Dominion Hospital: Financial Assistance & Charity Care

Can't afford a bill from Dominion Hospital? You may not have to pay all of it. Nonprofit hospitals must offer financial assistance — here are this hospital's actual income limits and how to apply, taken from its own published policy.

Quick facts

200%of the federal poverty level — the free-care income limit

Free care: Free care (a 100% charity discount) if you're uninsured and your household income or resources are at or below 200% of the federal poverty level.

Discounted care: Expanded financial assistance may reduce what you owe if your documented income is between 201% and 400% of the federal poverty level; uninsured patients also get a separate financial discount program.

How to apply: Dominion Hospital: Financial assistance (HCA Virginia)

Phone: 703-531-6103 — Dominion Hospital billing office.

How to apply

  1. Check the income limits above — free care at or below 200% of the poverty level, expanded help at 201-400%.
  2. Contact the billing office at 703-531-6103 and ask about charity care and the financial assistance application.
  3. Fill out the charity care form and provide income and resource verification if asked.
  4. The hospital confirms that no insurance or government coverage can pay the bill first, then decides.

Good to know

See what Dominion Hospital charges

Check if you qualify at other hospitals

Sources