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Financial Assistance

Financial Assistance
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Learn more about available financial assistance options and policies to help you pay your health care bill.

Apply for Financial Assistance

If you are experiencing financial challenges or are unable to pay your health care bill in full, we’re here to help. University of Vermont Health offers a range of financial assistance options so you can continue to access the care you need, when and where you need it.

To apply for financial assistance, please select the hospital where you receive care from the list below and complete the forms. Please include the requested supporting documentation found on the application. Mail or fax the completed application and supporting documentation to:

University of Vermont Medical Center
Financial Assistance Program
Patient Access Department IDX 22052
111 Colchester Avenue
Burlington, VT 05401

You may fax the completed forms to 802-847-7618.

Once we have received all of the required documentation, we can complete your application within 30 days. 

If you need help completing the application, please contact UVM Health's financial assistance office at 802-847-8000 or toll-free at 800-639-2719.

University of Vermont Medical Center

To apply for financial assistance, please download and complete the following three documents:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Central Vermont Medical Center

To apply for financial assistance, please download and complete the following three documents:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Champlain Valley Physicians Hospital

To apply for financial assistance, please download and complete the following document:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Elizabethtown Community Hospital

To apply for financial assistance, please download and complete the following document:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Alice Hyde Medical Center

To apply for financial assistance, please download and complete the following document:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Porter Medical Center

To apply for financial assistance, please download and complete the following three documents:

Financial Assistance Policies

UVM Health is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care. Please review our policies below.

Home Health & Hospice

Please contact us to learn more about financial assistance programs at Home Health & Hospice.

By phone

802-658-1900

In-person

Home Health & Hospice
1110 Prim Road
Colchester, VT 05446

Frequently Asked Questions

Can you explain the application process?

Yes. If you have any questions regarding the process or need help understanding any part of the application process, please contact a member of our Customer Service team at 1-800-639-2719.

Can I get help completing my application?

Yes. Please contact Customer Service at 802-847-8000 or 1-800-639-2719 with questions or email us at CustomerService@UVMHealth.org.

If a question or section does not apply to me, can it be left blank?

No. We require a complete application when applying for financial assistance. If a section or question does not apply, write N/A for not applicable.

If I don't have all the documentation requested. Can I send what I have?

No. You must return a complete application with all the appropriate documentation, or the application will be denied until supporting documentation is submitted. If you have a question about a specific document, please call our customer service department at 1-800-639 2719, there may be an alternative document that may be substituted.

I am not sure if I qualify for Medicaid, NY Family Health Plus or another insurance program funded by the State, can you help me determine if I’m eligible?

Yes, please contact our financial advocates or counselors at the appropriate hospital organization above to schedule a meeting or screening as needed.

What can I submit for proof of income?

Your most recent federal income tax return is the preferred proof of income document. Alternatively, you may submit pay stubs, documentation of public assistance, profit and loss statements, benefit verification letters, letters from your employer, migrant worker contracts, or the Open-Door Clinic, etc.

I sent my W2's then I received my application back asking for my Federal Tax Return. Why?

There is a difference between your W-2's and your Federal Tax Return. A W-2 is simply a statement of your earnings from a specific employer. Your Federal Tax Return is a complete recording of your total income. We require proof of income and prefer a copy of your Complete Federal Tax Return, however, an acceptable alternative may be submitted (see above). W-2's cannot be used as a substitute. If you do not have a copy of your Federal Tax Return contact the Internal Revenue Service (IRS) at 1-800-908-9946 and request a Tax Return Transcript at no cost or visit www.irs.gov/Individuals/Get-transcript.

What year of my Federal Tax Return do I send?

Provide the most recent tax filing year - after April 15th.

What is a benefit verification letter?

If you are receiving social security (SSI) benefits, this is the yearly letter that social security sends notifying you of your monthly eligible benefits. For verification purposes we will accept a copy of the benefit award letter. To obtain a copy of your Benefit Verification Letter, visit www.ssa.gov/myaccount/

My employer does not provide pay stubs, what should I do?

We recommend submitting a copy of your most recent income tax return. If that is not available there are other alternative documents you may submit, please see above or refer to the documentation checklist on the application. Please note, if you are married or have a domestic partner, their verification is also required. For migrant workers, a copy of your contract or a letter from your employer is acceptable.

I do not complete a quarterly profit and loss (P &L) for my business. Can I just send my current Federal Tax Return?

Yes, however, in lieu of your federal income tax return, your P&L is an acceptable alternative document for income verification.

What is the coverage period for Financial Assistance?

Your coverage period will be indicated on your grant letter. It may be valid up to six months, for twelve months if disabled, aged 65 or greater and retired or in the case of a catastrophic grant, it may be valid for a single event of care only. If your income indicates you may be eligible for Medicaid, NY Family Health Plus or another insurance program funded by the State, you will be required to apply for Medicaid if you meet their eligibility requirements.

Note: If you are an undocumented immigrant, you are not required to apply for Medicaid.

Additionally, no patient shall be required to purchase a private medical insurance plan to qualify for our financial assistance program.

Your approval letter will indicate the coverage period.

How often do I need to re-apply for Financial Assistance?

Financial Assistance is a program for patients facing financial hardship and should only be applied for if you have medical bills you cannot pay with UVM Health. You can apply at any time if you have balances you’re unable to pay, if you expect that an account currently pending insurance will leave a balance, or expect that a future scheduled medical service will leave you a balance.

Providers Offering Financial Assistance and Discounted Care

Not all providers are covered by our financial assistance policy. To find out if your provider is covered, see the participating providers list below. If your provider is not listed, they are not covered under our financial assistance policy.

Hospital Bills: All UVM Health eligible services are covered under the financial assistance policy.

Provider Bills: To determine if your provider is covered under the financial assistance policy, please see the list of providers listed below your UVM Health partner hospital.

View list of providers covered by our financial assistance policy

Translated Documents

Arabic – العربية

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New York

Bosnian – bosanski 

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Burmese – မြန်မာ

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Dari – دری

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French – Français

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Haitian Creole

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Kinyarwanda

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Kirundi

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Lingala

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Mandarin – 简体中文

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Nepali - नेपाली

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Pashto – پښتو 

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Portuguese

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Somali – Soomaali

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Spanish – Español

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Swahili – Kiswahili

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Ukrainian – українська

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Vietnamese – Tiếng Việt

Vermont

New York

Contact

If you want more information about the financial assistance program, need help with the application process or have questions about your application status, please contact our customer service team at 802-847-8000 or 800-639-2719 (toll-free).

Financial Assistance

Health Assistance Program

Our Health Assistance Program (HAP) helps eligible low- and middle-income families get prescription medications at no cost, even if you have insurance.

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University of Vermont Medical Center

111 Colchester Ave
Burlington, VT 05401

802-847-0000

Golisano Children's Hospital

111 Colchester Ave
Burlington, VT 05401

802-847-0000

Central Vermont Medical Center

130 Fisher Road
Berlin, VT 05602

802-371-4100

Champlain Valley Physicians Hospital

75 Beekman Street
Plattsburgh, NY 12901

518-561-2000

Elizabethtown Community Hospital

75 Park Street
Elizabethtown, NY 12932

518-873-6377

Alice Hyde Medical Center

133 Park Street
Malone, NY 12953

518-483-3000

Porter Medical Center

115 Porter Drive
Middlebury, VT 05753

802-388-4701

Home Health & Hospice

1110 Prim Road
Colchester, VT 05446

802-658-1900

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