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Financial Assistance/Charity Care

(757) 668-7141

Children’s Hospital of The King’s Daughters is committed to caring for all patients, birth to age 21, without regard to their financial situation.

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Do You Qualify?

CHKD cares for every child who needs our services, regardless of any family’s ability to pay.  Depending on your income and family size, you may qualify for our financial assistance.

For more information about the program, please call (757) 668-7141 to speak confidentially to the 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, 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 $22,539 Income up to $32,199 Income up to $41,859 Income up to $51,520
       2Income up to $30,484Income up to $43,549Income up to $56,614Income up to $69,680
       3Income up to $38,429Income up to $54,899Income up to $71,369Income up to $87,840
       4Income up to $46,374Income up to $66,249Income up to $86,124Income up to $106,000
       5Income up to $54,319Income up to $77,599Income up to $100,879 Income up to $124,160
       6Income up to $62,264Income up to $88,949Income up to $115,634 Income up to $142,320
       7Income up to $70,209Income up to $100,299Income up to $130,389 Income up to $160,480
       8Income up to $78,154Income up to $111,649Income up to $145,144 Income up to $178,640

 *Chart uses 2021 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

Instrucciones para Asistencia Financiera en el CHKD 

Número de Adultos y Niños en la Familia Porcentage de Reducción de Cargos del CHKD Basado en Ingresos
 100%75%50%25%
       1Ingreso hasta $22,539Ingreso hasta $32,199Ingreso hasta $41,859Ingreso hasta $51,520
       2Ingreso hasta $34,484Ingreso hasta $43,549Ingreso hasta $56,614Ingreso hasta $69,680
       3Ingreso hasta  $38,429Ingreso hasta  $54,899Ingreso hasta  $71,369Ingreso hasta  $87,840
       4Ingreso hasta  $46,374Ingreso hasta $66,249Ingreso hasta  $86,124Ingreso hasta  $106,000
       5Ingreso hasta  $54,319Ingreso hasta $77,599Ingreso hasta  $100,879Ingreso hasta  $124,160
       6Ingreso hasta  $62,264Ingreso hasta $88,949Ingreso hasta $115,634 Ingreso hasta $142,320
       7Ingreso hasta  $70,209Ingreso hasta $100,299Ingreso hasta  $130,389Ingreso hasta  $160,480
       8Ingreso hasta  $78,154Ingreso hasta  $111,649Ingreso hasta  $145,144Ingreso hasta  $178,640

*La tabla utiliza las recomendaciones de pobreza federal del 2020. 

 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.

(757) 668-7141