Emergency Assistance Fund

Patient Assistance Programs

There are a variety of programs sponsored by the Pharmaceutical Industry and others that support patients with financial needs.  The following document outlines each of these programs and provide some details and contact information.  Please review this material if you have a need for product support, or are having difficulties in securing sufficient funds for your factor needs.

NEHA Emergency Assistance Fund

 

The NEHA Emergency Assistance Fund is available to help families and individuals in the bleeding disorders community in unusual, one-time, emergency situations. It is supported by generous contributions from individuals and corporations committed to the bleeding disorders community.

Examples of appropriate grants are for food, utility bills, transportation to treatment, rent support, Medic Alert bracelets, medical supplies not covered by insurance, etc.

The fund is not meant to be used to remedy chronic financial problems, nor does it apply to insurance or mortgage payments, or drugs and factor supplies. This program does not cover insurance premiums, deductible, co-payments, or co-insurance. Funding requests may be considered once a year for a maximum of $500 and must be referred by a healthcare provider.

Process:

To assist in the review and validation of applications for aid, we accept requests from Hemophilia Treatment Centers and their affiliated social workers. These individuals typically know the candidates, understand their current financial state, and are better suited to determine the severity of the need for emergency funds. These agencies then submit the individual’s application for emergency aid supported by proper documentation.

Follow-up calls may be necessary when information is missing or to discuss the specific case when the need is unclear. Individual requests without HTC support may also be considered. Individuals interested in applying for NEHA’s Emergency Assistance Fund should speak with their HTC social worker and ask for their assistance.

Application for Emergency Financial Assistance

  • Drop files here or
    Accepted file types: jpg, gif, doc, docx, png, pdf.
    In order to process your request, please upload documents to support your claim for assistance. Your application can not be submitted without documentation.