Financial Assistance Options

We want to reduce your financial worry as much as possible. Patient Financial Services representatives at Halifax Regional Hospital can help you understand the billing and insurance process. They can also help you apply for financial assistance.

The Financial Assistance Program is based on the Federal Poverty Income Guidelines. Halifax Regional Hospital uses a sliding scale up to 225% of those guidelines. To view the Federal Poverty Guidelines visit www.aspe.hhs.gov/poverty/.

Assistance programs are available to help you pay your medical bill. If you meet federal and state guidelines, you may be eligible for programs such as Medicaid, SLH, Social Security Administration (SSA) or Supplemental Security Income (SSI.) Contact a Patient Financial Services representative at (434) 517-3854 today.

If you need financial assistance, click here to print a copy of Halifax Regional Hospital’s financial statement form. Be sure to complete the form in full, sign and date. You will need to show proof of income from the month of service and two months prior.

Completed forms should be returned to:
Halifax Regional Hospital
Patient Financial Services
 2204 Wilborn Avenue
South Boston, VA 24592

Uninsured Patient Discount Program (effective September 1, 2006)
If you are not covered by any healthcare insurance plan and receive services from Halifax Regional Hospital, you may qualify for the hospital’s Uninsured Patient Discount Program. You must contact Patient Financial Services in order to receive the benefit. You will be asked to sign a statement of no insurance and will receive a 15 percent discount of total charges. You or your guarantor will be responsible for paying the remaining balance in full. If you qualify for other discounts available through the Financial Assistance Program, this discount does not apply.

Self Pay
Discounts are not automatically credited to Self Pay accounts. If, however, your insurance denies total charges as “a non-covered service,” the service is considered a Self Pay account and is eligible for the 15 percent discount from total charges.

If you have any questions, please contact our Patient Financial Services Department at (434) 517-3190.

Click here for billing information.