Financial Assistance
Do You Qualify?
CHKD cares for every child who needs our services, regardless of a family’s ability to pay. Depending on your income and family size, you may qualify for our financial assistance program.
For more information, please call (757) 668-7141 to speak confidentially with a health benefits analyst.
Applicants will be asked to provide documented proof of need, including income tax records, pay stubs, family size, and proof of residence.
To apply, you can complete our online financial assistance form or fill out the typeable PDF application. Be sure to sign and date your application, then submit it via the web form, mail, fax, or email.
Submit by 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 review your application and let you know if discounted or free care is available, based on the federal poverty guidelines for income and family size as illustrated in the chart below.
|
Number of Adults and Children in Family |
Percent Reduction of CHKD Charges Based on Income | |||
| 100% | 75% | 50% | 25% | |
| 1 | Income up to $27,930 | Income up to $39,900 | Income up to $51,870 | Income up to $63,840 |
| 2 | Income up to $37,870 | Income up to $54,100 | Income up to $70,330 | Income up to $86,560 |
| 3 | Income up to $47,810 | Income up to $68,300 | Income up to $88,790 | Income up to $109,280 |
| 4 | Income up to $57,750 | Income up to $82,500 | Income up to $107,250 | Income up to $132,000 |
| 5 | Income up to $67,690 | Income up to $96,700 | Income up to $125,710 | Income up to $154,720 |
| 6 | Income up to $77,630 | Income up to $110,900 | Income up to $144,170 | Income up to $177,440 |
| 7 | Income up to $87,570 | Income up to $118,350 | Income up to $162,630 | Income up to $200,160 |
| 8 | Income up to $97,510 | Income up to $139,300 | Income up to $181,090 | Income up to $222,880 |
*Chart uses 2026 federal poverty guidelines. For current and prior 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.
¿Usted califica?
El Children’s Hospital of The King’s Daughters se preocupa por cada niño que necesita nuestros servicios, independientemente de la capacidad de cualquier familia que pagar. Dependiendo del tamaño de los ingresos y de la familia, usted puede calificar para nuestra ayuda financiera.
Para obtener más información sobre el programa, por favor llame al(757) 668-7141 para hablar confidencialmente con el analista de beneficios para la salud.
Se les pedirá a los solicitantes que presenten una prueba documentada de necesidad incluyendo los registros de impuestos, recibos de pago, tamaño de la familia y prueba de residencia.
Para solicitar,llene este tipificable PDF. Asegúrese de firmar y fechar su solicitud, a continuación, enviar la solicitud completa por correo, fax o correo electrónico.
Children’s Hospital of The King’s Daughters Patient Financial Services – HBA
601 Children’s Lane
Norfolk, VA 23507
Teléfono:(757) 668-7141
E-mail: charitycare@chkd.org
Fax: (757) 668-9181
|
Número de Adultos y Niños en la Familia |
Porcentage de Reducción Basado en Ingresos | |||
| 100% | 75% | 50% | 25% | |
| 1 | Income up to $27,930 | Income up to $39,900 | Income up to $51,870 | Income up to $63,840 |
| 2 | Income up to $37,870 | Income up to $54,100 | Income up to $70,330 | Income up to $86,560 |
| 3 | Income up to $47,810 | Income up to $68,300 | Income up to $88,790 | Income up to $109,280 |
| 4 | Income up to $57,750 | Income up to $82,500 | Income up to $107,250 | Income up to $132,000 |
| 5 | Income up to $67,690 | Income up to $96,700 | Income up to $125,710 | Income up to $154,720 |
| 6 | Income up to $77,630 | Income up to $110,900 | Income up to $144,170 | Income up to $177,440 |
| 7 | Income up to $87,570 | Income up to $118,350 | Income up to $162,630 | Income up to $200,160 |
| 8 | Income up to $97,510 | Income up to $139,300 | Income up to $181,090 | Income up to $222,880 |
*La tabla utiliza las recomendaciones de pobreza federal del 2026. Para las directrices de probeza actuals y anteriores, visite http://aspe.hhs.gov/poverty/.
Los bienes/activos incluyen, pero no se limitan a, la residencia primaria, propiedades de renta, seguridades, depósitos bancarios, bienes de negocios e inversiones.