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 $20,789 Income up to $29,699 Income up to $38,609 Income up to $47,520
       2Income up to $28,034Income up to $40,049Income up to $52,064Income up to $64,080
       3Income up to $35,279Income up to $50,399Income up to $65,519Income up to $80,640
       4Income up to $42,524Income up to $60,749Income up to $78,974Income up to $97,200
       5Income up to $49,769Income up to $71,099Income up to $92,429 Income up to $113,760
       6Income up to $57,014Income up to $81,449Income up to $105,884 Income up to $130,320
       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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