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Health Care Assistance

- WCMF is pleased to offer assistance to the clergy of the Diocese of Cheyenne.
  
  There are three funds that support the needs of both active and retired priests, by request and approval, all year round.
  
  The Clergy Special Care Fund
  
  The Retired Clergy Supplemental Insurance Fund
  
  The Retired Clergy Assistance Fund
  
  Learn more about what these funds support below.
- The Clergy Special Care Fund
  
  Established during the Diocese of Cheyenne’s Legacy of Faith Campaign in 1999 to help support the clergy of the Diocese of Cheyenne by meeting special healthcare needs that are not funded through insurance.
- The Retired Clergy Supplemental Insurance Fund
  
  Established to help retired clergy, mostly priests and bishops, of the Diocese of Cheyenne to pay the premium for their supplemental Medicare insurance. Currently, this fund pays half of the retired clergy’s premium for their supplemental Medicare insurance.
- The Retired Clergy Assistance Fund
  
  Established by the Diocese of Cheyenne in 1998 to help assist retired clergy of the Diocese of Cheyenne when they have inadequate financial resources to provide for their care in their retirement.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Submit the following health care application if your needs fit the above fund descriptions.
  
  Please note, in most cases funds will be sent directly to your care provider.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish Name (If active) Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Description of Care Needed REQUIRED Please fill out this field.
  
  Amount Being Requested REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Care Provider REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address of Care Provider REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
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Health Care Assistance

Submit the following health care application if your needs fit the above fund descriptions.