Unc charity care Application Forms

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Duke charity care application

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One Time bContribution Formb - UNC Medical Center

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APPLICATION FOR CHARITY FREE CARE PROGRAM (PROOF OF ...

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Commonly Asked Questions about Unc charity care Application Forms

What does Duke charity care cover?

Charity Care covers only services deemed medically necessary by Medicare, Medicaid, or industry standards. All medically necessary services will be considered Category 1 unless approved as Category 2, 3 or 4 in the Financial Assistance Exceptions Table (Appendix A). How many Duke clinics are there?

What is the UNC Southeastern Indigent Program?

UNC Health Southeasterns Medical Financial Assistance program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive at UNC Health Southeastern hospital, clinics or centers.

What is the fax number for UNC charity care?

Submit the complete application and supporting documents by secure fax at (984) 974-6425, securely on-line through My UNC Chart or mail to Attention: Financial Assistance Unit, 500 Eastowne Drive 2nd Floor; Chapel Hill, NC 27514.

How to apply for charity care in NC?

Each hospital runs its own charity care program. To learn more about financial assistance for your hospital visit, contact the financial assistance or billing department of the hospital where you received care. Ask for an application to apply for a charity care discount.

What is the income limit for unc charity care?

Am I Eligible for Financial Assistance? Financial Assistance Eligibility Family SizeHousehold Income Limit 1 $37,650 2 $51,100 3 $64,550 4 $78,0005 more rows