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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:

  • 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. There are certain exemptions applied for vehicles and real estate when it is a primary residence. 

This information is effective February 2022.

Number of People in Household

Household Income for 100% Discount

Household Income for Partial Discount

1

$0 - $27,180

$27,181 - $54,360

2

$0 - $36,620

$36,621 - $73,240

3

$0 - $46,060

$46,061 - $92,120

4

$0 - $55,500

$55,501 - $111,000

5

$0 - $64,940

$64,941 - $129,880

6

$0 - $74,380

$74,381 - $148,760

7

$0 - $83,820

$83,821 - $167,640

8

$0 - $93,260

$93,261 - $186,520

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.

Am I Eligible?

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

UVA Community Health Facilities: UVA Health Culpeper Medical Center, UVA Health Prince William Medical Center, UVA Health Haymarket Medical Center, UVA Community Health Medical Group, UVA Health Cancer Care

 UVA Community Health will provide financial assistance for patients who receive medically necessary services and meet the eligibility requirements under the Financial Assistance Policy, available below under each language heading. If eligible for financial assistance, patients may receive up to 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?

To qualify for financial assistance, the patient must:

  • Be unable to access other programs that would cover medical expenses such as medical payments and/or liability insurance
  • Not have substantial cash assets
  • Not be ineligible for government sponsored coverage because of noncompliance with requirements
  • Be considered medically necessary (generally defined as urgent or emergent)
  • Not have an annual family income above 400% of current federal poverty guidelines
  • Complete and sign the Financial Application, and provide any additional documentation requested 

How will I know if I've been approved?

 Once all requested documents are received the application will be reviewed. An approval or denial letter will be mailed. If the patient is approved for financial assistance, the assistance will be applied to any eligible accounts 5 years prior to the approval date and up to 365 days after. The UVACH financial assistance program is not insurance.

Exclusions: 

This policy only applies to services rendered at UVA Community Health. It does not apply to services rendered by any independent physicians or practitioners that are not employed by UVA Community Health. This includes, but is not limited to, anesthesiologists, radiologists and pathologists. For a complete list of providers that participate and do not participate in our Financial Assistance Policy, please see the link below.

Contact us

UVA Health Culpeper Medical Center
501 Sunset Lane
Culpeper, VA 20110
Last Name A-K: 540-829-4330
Last Name L-Z: 540-829-4320

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

UVA Health Haymarket Medical Center
15225 Heathcote Boulevard
Haymarket, VA 20169
571-284-1517

Questions?

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