Financial Assistance — Plain Language Summary

 

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Financial Assistance Policy — Plain Language Summary (Icon PDF)

 

Financial Assistance Offered

UW Medicine offers financial assistance, under its Financial Assistance Policy, to eligible patients unable to pay for emergency or other medically necessary care. Patients who choose UW Medicine benefit from our experience, expertise and the most advanced medical care available, all within one health system. “UW Medicine” includes Airlift Northwest, Harborview Medical Center, UW Medical Center, UW Physicians, UW Neighborhood Clinics, and Valley Medical Center. 

Eligibility Requirements and Assistance Offered

Eligibility for financial assistance is based on many factors including the nature of the condition and care required, insurance coverage or other sources of payment, income, family size, assets, WA state residency and any special considerations the patient or physician would like to have considered.

Patients seeking financial assistance must comply with the Financial Assistance application process. This includes submitting the patient’s W-2 statement, current pay stubs, bank statements or last year’s income tax return, and completing the application process for all available sources of assistance, including state subsidized care (Medicaid). 

How to Apply for Assistance and What is Eligible for Assistance

The patient or any person involved in the care of the patient, including a family member or provider, can express financial concerns at any point. The patient or responsible party will then be encouraged to complete a financial assistance application. To qualify for financial assistance, an application can be submitted at any time prior to account receiving a court judgment. Financial assistance is limited to medical care provided at a UW Medicine location by UW medical personnel. Expenses such as travel, food, lodging, and durable medical equipment are not covered under Financial Assistance.

Prescriptions may be covered if written by a UW Medicine provider and filled at a UW Medicine pharmacy (if available). Over the Counter (OTC) prescriptions are not covered under Financial Assistance.

Where to Obtain Copies, Submit Documents and Contact Information

UW Medicine Financial Assistance Policy, Financial Assistance Application, Plain Language Summary, and Billing & Collection Policies are available free of charge. These documents can be accessed in multiple languages online, by phone or in person. Documents are online to download or print at uwmedicine.org/financialassistance or valleymed.org/financialassistance. You can ask for your copy by calling the location where you are seeking care. Copies are also available in person at the UW Medicine Admissions and Emergency Departments.

For an English Financial Assistance application and supporting documents, you can now utilize MyChart (except Airlift Northwest) to submit your documents based on your care location. For all other application submissions continue to submit by mail, fax, or in person.   UW Medicine will uphold the confidentiality and dignity of each patient. Any information submitted for consideration of financial assistance will be treated as protected health information under the Health Insurance Portability and Accountability Act (HIPAA).


 
Harborview Medical Center
UW Physicians 
UW Neighborhood Clinics  
Financial Counseling
325 9th Ave; Mail Stop 359758
Seattle, WA 98104-2499
Phone 206.744.3084
FAX 206.744.5187
M-F 8:00 a.m. – 4:30 p.m.
mychart.uwmedicine.org   

 
UW Medical Center-Montlake    
UW Physicians 
UW Neighborhood Clinics  
Financial Counseling
1959 NE Pacific Street
Mail Stop 356142
Seattle, WA 98195-6142
Phone 206.744.3084
FAX 206.598.1122
M-F 8:00 a.m. – 4:30 p.m.
mychart.uwmedicine.org   

 
UW Medical Center-Northwest 
UW Physicians 
UW Neighborhood Clinics  
Financial Counseling
1550 N 115th St
Seattle, WA 98133-9733
Phone 206.744.3084
FAX 206.598.1122
M-F 8:00 a.m. – 4:30 p.m. 
 mychart.uwmedicine.org  

 
Valley Medical Center 
Patient Financial Services 
P.O. Box 59148
Renton, WA 98058-2148  
Phone 425.690.3578 
FAX 425.690.9578
M-F 8:00 a.m. – 5:00 p.m 
mychart.valleymed.org/#mychart    

 

 
Valley Medical Center 
Patient Financial Services
3600 Lind Ave SW, Suite 110
Renton, WA 98057-4970
Phone 425.690.3578
FAX 425.690.9578
M-F 8:00 a.m. – 5:00 p.m.
mychart.valleymed.org/#mychart 

 
Airlift Northwest    
 Patient Financial Services
6505 Perimeter Road S., Ste 200
Seattle, WA 98108
Phone 206.598.2912
FAX 206.521.1612
M-F 8:00 a.m. – 5:00 p.m.