LifeLine

A financial safety net for the bleeding disorders community

Treating and managing a bleeding disorder is often an extremely costly endeavor.  The Lifeline Program is a fund through which individuals with bleeding disorders can receive financial help with high insurance premiums, COBRA payments, catastrophic out-of-pockets, and medical expenses associated with the diagnosis and treatment of bleeding disorders.  The program is administered by the Utah Hemophilia Foundation.

Financial assistance through the Lifeline Program is available to many within Utah's bleeding disorders community.  If you feel that you are eligible to participate, we encourage you to complete and submit an application.  Applications are available down below or by request to the staff of the Utah Hemophilia Foundation by phone (801) 484-0325 or by email at info@hemophiliautah.org.  For more information, please read the Lifeline Program Guidelines.

Eligibility Requirements

  • Residency in Utah for the past 12 months or longer

  • Verification of the diagnosis of a bleeding disorder

  • Verification that annual out-of-pocket insurance and medical expenses for all household members are greater than 7.5% of an applicant's adjusted gross income

  • Must be a United States citizen or a permanent resident alien and/or hold a valid visa

Application Procedure

An application is completed and submitted to the Utah Hemophilia Foundation.  Required documentation is submitted with an application.  This must include an applicant's latest tax return, paycheck stubs, and proof of payment of insurance and medical expenses directly related to treatment of a bleeding disorder.  The complete application/documentation is reviewed by a committee for timely determination of eligibility.

Download Lifeline application

Click here to read answers to some commonly asked questions about Lifeline.

* The Lifeline Application only needs to be completed once a year.  If you have any questions, please contact us.