Discount Payment and Charity Care
If you are at or below the federal poverty guidelines and you are without health insurance, you may qualify for free care.
Eligibility Requirements
Gross Income Financial Assistance Eligibility Table
2024 Federal Poverty Guidelines (FPG) gross annual or monthly income to be eligible for charity discount based on family size for California.
| Family Size | Annual Income | Monthly Income |
| 1 | $60,240.00 | $5,020.00 |
| 2 | $81,760.00 | $6,813.33 |
| 3 | $103,280.00 | $8,606.67 |
| 4 | $124,800.00 | $10,400.00 |
| 5 | $146,320.00 | $12,193.33 |
| 6 | $167,840.00 | $13,986.67 |
| 7 | $189,360.00 | $15,780.00 |
| 8 | $210,880.00 | $17,573.33 |
For family units of more than eight persons, add $21,520.00 for each additional person to determine Federal Poverty Guideline.
Instructions on How to Apply
To receive discounts and payment plans, or to apply for other financial aid programs, you will need to fill out an application and meet certain requirements. Review our Charity and Discount policies and application:
Uninsured Discount and Charity Care Policy (English) →
Uninsured Discount and Charity Care Policy (Spanish) →
Charity Application (English) →
Charity Application (Spanish) →
Office Where the Patient May Go for More Information
For more information, contact our Family Financial Advocates at 855-339-8840, or email nvcbo@uhsinc.com.
Hospital Bill Complaint Program
The Hospital Bill Complaint Program is a state program, which reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.
Note: Authority cited: Section 127010, Health and Safety Code. Reference: Section 127410, Health and Safety Code.