CHKD provides medical care to every child who needs it, regardless of the family’s financial situation. For families who don’t have health insurance or the resources to pay for our medical services, CHKD’s health benefits analysts can help determine eligibility for government insurance such as Medicaid.
How to Apply
Financial assistance is limited to residents of the region who have valid legal presence in the United States.
To apply, fill out this typeable PDF. Be sure to sign and date your application, then submit the completed application via mail, fax or email.
Children’s Hospital of The King’s Daughters Patient Financial Services – HBA
601 Children’s Lane
Norfolk, VA 23507
Our health benefits analysts will let you know if discounted or free care is an option, based on the federal poverty guidelines for income and family size as illustrated in the chart below.
CHKD’s Guidelines for Financial Assistance*
Number of Adults and Children in Family
|Percent Reduction of CHKD Charges Based on Income|
| 1||Income up to $20,789 ||Income up to $29,699 ||Income up to $38,609 ||Income up to $47,520|
| 2||Income up to $28,034||Income up to $40,049||Income up to $52,064||Income up to $64,080|
| 3||Income up to $35,279||Income up to $50,399||Income up to $65,519||Income up to $80,640|
| 4||Income up to $42,524||Income up to $60,749||Income up to $78,974||Income up to $97,200|
| 5||Income up to $49,769||Income up to $71,099||Income up to $92,429|| Income up to $113,760|
| 6||Income up to $57,014||Income up to $81,449||Income up to $105,884|| Income up to $130,320|
| 7||Income up to $64,277||Income up to $91,824||Income up to $119,372|| Income up to $146,920|
| 8||Income up to $71,557||Income up to $102,224||Income up to $132,892|| Income up to $163,560|
*Chart uses 2015 federal poverty guidelines. For future poverty guidelines, visit http://aspe.hhs.gov/poverty/.
Assets include, but are not limited to, primary residence, rental property, securities, bank deposits, business assets and investments.