Download PDF version of this page 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 multiple 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, including submitting one of the following documents, W-2 statement, current pay stubs, bank statements or last year’s income tax return as well as completing the application process for all available sources of assistance, including state subsidized care Medicaid. How to Apply 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 the Financial Assistance Policy. Prescriptions may be covered if obtained through UW Medicine and filled at a UW Medicine pharmacy (if available). 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). Where to Obtain Copies 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 on-line, by phone or in person. Documents are available online for downloading and printing at uwmedicine.org/financialassistance or valleymed.org/financialassistance. You can request 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. Harborview Medical Center Financial Counseling 325 9th AveMail Stop 359758Seattle, WA 98104-2499 206.744.3084FAX 206.744.5187 M-F 8:00 a.m. – 4:30 p.m. UW Medical Center-Montlake Financial Counseling 1959 NE Pacific StreetMail Stop 356142Seattle, WA 98195-6142 206.744.3084FAX 206.598.1122 M-F 8:00 a.m. – 4:30 p.m. UW Medical Center-Northwest Financial Counseling 1550 N 115th StSeattle, WA 98133-9733 206.744.3084 M-F 8:00 a.m. – 4:30 p.m. Harborview Medical CenterUW Medical Center Patient Financial Services 10330 Meridian Ave. N Suite 260Seattle, WA 98133 206.598.1950 or 1.877.780.1121 M-F 8 a.m. – 4:30 p.m. Valley Medical Center Patient Financial Services 3600 Lind Ave SW, Suite 110Renton, WA 98057-4970 425.690.3578 FAX 425.690.9578 M-F 8:00 a.m. – 5:00 p.m. UW Physicians UW Neighborhood Clinics Patient Accounts & Inquiry P.O. Box 50095 Seattle, WA 98145-5095 206.520.9300 or 1.855.520.9300 FAX 206.520.3200 M-F 9:00 a.m. – 5:00 p.m. Harborview Medical CenterUW Medical Center Patient Financial Services P.O. Box 95459Seattle, WA 98145-2459 206.598.1950 or 1.877.780.1121 FAX 206.598.2360 M-F 8:00 a.m. – 4:30 p.m. Valley Medical Center Patient Financial Services P.O. Box 59148Renton, WA 98058-2148 425.690.3578 FAX 425.690.9578 M-F 8:00 a.m. – 5:00 p.m. Airlift Northwest Patient Financial Services 6505 Perimeter Road S., Ste 200Seattle, WA 98108 206.598.2912 FAX 206.521.1612 M-F 8:00 a.m. – 5:00 p.m.