Qualify & Apply for Financial Assistance

Qualifications

Acceptable Verification

Qualifications

Must be a current resident of the United States.
Medical bill(s) must only be associated with a miscarriage, stillbirth, or related funeral home expenses.
Must be able to provide documentation of bills with a current balance due.
Must must be able to provide one of the acceptable bill verification options.

How to Apply

Acceptable Verification

Qualifications

Complete the application via the link below.
Once submitted, you will receive an email response within approx. 1-2 weeks with the next steps.
Payments issued are paid directly to the institution issuing the invoice.
You will be notified via email after the payment has been made on your account.

Acceptable Verification

Acceptable Verification

Acceptable Verification

Itemized bill that clearly states miscarriage or stillbirth.
Certificate of stillbirth
Letter from Doctor/Hospital on their letterhead stating miscarriage/stillbirth and the date/s of service. *must be emailed from Doctor/Hospital*
Give authorization, written or verbal, per their requirements, for Love, Jessica Inc. to call and confirm the charges.