Thank you for your interest in shaping the future of advocacy for the bleeding disorders community. your responses are anonymous - we don't ask for names, addresses, zip codes, e-mail addresses, phone numbers or other identifying information.

To assist you with completing the survey accurately, we recommend that you have the following available to you:

(1) Your insurance card or Medicaid/Medicare card;
(2) Your insurance plan's summary of benefits (you can find this document on your plan's website);
(3) A paystub (if your employer provides coverage or subsidizes the cost of your coverage);
(4) A copy of any materials or payment receipts that indicate how much you pay for your premiums;
(5) A copy of your plan's formulary or drug list (available on your plan's website);
(6) A copy of your plan's provider network (available on your plan's network);
(7) Any other information you may have about your healthcare coverage.

Please do not submit more than one (1) survey per family, as this will affect the validity of the results.

If you have any questions about the survey or NHF's intended use of the data, please don't hesitate to reach out to your chapter or a member of NHF's public policy team.

 

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