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Financial Assistance

Each year, we help thousands of patients find solutions to their billing issues. We help you pay your medical bills with financial assistance, payment plans, and support for finding the right solution for you.

Can I Get Financial Assistance from UVA Health?

Before applying for financial assistance, see if you are eligible:

Apply for Financial Assistance

Download and fill out the application. There are several ways you can submit it to the Financial Counseling Team:

  • Email: [email protected]

  • Fax: 434-924-1251

  • In MyChart
  • Mail: UVA Health Financial Counseling
    P.O. Box 800846
    Charlottesville, VA 22908
  • In-person:printed and brought to one of the locations listed below

The financial assistance application is available in several languages:

Documentation

The following are types of documentation that may be needed. Please read each one to see which ones may apply to your situation (Copies only please, originals will not be returned):

Income

  • Paycheck Stubs: If you're employed and receive a W-2 for tax purposes, you must provide 1 (one) months’ worth of your paycheck stubs from within the past 90 days.
  • Unemployment: Forms verifying weekly benefit amount or denying unemployment or workers compensation. If receiving Unemployment Benefits, proof of direct deposit of benefits is also required.
  • Other Resources: Copy of gross monthly retirement benefit statement, trust fund allotments, and/or alimony.
  • Government Benefits: Social Security Benefit and/or SSI or SSDI award letter, VA or other government benefits, photocopy of check (s) or bank statement showing automatic deposit. If you're over 67 and do not receive Social Security, please provide a letter from the Social Security Administration that you don't receive benefits. If receiving Social Security Benefits, proof of direct deposit of benefits is also required.
  • Seasonal Employment: A letter from the employer stating hire date and gross year-to-date income.
  • Self-Employment: If you have your own business, work odd jobs, or are a sub-contractor and would receive a 1099 for tax purposes, provide your current year Federal Income Tax return.
  • Sick Leave: Statement from employer indicating paid sick leave or if you're on leave without pay. If on paid leave, provide proof of income from the employer. We will need a return to work date, if available.
  • Students: Work-study, teacher’s aide, and/or stipend award amounts.

Assets/Resources

All statements must include bank name, account number, account holder name, and balance and cannot be altered.

  • Bank Statements: One recent savings and/or checking account statement (s) from the bank or credit union from within the past 90 days. Statements must include bank name, account number, account holder name, and balance and cannot be altered.
  • Cash Apps And Paypal: Statement or screen shot from PayPal or any money sharing app (i.e. Venmo, CashApp, etc.). Must include the account holder name/username and balance and be from within the past 90 days.
  • Investments: Stocks, bonds, IRA’s 401k plan, CDs, securities – statement from bank/broker showing current value from within 90 days. Statements must include bank name, account number, account holder name, and balance.
  • Personal Property: Tax statement showing assessed value of vehicle(s).
  • Real Estate Property: Most current tax statement showing acreage and assessed value for any real estate living on and/or not living on.
  • Life Insurance: Policy or statement specifying cash-in value or proof the policy does not carry a cash value.

Please note, there may be additional information requested based on information that has been submitted with the application.

Culpeper, Haymarket, Prince William Locations: Who Participates?

Not all physicians practicing at Culpeper, Prince William, and Haymarket area locations are contracted with UVA Health. Below are lists of providers and their status with UVA Health financial assistance. See by location below.

UVA Health Culpeper Medical Center

UVA Health Haymarket Medical Center providers

UVA Health Prince William Medical Center

Needs Assessments & Reports

See the Community Health Needs Assessment Reports and MAPP2Health reports at our Community Partnerships page.

Catastrophic Events

We know accidents and emergencies happen. On top of that stress, a sudden bill can strain your budget.

That’s why we offer extra support. You may qualify for a reduced bill if you:

  • Don't have insurance or other ways of paying
  • Owe more than $10,000
  • Get care that qualifies

With this discount, you won't owe more than 25% of your family income and assets. To see if you qualify, you must submit a financial assistance application.

Medicaid & Other Resources

See more resources for paying medical bills.

Questions? Get Answers & Support

You can get free, confidential help with:

  • Understanding your medical bill
  • Finding out what your insurance pays
  • Applying for financial assistance
  • Setting up a payment plan

Call us at 434.297.5416 or email [email protected]

You can also visit us in person. Financial Assistance locations are open Monday – Friday, 8 a.m. – 4:30 p.m.

Visit Us: Financial Aid Locations

University Medical Center

Culpeper Medical Center

Haymarket Medical Center

Prince William Medical Center

Battle Building

Education Resource Center

Dialysis Augusta

Fontaine Research Park Building 500

Orthopedic Center Ivy Road

Primary and Specialty Care Zion Crossroads

West Complex

All Locations: Language Help

Translation services available at all locations. Spanish-speaking financial counselors are available at:

  • University Hospital lobby
  • Emily Couric Cancer Center
  • Culpeper Medical Center

Billing & Insurance