The West Virginia Hemophilia Foundation (WVNHF) Financial Assistance Program is part of WVNHF's continuing effort to improve the quality of life of individuals and families affected by bleeding disorders. This Program provides funds to eligible individuals and families who need assistance with:
Expenses incurred in the care, treatment, or prevention of a bleeding disorder, and/or
Basic living expense emergencies.
Note: This program is intended to help individuals and families who have exhausted all other sources of assistance and for whom no other funds are available.
To be eligible for this program you must meet the following criteria:
You must be a resident of West Virginia; OR receive treatment from one of the two (2) federally funded Hemophilia Treatment Centers (HTCs) within West Virginia: Charleston Area Medical Center (CAMC) or West Virginia University (WVU).
You must be the parent or caregiver of a minor child who lives in your home and who has a diagnosis of a bleeding disorder; OR be an individual with a diagnosis of a bleeding disorder.
You must have requested assistance from TWO (2) other agencies before applying to WVNHF, and provide contact information for those agencies and the status of your requests.
You must complete all sections of the application thoroughly and accurately. (If a question does not apply, it should be marked Not Applicable [N/A]).
Financial assistance depends on the availability of funds and applicant eligibility. Funding is not guaranteed. Applicants should allow at least two weeks for WVNHF to process their request. Please do not inform creditor of payment until application has been approved.
Assistance is limited to a maximum of $500 per calendar year per family.
Disbursements will be made only to creditors identified in the application and that have been verified by WVNHF. No payments will be made directly to applicants.
Application forms are available by calling the WVNHF office at 681-212-9255, by emailing a request to firstname.lastname@example.org
Completed applications and a copy of the bill must be submitted by mail to:
West Virginia Hemophilia Foundation
PO Box 4214
Morgantown, WV 26504
or emailed to email@example.com
The WVNHF staff will review applications for completeness, check references, and consider the date the funds are needed in order to determine the urgency of the request.
Applications should be submitted directly to the WVNHF office by the applicant. If this is not possible and it is necessary for another person to submit the application on behalf of the applicant, WVNHF representatives will contact the applicant before the application will be processed.
WVNHF strongly encourages applicants to coordinate their request with the social worker (or nurse coordinator) at their hemophilia treatment center or other healthcare provider treating bleeding disorders.
Incomplete applications will be returned to the applicant with an explanation of why it was returned and a description of the information still required.
Complete applications will be sent to the WVNHF Board Members for review.
If the application is approved, WVNHF staff will notify the applicant, and payment will be issued to the creditor identified on the application.
If the application is rejected, WVNHF staff will notify the applicant with an explanation.
WVNHF staff will update its Financial Assistance Program records and add the applicant to the WVNHF database for future communications.
Applications and information pertaining to funding requests are considered confidential.
Information from WVNHF Financial Assistance Program applications may be compiled for statistical purposes, and for compliance with local, state, federal or affiliate organization requirements. However, any publication of this data will be in aggregate form only, and will not include names or any other information that could be used to identify individual applicants or recipients.
No personal information will be used or disclosed for any purpose other than that for which it was collected. At no time will personal information be shared with any individual, company or organization outside of WVNHF.