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Financial Assistance Eligibility Calculator

Check if you qualify for hospital financial assistance (charity care) based on your income and household size. Search from 5,381+ hospitals nationwide to find financial assistance applications.

Educational only — not financial/legal advice Last updated: Dec 15, 2025
5,381+ Hospitals
Nationwide coverage
2026 FPL Guidelines
Current federal poverty levels
Direct Links
Hospital application forms

Understanding Financial Assistance

What is Hospital Financial Assistance?

Hospital financial assistance (also called "charity care") is a program that helps patients who cannot afford their medical bills. Most non-profit hospitals are required to offer financial assistance programs.

  • Free care: Usually available for patients at or below 200% of Federal Poverty Level
  • Reduced-cost care: Often available up to 400% of Federal Poverty Level
  • Payment plans: Available regardless of income level
  • Requirements: Vary by hospital, but typically require proof of income (tax returns, pay stubs)

✅ You May Qualify If:

  • Your income is at or below 200-400% of Federal Poverty Level
  • You're uninsured or underinsured
  • You have high medical bills relative to your income
  • You've exhausted other payment options

📋 What You'll Need:

  • Proof of income (tax returns, pay stubs, bank statements)
  • Proof of household size (birth certificates, tax returns)
  • Medical bills or statements
  • Completed application form (varies by hospital)

💡 Important Tips:

  • Apply early: Don't wait until bills go to collections
  • Be persistent: Follow up if you don't hear back within 30 days
  • Ask for help: Hospital financial counselors can assist with applications
  • Appeal if denied: You can appeal a denial with additional documentation
  • State laws vary: Some states have additional requirements or protections

Next Steps

1. Calculate Your Eligibility

Use the calculator above to see if you're likely to qualify based on Federal Poverty Level guidelines.

2. Find Your Hospital's Application

Search for your hospital in the calculator to find their financial assistance application link, or contact their billing department directly.

3. Gather Required Documents

Collect proof of income, household size, and medical bills. Most hospitals require documentation from the past 30-90 days.

4. Submit Your Application

Complete and submit the hospital's financial assistance application. Follow up within 30 days if you don't receive a response.

What's Next?

Need More Help?

If you're struggling with medical bills, OrbDoc can help you understand your options and navigate the financial assistance process.