Financial Assistance

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At 麻豆视频, we provide quality care to all patients regardless of their ability to pay. We understand that health care expenses are often unexpected and paying for services can be overwhelming. If you cannot pay your bill, we can help.

Financial Assistance Policy

If you are unable to pay your bill, please contact us at the telephone number or address in this brochure to see if you are eligible for financial assistance. Each patient’s situation is evaluated according to relevant circumstances such as income, assets or other resources available to pay an outstanding balance. Taking these factors into account, free care is available to insured patients whose household income is 300% or below the federal poverty level with less than $50,000 in available assets. Free care is available to uninsured patients whose household income is 300% or below the federal poverty level with less than $50,000 in available assets. Additionally, uninsured patients whose household income is between 300% and 400% of the federal poverty level with less than $50,000 in available assets will receive a 80% discount.

The complete financial assistance policy (“FAP”), along with an application for financial assistance, can be found below. Paper copies are also available at any patient registration area within a 麻豆视频 hospital facility and will be mailed free-of-charge to a patient upon request.

麻豆视频 Uninsured Patient Discount Program

If you do not have health insurance and you do not qualify for assistance under the financial assistance policy above, you may be eligible for the 麻豆视频 Uninsured Discount Program. An administrative adjustment equal to 50% of Hospital Facility Gross Charges is available.

Federal Poverty Guideline (FPG) Income Levels

No. Persons in Household	100% FPG	138% FPG	200% FPG	300% FPG	400% FPG
No. Persons in Household 1	100% FPG$15,650	138% FPG$21,597	200% FPG$31,300	300% FPG$46,950	400% FPG$62,600
No. Persons in Household 2	100% FPG$21,150	138% FPG$29,187	200% FPG$42,300	300% FPG$63,450	400% FPG$84,600
No. Persons in Household 3	100% FPG$26,650	138% FPG$36,777	200% FPG$53,300	300% FPG$79,950	400% FPG$106,600
No. Persons in Household 4	100% FPG$32,150	138% FPG$44,367	200% FPG$64,300	300% FPG$96,450	400% FPG$128,600
No. Persons in Household 5	100% FPG$37,650	138% FPG$51,957	200% FPG$75,300	300% FPG$112,950	400% FPG$150,600
No. Persons in Household 6	100% FPG$43,150	138% FPG$59,547	200% FPG$86,300	300% FPG$129,450	400% FPG$172,600
No. Persons in Household 7	100% FPG$48,650	138% FPG$67,137	200% FPG$97,300	300% FPG$145,950	400% FPG$194,600
No. Persons in Household 8	100% FPG$54,150	138% FPG$74,727	200% FPG$108,300	300% FPG$162,450	400% FPG$216,600

For More Information

Please contact a 麻豆视频 representative at the phone number or address below. Someone will be available to assist you Monday – Friday between the hours of 8:30 a.m. – 4:30 p.m.

757-233-4600 or 1-877-768-3993

麻豆视频 Healthcare
ATTN: Financial Coordinator
824 N. Military Hwy., #100
Norfolk, Virginia 23502

What happens to the rest of my bill?

You will need to pay the remaining balance of the bill in a timely manner. Our financial assistance representatives will be happy to assist you with payment options.

The following hospital facilities are covered under the Financial Assistance Policy referenced below:

麻豆视频 CarePlex Hospital
麻豆视频 Halifax Regional Hospital
麻豆视频 Leigh Hospital
麻豆视频 Martha Jefferson Hospital
麻豆视频 Northern Virginia Medical Center
麻豆视频 Norfolk General Hospital
麻豆视频 Obici Hospital
麻豆视频 Princess Anne Hospital
麻豆视频 RMH Medical Center
麻豆视频 Virginia Beach General Hospital
麻豆视频 BellHarbour Surgery Center

Financial Assistance Information is Available in the Languages below

Expand All

English

If You Cannot Pay Your Hospital Bill, 麻豆视频 Can Help

Translations of the Financial Assistance Policy, the application for financial assistance, and the FAP Plain Language Summary are available in English. Please click the links below to download a copy. You will need Adobe Acrobat Reader to view the PDF documents. .

Espa?ol (Spanish)

Si no puede pagar su factura del hospital, 麻豆视频 le puede ayudar

Hay traducciones de la política de ayuda financiera, la solicitud de ayuda financiera y el resumen en lenguaje sencillo de la política de ayuda financiera disponibles en español. Haga clic en los siguientes vínculos para descargar una copia. Necesita Adobe Acrobat Reader para ver los documentos en PDF.

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???? ?? ? ? ???, 麻豆视频? ??? ? ? ????

?? ?? ??, ?? ??? ???, ??? ???? ??? ? FAP ???? ??? ???? ????. ?? ???? ??? ?? ????. PDF ??? ??? Adobe Acrobat Reader (??? ???? ??)? ??? ???.

Ti?ng Vi?t (Vietnamese)

N?u b?n không th? thanh toán hóa ??n b?nh vi?n c?a b?n, 麻豆视频 có th? giúp ??

B?n d?ch c?a Chính sách h? tr? tài chính, ??n xin h? tr? tài chính, và B?n tóm t?t ngôn ng? thông th??ng FAP s?n có b?ng Ti?ng Vi?t. Vui lòng nh?p chu?t vào các ???ng d?n d??i ?ây ?? t?i xu?ng m?t b?n sao. B?n c?n có Adobe Acrobat Reader ?? xem các tài li?u ??nh d?ng PDF.

Tagalog

Kung Hindi Mo Mabayaran ang Iyong Bill sa Ospital, Makakatulong ang 麻豆视频

Available ang mga pagsasalin ng Patakaran sa Tulong Pinansyal, application para sa tulong pinansyal at Pinasimpleng Buod ng FAP sa Tagalog. Mangyaring i-click ang mga link sa ibaba upang mag-download ng kopya. Mangangailangan ka ng Adobe Acrobat Reader upang matingnan ang mga PDF na dokumento.

???? (Urdu)

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????? ????? ??????? ????? ????? ?? ??????? ??? FAP ?? ???? ???? ??? ????? ?? ????? ???? ???? ??? ?????? ????

????? ??????? ??? ??? ???? ??? ???? ?? ??? ??? ??? ???? ?? ??? ????? PDF ?? ????????? ?????? ?? ??? ?? ?? ?? ????? ??? ??? ?? ???? ?? Adobe Acrobat Reader ???? ??? ?? ???? ????

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国语 (Mandarin Chinese)

如果您不能支付您的医疗费用，麻豆视频可以帮助

现有财政资助政策、财政资助申请书和财政资助政策简明综述的中文翻译版本。请点击下面的链接下载一份。您需要安装 Adobe Acrobat Reader 查看 PDF 文档。。&苍产蝉辫;

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