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Financial Assistance Programs

It is the policy of UNC Health Care to provide medically necessary health care to the citizens of North Carolina, regardless of their ability to pay.

If you do not have insurance, or are concerned about paying for your medical bill, please call our Financial Assistance Unit Monday through Thursday 8 a.m. to 4:30 p.m. and Friday, 8 a.m. to 1 p.m. at (919) 966-3425. We may be able to help you. All of our services are confidential.

 

Our Patient Financial Assistance program includes these components:

  • Community Care discount that allows any uninsured patient of any income level to receive a 35 percent discount for physician and hospital charges.
  • Charity Care Program that allows a qualifying patient with an income below 250 percent of the Federal Poverty Guidelines to only be responsible for a copay (at least $25 per primary care clinic visit, $35 for specialist clinic visit, $50 per Emergency Department visit and $100 per admission).
  • Catastrophic Care Program that allows eligible patients who do not qualify for charity care and who have incurred significant hospital and physician costs to have their medical debt reduced to 20% of their yearly income.

 We ask that each patient make a good faith effort by:

  • discussing your financial status with a financial services representative
  • Setting up a payment plan as appropriate
  • Seeking alternative methods of coverage
  • Completing an application for the Hospitals' financial assistance programs.

 

These forms must be completed to be qualified for assistance:

  • Charity Care Application
  • Pharmacy Assistance Application

Charity Care eligibility expires after one year.  Reapplication is necessary to be qualified for assistance.
 

Financial Assistance Program components are described below:

Charity Care Program

The Charity Care Program insures that all eligible individuals receive medically necessary care at UNC Health Care regardless of their ability to pay. The program provides patients with relief of most financial obligation to UNC Health Care if the patient’s income falls below 250 percent of the Federal Poverty Guidelines. All patients are asked to pay co-payments of at least $25 per primary care clinic visit, $35 per specialist clinic visit, $50 per Emergency Department visit and $100 per admission. Patients must complete an application to be qualified for assistance. A separate application is required for Pharmacy benefits.

Community Care Discount Program

The Community Care Discount extends discounted health care to those who may not be able to access or afford medical insurance either individually or through their employer. The program also assists insured patients who receive services that are medically necessary, but uncovered. The program provides a 35 percent discount for most self-pay patients’ accounts.

If you feel you may qualify or have any questions about financial assistance that may be available to you, please contact a UNC Health Care financial services representative at 966-3425 or visit them in our Admitting Office in the lobby of the  N.C. Memorial Hospital.

UNC Health Care Charitable Care Guidelines

Patients must complete a formal application for charitable care to receive medically necessary services from UNC Health Care.

  • Application for charitable care will be processed when all insurance benefits and/or financial aid from third party payors, state and federal assistance programs, charitable or endowment funds have been exhausted.
  • Charitable care will be available only for medical services that are reasonable and necessary for the diagnosis and treatment of illness or injury. Services that are considered cosmetic or patient convenience do not qualify for charitable care.
  • The Patient Financial Services Office will render determination of eligibility in writing within fourteen days of receipt of the completed application. Patients denied charitable care may appeal the decision in writing to the Charitable Care Appeal Committee.

UNC Health Care Pharmacy Assistance Policy

The UNC Pharmacy Assistance Program ensures that North Carolina residents who receive care at UNC Health Care, lack prescription benefits, and have income less than 200 percent of the Federal Poverty Guidelines are able to obtain necessary prescription medications. 

All patients are asked to pay co-payments of at least $4 per prescription. Patients must request assistance through a Pharmacy Assistance Counselor at the UNC Outpatient Pharmacies and complete an application to be qualified for assistance.

UNC Health Care Pharmacy Assistance Guidelines

  • Requests for pharmacy assistance must be made to a Pharmacy Assistance Counselor at the UNC Outpatient Pharmacies.
  • The Pharmacy Assistance Counselor will establish a 14-day temporary benefit for patients meeting screening criteria.
  • Patients must complete a formal application for pharmacy assistance before exhausting the 14-day temporary benefit.
  • Application for pharmacy assistance will be processed when all insurance benefits and/or financial aid from third party payors, state and federal assistance programs, charitable or endowment funds have been exhausted.
  • Pharmacy assistance will be available only for prescription medications that are part of the UNC Health Care System drug formulary and in accordance with formulary requirements.
  • The Pharmacy Assistance Counselor will render determination of eligibility in writing within 15 business days of receipt of a completed application.
  • Patients denied pharmacy assistance may appeal the decision in writing to the Assistant Director of Pharmacy, Ambulatory Care Pharmacy Services, or by asking the Pharmacy Assistance Counselor for reconsideration of their application.

UNC Health Care reserves the right to amend the policies and procedures set forth on this page in its sole and absolute discretion. The existence of these policies and procedures do not create any legal right for the benefit of any person. In short, while UNC Health Care remains committed to helping those in need, it must reserve its right to adapt its policies and procedures as circumstances warrant. UNC Health Care Patient Financial Services will make ultimate decisions regarding the application of these policies and procedures.

This information is available in Spanish here.

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