Patient Referral
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Patient Referral
Surgery on Sunday’s mission is to change lives one surgery at a time.
Our program assists uninsured and under-insured, income-eligible individuals who do not qualify for federal or state government assistance. Surgeries are provided the third Sunday of each month at no cost to those that qualify.
Our program serves individuals within a 250-mile radius of Lexington, Kentucky. Occasionally, the Medical Review Committee will consider patients that are located outside the traditional service area, but this is on an extremely limited basis.
Only medically essential outpatient procedures are provided as we seek to rid individuals of disease and pain. No surgery that is deemed cosmetic is offered, including, but not limited to: excess skin removal, weight loss surgery, and cosmetic implants. In addition, only procedures that can be performed in the outpatient setting are offered through Surgery on Sunday. Any procedure requiring an inpatient stay can not be provided.
To be considered for Surgery on Sunday, a patient must have a primary care health professional he or she sees on a regular basis. For many of our patients, this is a free clinic. Please see the list of free clinics on this page if you need to establish a primary care home.
With the assistance of a medical professional, the online patient referral form must be completed. The provider should complete the referral agency information, and provide as much medical information as possible, including a diagnosis, requested procedure(s), medications, and health conditions. A portion of the form requires details that will need to be supplied by the patient, including contact information, demographics, and income verification.
To qualify for the program, an individual must meet the following requirements:
- Total gross annual household income of up to 250% of the Federal Poverty Guidelines
- Uninsured OR
- Insured with a high-deductible plan that is 10% or more of gross annual household income
- Body Mass Index (BMI) of 35 or lower. Click here to calculate your BMI. http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
Once an individual has been accepted into the program, Surgery on Sunday will schedule a pre-operative consultation with an appropriate surgeon. If it is determined that surgical intervention is required, the patient will be placed on the schedule for the next available surgery date.
Since all medical providers with Surgery on Sunday are volunteers, surgery schedules are dependent on surgeon availability. In addition, because all of our services are offered free of charge, the demand for our program is great and a waiting list often exists.
Currently, the time from referral to surgery is 30-60 days.
If you already have the SOS referral password, click here to begin the online referral process: https://www.surgeryonsunday.org/patient-referral-form
To obtain the SOS referral password, please contact us at 859-246-0046.