Financial Assistance & Charity Care Information
At WakeMed, our goal is to provide outstanding and thoughtful care to all who seek our services. We follow the American Hospital Association's billing and collection principles to:
- Treat all patients equitably and with dignity, respect and compassion.
- Serve the emergency health care needs of everyone, regardless of ability to pay.
- Assist patients who cannot pay for part or all of the care they receive.
- Run a financially responsible organization in order to provide continuous community access for needed medical services.
WakeMed realizes that the cost of health care is a concern for all our patients, and may represent a significant financial hardship.
Following treatment you will receive a summary statement of the charges incurred while you were a patient. These charges will only reflect WakeMed's portion of the services. You may receive separate bills from physicians and other providers involved in your care. This summary statement of charges will be followed by additional notices requesting payment of the bill, and outlining your options for doing so.
WakeMed offers several options to assist you in paying your bill:
Eligibility to receive a Prompt Payment Incentive
WakeMed may offer a prompt payment incentive on patient balances other than co-pays of $151 or more for services not covered under any other pre-arranged discount. These incentives are a tiered offering based on the patient's status as insured or uninsured and the amount due. Customer Service representatives will work with you to obtain the highest tier applicable.
To take advantage of this option, you must contact the customer service call center within 10 days of the first patient liability billing notice.
Tier 1 - All patients are eligible for a 15% incentive if payment is made within 10 days of the first patient liability notice.
Tier 2 - Uninsured or out-of-network patients are eligible for a 50% incentive if payment is made within 30 days of the first patient liability notice.
Tier3 - Uninsured or out-of-network patients with balances equal to or greater than $1,000 are eligible for a 50% incentive with each payment made according to schedule at 30, 60 and 90 days. The patient liability must be scheduled to be paid in full no later than 90 days from receipt of the first patient liability notice.
Eligibility for Medicaid or other Government Assistance
WakeMed provides financial counselors that can help you determine if you may be eligible for Medicaid, or other government assistance.
They are available to all patients upon request throughout or following the time you receive care.
Do I Qualify for Financial Assistance to Pay My Medical Bills?
Please Note: As of October 2011, several financial assistance policy changes are in effect. These policy changes ensure that WakeMed maintains compliance with directives from the federal government. The new items are marked with an *.
WakeMed continues to offer help to patients who:
We Are Here to Help.
Call 919-350-8359 to speak to
a WakeMed Financial Analyst.
- Do not qualify for Medicaid or other government health care financial assistance programs
- Meet the program's eligibility criteria (see below)
- *Complete and return the application for financial assistance and all supporting documentation to WakeMed within 30 days of the date on the patient liability letter you receive from WakeMed.
Supporting documentation (pay stubs, tax returns and other information requested by the patient's WakeMed financial analyst) must also be included with the application in order for it to qualify as complete.
Patients who apply for financial assistance to pay for medical bills must meet certain criteria to be eligible for the WakeMed program. Eligibility criteria include:
- *Household income below 250 percent of the federal poverty level
- Limited assets (An asset is an automobile, stocks and bonds, a house, etc.)
- The amount of money owed WakeMed and other health care providers
- The cost of monthly medical necessities for health and safety (examples include prescriptions, items needed for wound care, etc.)
WakeMed financial analysts help patients determine their eligibility. Patients must meet all of the above criteria in order to qualify for financial assistance.
How the Federal Poverty Guideline Works
|Number of People in the Household
|| Federal Poverty Level Guideline
|| Household income below $28,725
|| Household income below $38,775
|| Household income below $48,825
|| Household income below $58,875
|| Household income below $68,925
|| Household income below $78,975
|| Household income below $89,025
|| Household income below $99,075
- For families with more than eight members, add $10,050.00 for each additional member.
- The figures provided are based on the federal poverty guidelines published in the Federal Register, Vol. 78, No. 16, January 24, 2013, pp. 5182-5183
Example: If two people live in the home, the total household income must be below $38,775 in order to qualify for financial assistance with medical bills. If just one person in the home has an income, then we just look at that single income as the total household income. If both people have incomes, we add them together to get the total household income.
Uninsured patients who qualify for financial assistance are responsible for paying copayments at WakeMed facilities and at WakeMed physician practices. Copayments depend on where you receive care and the type of service you receive.
- $100 - Emergency department visit
- $25 - X-ray visit
- $50 - CT scan, MRI or nuclear medicine visit
- $100 - Endoscopy, angiography or sleep study visit
- $500 -- Surgical (inpatient or outpatient) visit
- $500 - Medical admission
WakeMed Physician Practices
- $15 - Primary care clinic visit (visit is in a WakeMed Family Medicine, Children's Primary Care or General Internal Medicine clinics)
- $25 - Specialty care (ex. neurologist, general surgeon, etc.) clinic visit
- $75 - Same-day surgery (procedure performed in a WakeMed Day Surgery facility)
- $100 - Medical admission to the hospital
- $150 - Inpatient surgical admission (surgery performed at a WakeMed hospital that requires at least a 24-hour stay)
We Are Here to Help
At WakeMed we are committed to caring for all individuals, regardless of their ability to pay. Please do not let the fear of not being able to pay your medical bills interfere with seeking care at a WakeMed facility for a medical problem. It is proven that many medical issues, if left untreated, can worsen and require a higher level of care, recovery time and cost than if they are treated early.
Help is available. If you would like to discuss financial assistance with your medical bills with a WakeMed Financial Analyst, please call 919-350-8359.