)
1997	4.8 Satisfied (104 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does the assistance fund cover?

The Assistance Fund (TAF) is an independent charitable patient assistance organization that helps patients and families facing high medical out-of-pocket costs by providing financial assistance for their copayments, coinsurance, deductibles, and other health-related expenses.

What is the difference between a medical assistant and a surgical assistant?

While Medical Assistants work in a variety of healthcare settings, Surgical Technologists are typically found in hospitals and surgical centers, where they spend the majority of their time in operating rooms.

What does a surgical assistant do?

Surgical assistants, also called surgical first assistants, help surgeons with tasks such as making incisions, placing clamps, and closing surgical sites. Surgical technologists, also called operating room technicians, prepare operating rooms, arrange equipment, and help doctors and first assistants during surgeries.

How much do surgical assistants make in the US?

The estimated total pay for a Surgical First Assistant is $88,616 per year, with an average salary of $67,808 per year. These numbers represent the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users.

Is the assistance fund legitimate?

Conclusion. The Assistance Fund, Inc meets the 20 Standards for Charity Accountability.

ufa surgical assistance fund

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What does assisting in surgery mean?

Surgical assistants aid the surgeon in performing surgical procedures, positioning patients for surgery, draping and preparing the operative site, and retracting and exposing the operative field during the procedure.

Who qualifies for Taf?

To be eligible for one of TAFs programs, you must: Be a U.S. resident with health insurance (government-sponsored or private) Meet income requirements. Be diagnosed with a disease for which we have a disease program.

Surgical Assistance Fund 2025

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How to use or fill out Surgical Assistance Fund with our platform

See more Surgical Assistance Fund versions

Complete this form in 5 minutes or less

Got questions?

What does the assistance fund cover?

What is the difference between a medical assistant and a surgical assistant?

What does a surgical assistant do?

How much do surgical assistants make in the US?

Is the assistance fund legitimate?

Complete this form in 5 minutes or less

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What does assisting in surgery mean?

Who qualifies for Taf?

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