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Financial assistance for the uninsured

Caring for your health is our top priority

Do I Qualify for Financial Assistance?

Every patient has unique financial needs. We look at many things when deciding how much aid you qualify for.

If you need help paying your medical bills, our team will guide you through the financial aid process. We'll work with you to get you as much help as possible.

We use a sliding scale based on:

  • If you have insurance
  • Assets - the total value of what you own, including bank and retirement accounts, home, car, etc.
  • Income - how much money you make a year
  • Number of people in your household

How Much Help Can I Get?

If your household income is listed below and your assets are less than $50,000, you may qualify for financial aid. When calculating your assets, we won't include the value of your home, your car, or up to 3.99 acres of land.

This information is effective July 1, 2021.

Number of People in Household

Household Income for 100% Discount

Household Income for Partial Discount


$0 - $25,760

$25,761 - $51,520


$0 - $34,840

$34,841 - $69,680


$0 - $43,920

$43,921 - $87,840


$0 - $53,000

$53,001 - $106,000


$0 - $62,080

$62,081 - $124,160


$0 - $71,160

$71,161 - $142,320


$0 - $80,240

$80,241 - $160,480


$0 - $89,320

$89,321 - $178,640

If You Don’t Have Health Insurance

  • You qualify for a full discount if your assets are less than $50,000 and your income falls within the 100% column above.
  • You’ll qualify for some discount on hospital services, depending on your income and assets.
  • If you received emergency care, you may qualify for special financial aid.

If You Do Have Insurance

Anything you owe after insurance might qualify for a discount.

Apply for Aid

Print an application in English (PDF) or Spanish (PDF). We can also mail you an application.

For all other inquiries, please view our Financial Assistance Policy.

You must complete the entire application and submit all required documents.

Am I Eligible?

To see if you're eligible for help, use this financial aid calculator.

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.


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

Novant Health UVA Health System Haymarket Medical Center
15225 Heathcote Boulevard
Haymarket, VA 20169


Contact us with specific questions or if you'd like to discuss your eligibility.


Novant Health UVA Health System Culpeper Medical Center

Financial assistance program

Patients who have no insurance coverage will automatically receive a 40 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. 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.

Provider listing for Culpeper Medical Center


Contact us with specific questions or if you'd like to discuss your eligibility.