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Financial Assistance – Plain Language Summary

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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 Ave
Mail Stop 359758

Seattle, WA 98104-2499

206.744.3084

FAX 206.744.5187

M-F 8:00 a.m.4:30 p.m.

 

UW Medical Center-Montlake

Financial Counseling

1959 NE Pacific Street
Mail Stop 356142

Seattle, WA 98195-6142

206.744.3084

FAX 206.598.1122

M-F 8:00 a.m. 4:30 p.m.

 

UW Medical Center-Northwest

Financial Counseling

1550 N 115th St
Seattle, WA 98133-9733

206.744.3084

M-F 8:00 a.m. – 4:30 p.m.

 

Harborview Medical Center
UW Medical Center

 

Patient Financial Services

 

10330 Meridian Ave. N Suite 260
S
eattle, 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 110
Renton,
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
S
eattle, 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.
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Harborview Medical Center
UW Medical Center

Patient Financial Services

P.O. Box 95459
Seattle, 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 59148
Renton, 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 200
Seattle, WA 98108

206.598.2912

FAX 206.521.1612

M-F 8:00 a.m. – 5:00 p.m.