Patient Assistance Program
A service of the Coalition for Hemophilia B
Started 15 years ago, BCares — the Coalition for Hemophilia B’s emergency assistance fund — provides urgent help to individuals or families affected by hemophilia B when faced with specific critical needs. These crisis situations may include housing, transportation, and utility bills. BCares cannot cover any medical expenses including medical bills, dental bills, insurance premiums, co-payments, deductibles, and medications including clotting factor. With the help of financial sponsors, last year we were able to distribute nearly $70,000 in emergency assistance.
Applicants for assistance must meet the following eligibility requirements:
Individuals must have a diagnosis of hemophilia B and/or be immediate family members in the same home.
The person with the diagnosis must be under the care of an appropriate medical care provider.
Applicants must be able to explain a hardship they are currently experiencing or recently experienced.
Applicants must be able to provide proof of total family income and budget and provide copies of each bill they are requesting assistance for.
Submitting Your Application
Individuals seeking assistance must complete and submit our two-page BCares Patient Assistance Application. Completed applications will be reviewed by a committee, which will decide on assistance based on the urgency of the need and currently available funds. All information will be held in strictest confidence. There is no guarantee that any particular request will receive funding.
You can download and print the form and fill it out manually, or you can complete the PDF form electronically and return by email (with supporting documentation as email attachments). Completed forms should be addressed to: Kim Phelan, The Coalition for Hemophilia B, 757 Third Avenue, 20th Floor, New York, NY 10017, or by email: email@example.com.
For more information on how to apply for BCares assistance, or to learn how you can become a sponsor to help financially support this vital program for the hemophilia B community, email us at firstname.lastname@example.org or call 212-520-8272.
We have also assembled a comprehensive list of additional financial resources from outside sources and are making it available as an 11-page PDF resource file that you can download. This listing includes non-medical and medical funding sources. While we make every attempt to provide current information, program policies may change. Where phone numbers or websites are listed, please contact the providers directly for the most updated information.