Financial Assistance

It is the mission of the Breathe for Bea Foundation to help as many individuals with Cystic Fibrosis, as well as families that have a loved one with CF to care for, as we can fight this devastating disease. One of the ways we aim to accomplish this is by providing financial aid to those who qualify in order to help lessen the burden of the substantial medical costs that come with treating CF. Financial aid can be used to cover prescription costs, hospital/doctor bills, un-reimbursed medical equipment, etc.

If you are a person with Cystic Fibrosis, or a family member of someone living with CF, and would like to apply for financial assistance from the Breathe for Bea Foundation, there are two options available to you. You can either fill out the electronic application form below, or you can download an application and either email the completed form – along with all supporting documents requested – to us at [email protected], or print it out and mail the completed application along with the additional documents to our physical address:

Breathe for Bea Foundation
11 Richfield Circle
Carver, MA 02330

FINANCIAL AID APPLICATION

Once we receive the completed application, including all supporting documents, the Foundation will review and will contact you and any other necessary contacts if we have any questions about your request, or need to clarify or verify any information. We try to review applications in a timely manner, but if assistance is needed immediately, please contact us directly. Once we have come to a decision on an application, we will get in touch to discuss it with you. Rest assured that all applications will be reviewed and responded to.

Please note that the Breathe for Bea Foundation is currently only able to offer assistance to patients and families that are U.S. citizens. Also, please be aware that we do not provide payment directly to anyone whose application has been approved. Instead, we pay any financial obligations directly to the source to which aid has been requested for, such as a doctor’s office, hospital, pharmacy, etc. Lastly, as of 2018, we are giving up to $500 for each approved request. However, this amount is set at the discretion of the Foundation and may be increased under certain circumstances. As our Foundation grows, it is our hope to increase the maximum amount of assistance we can provide.


We value your privacy and will not share your personal information. If selected as an aid recipient, we may seek your permission to use your name and any images you send us, on our website; rest assured, any publicizing of your selection will be done only with your approval.

FINANCIAL AID APPLICATION FORM

Personal Information of Individual with Cystic Fibrosis

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Fill this Section Out Only if Person Requesting Assistance is Not the Individual with Cystic Fibrosis

Fill this Section Out Only if the Individual with Cystic Fibrosisis is an Adult

Fill this Section Out Only if the Individual with Cystic Fibrosis is a Minor (or if an Adult and Parent(s) Still Support)

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Applicant's Request for Aid

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