Unc Charity Care Application Form Spanish
Description
How to fill out Testamentary Trust Provision For The Establishment Of A Trust For A Charitable Institution For The Care And Treatment Of Disabled Children?
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FAQ
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.
Am I Eligible for Financial Assistance? Financial Assistance Eligibility Family SizeHousehold Income Limit1$36,4502$49,3003$62,1504$75,0005 more rows
Phone Hours We welcome your phone calls, feel free to call us at 919-962-8396.
The Charity Care Program insures that all eligible individuals receive medically necessary care at participating UNC Health Care entities regardless of their ability to pay. The program is available for patients with a household income of at or below 250% of the Federal Poverty Guideline for their family size.
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.