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Financial assistance for the uninsured

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

Charity Care Policy


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.


English

Amharic

Burmese

Chinese

Farsi/Persian

French

Gujarati

Korean

Hindi

Igbo

Nepali

Russian

Spanish

Urdu

Vietnamese

Yoruba



 Medical Center / Hospital
 Phone Number
Novant Health Forsyth Medical Center
3333 Silas Creek Parkway
Winston-Salem, NC 27103

Novant Health Clemmons Medical Center

6915 Village Medical Circle
Clemmons, NC 27012

Novant Health Kernersville Medical Center
1750 Kernersville Medical Parkway
Kernersville, NC 27284

Novant Health Medical Park Hospital
1950 S Hawthorne Road
Winston-Salem, NC 27103

Novant Health Thomasville Medical Center
207 Old Lexington Road
Thomasville, NC 27360

336-718-5393
Novant Health Presbyterian Medical Center
200 Hawthorne Lane
Charlotte, NC 28204

Novant Health Rowan Medical Center
612 Mocksville Avenue
Salisbury, NC 28144

Novant Health Matthews Medical Center
1500 Matthews Township Parkway
Matthews, NC 28105

Novant Health Huntersville Medical Center
10030 Gilead Road
Huntersville, NC 28078

Novant Health Huntersville Surgery Center
10030 Gilead Road, Suite 120
Huntersville, NC 28078

Novant Health Charlotte Orthopedic Hospital

1901 Randolph Road
Charlotte, NC 28207

Novant Health Ballantyne Surgery Center
14215 Ballantyne Corporate Place, Ste 210
Charlotte, NC 28277

704-384-0539
Novant Health Brunswick Medical Center
240 Hospital Drive NE
Bolivia, NC 28422

910-721-1404
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

703-369-8020

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 Novant Health 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 a Novant Health facility. It does not apply to services rendered by any independent physicians or practitioners that are not employed by Novant Health. This includes, but is not limited to, anesthesiologists, radiologists and pathologists.