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Patti Costa Patient Assistance (PCPA) Program

The Human Growth Foundation’s (HGF) Patti Costa Patient Assistance (PCPA) Program helps individuals living with rare growth and bone conditions.

The Human Growth Foundation’s (HGF) Patti Costa Patient Assistance (PCPA) Program helps individuals living with rare growth and bone conditions. This program will extend HGF’s communication and advocacy efforts to a greater number of patients and caregivers  allowing for prioritization of funding areas, including but not limited to:

1.    Obtain medication.
2.    Receive financial help with insurance premiums and co-pays.
3.    Get diagnostic testing assistance.
4.    Receive travel assistance for clinical trials or consultation with disease specialists.

Eligibility is based partly on household income.

To qualify, you must meet one of the following sets of criteria:

A. You must have no insurance or other third party that will pay all or part of your hospital bill. You also must have a family income of no more than 300% of the Federal Poverty Guidelines.

OR

B. You have some form of third-party insurance coverage, but you do not receive a discounted rate because of that coverage. Also, your annual out-of-pocket costs for medical expenses must exceed 10% of the lesser of the annualized value of the patient’s current family income or the family’s actual income over the prior 12 months and you must have a family income of no more than 300% of the Federal Poverty Guidelines.

How to Apply
To qualify, you will need to complete the PCPA Program application form and submit the required documents, including:

1.    Recent pay stubs (or certification that you are currently unemployed)
2.    Last federal income tax return, including all schedules
3.    Last federal income tax return for the individual who claims you as a dependent, if applicable
4.    Must be based in the United States or its territories. 
5.    Other documents may be requested, depending on your circumstances.

 

Please complete the online application located on this page. 

There is no guarantee that you will receive funding by submitting an application. Grant distribution is based on available funds and the grants are provided to the healthcare provider; not the patient directly. Applications are reviewed in the Fall of each year. Applicants are notified by November 1st of each year. Applications may receive funding once in a three-year period.  

Appeals
If you believe your application was not properly considered, you may send us a written request for reconsideration. Please send it to:

Human Growth Foundation
ATTN: PCPA Program
43 Glen Cove Rd, Ste. B, #224Greenvale, NY 11548


More Information
If you have questions, please call the PCPA team at 1-844-661-5550, Monday through Friday, between 8:00 AM and 4:30 PM.

Please note: 
Letters of support are not required but can be used to support the need for funding.

PCPA Application Form
Upload Files

Thank you! We’ll be in touch.

PCPA Application
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