FinancialAssistance

Financial Assistance

(757) 668-7141

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
Phone: 757.668.7141
Email: charitycare@chkd.org
FAX: 757.668.9181 

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
 100%75%50%25%
       1Income up to $20,597 Income up to $29,424 Income up to $38,252 Income up to $47,080
       2Income up to $27,877Income up to $39,824Income up to $51,772Income up to $63,720
       3Income up to $35,157Income up to $50,224Income up to $65,292Income up to $80,360
       4Income up to $42,437Income up to $60,624Income up to $78,812Income up to $97,000
       5Income up to $49,717Income up to $71,024Income up to $92,332 Income up to $113,640
       6Income up to $56,997Income up to $81,424Income up to $105,852 Income up to $130,280
       7Income up to $64,277Income up to $91,824Income up to $119,372 Income up to $146,920
       8Income up to $71,557Income up to $102,224Income 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.

(757) 668-7141

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