When you know someone needs you but they will not open up

I first want to thank you for reading my post. I sit on many volunteer boards for Cancer and promote a cancer policy. I don’t do it for monetary value but only to help others from the financial devastation I went through many years ago. I was fortunate that my family member survived.
Most recently, I have a few of my friends that I am helping as policy holders but know they are not reaching out to me for just help as an agent.
Rather using it as an excuse to reach out to me.
What can I say or do for them and their families?
I found out last night that one of them is terminal and they sent me a message very late. I know they are not connecting with me to get help from me to file a claim but to much pride to say they need someone to talk to
The only thing I know to say is I’m sorry and saying that feels wrong.
I know my friend needs me and I want to know what I can say or do so he may open up to me.
I know he won’t open up to his family and doesn’t want to be a “burden”
I need some guidance from someone on what I can say or do so they know that they are not bothering me and that I want to help them no matter time or day
Right now he is battling this alone as he doesn’t want to affect his family or friends emotionally
But that’s what we are here for
They always start there text by, “sorry to bother you so late” . It breaks my heart
Any guidance would be appreciated. As much as I would love to say it does not affect me, I am devastated and broken
How do you let them know without just coming out and saying it
I have tried it
If I say that, he will say, “I am fine”
I am at a loss and just want some advice on how to help him open up so he doesn’t feel alone.
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