Financial assistance for the uninsured

Caring for your health is our top priority

Novant Health UVA Health System Prince William Medical Center & Novant Health UVA Health System Haymarket Medical Center

Novant Health UVA Health System Prince William Medical Center and Haymarket Medical Center will provide financial assistance for patients who receive medically necessary services and meet the eligibility requirements under the Charity care policy, available below under each language heading. If eligible for financial assistance, patients will receive a 100% discount or free care. The financial assistance program does not cover elective services.

How do I apply?

Below, financial assistance applications are available in English and several other languages, including other helpful resources and policies. Be sure to follow the Instructions on the financial application form for submitting your completed application.

Am I eligible?

In order to qualify for financial assistance, the patient must:

  • Be uninsured or, in certain circumstances, have limited insurance coverage
  • Be unable to access other programs that would cover medical expenses
  • Not have substantial cash assets
  • Not have declined health insurance through an employer
  • Not be ineligible for government sponsored coverage because of noncompliance with requirements
  • Be considered medically necessary (generally defined as urgent or emergent)
  • Live in the medical center's service area
  • Not have an annual family income of 300% of current federal poverty guidelines.
  • Submit application and supporting documents to the hospital business office or financial counseling department

How will I know if I've been approved?

Once all requested documents are received the application will be reviewed. An approved or denial letter will be mailed. This documentation must be updated every six months, or when the patient's income or circumstances change. Each visit within the six month period will be reviewed for potential access to other programs.

Exclusions:

This policy only applies to services rendered at Novant Health UVA Health System Prince William Medical Center or Haymarket Medical Center. It does not apply to services rendered by any independent physicians or practitioners that are not employed by Novant Health UVA Health System. This includes, but is not limited to, anesthesiologists, radiologists and pathologists.

Contact us

Novant Health UVA Health System Prince William Medical Center
8700 Sudley Road
Manassas, Va 20110
703-369-8020

Novant Health UVA Health System Haymarket Medical Center
15225 Heathcote Boulevard
Haymarket, VA 20169
703-369-8020

Financial assistance documents

Novant Health UVA Health System Culpeper Medical Center

Financial assistance program

Patients who have no insurance coverage will automatically receive a 20 percent discount at the time of service. This discount is granted prior to any payment arrangements and/or financial assistance you may be qualified to receive. Uninsured patients who pay their account in full within 30 days of the date listed on the initial statement will qualify for an additional 15 percent discount. This discount will be credited to your account upon receipt of payment in full. If you do not have insurance coverage, you will be asked to pay your account in full unless prior arrangements are made. The hospital accepts MasterCard, Visa and Discover card.