Overview

Cape Fear Valley Medical Center's Financial Assistance program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive at Cape Fear Valley, Highsmith Specialty Hospital, Bladen Healthcare, Hoke Healthcare and all CFV owned clinics.

• Charity (indigent) - household income that is equal or less than 200% of the Federal Poverty Guidelines. Qualifying applicants will be responsible for a co-pay, then will receive 100% assistance with their hospital obligation.
• Uninsured - patients with no health insurance. All uninsured patients will receive a minimum of 40% discount.
• Medically Indigent - patients who:
  • Have health coverage, but it does not provide full coverage for all their medical expenses, and
  • These medical expenses, in relation to their income, would make them indigent if they were forced to pay full charges.
• Limited Means - Income between 201% and 500% of the Federal Poverty Guidelines. Qualifying applicants will receive partial assistance. Those who have limited means will receive care at a discount. Discounts are on a sliding scale and range from 25% to 75%.
• Interest-Free Payment Arrangements - allows a patient up to six months to pay an outstanding balance without accruing interest

Who is eligible for Financial Assistance and what are the requirements?

The program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care. Patients are eligible for Financial Assistance when their Family Income is at or below 200% of the Federal Poverty Guidelines https://aspe.hhs.gov/poverty-guidelines.com. Other documentation as mentioned below and in our Financial Assistance policy may be required to determine eligibility. Any patient who meets the criteria may be eligible for financial assistance.

• Income from all sources
• Copies of statements from savings and checking accounts, certificates of deposit, stocks, bonds, money market accounts, etc.
• Value of assets including home and real estate
• Monthly expenses
• Number of dependents
• Copies of most recent pay stubs (three months)
• Copies of most recent state and federal income tax forms, including documentation (see policy)

Patients who are eligible for medical financial assistance will not be charged more than amounts generally billed (AGB) for emergency or other medically necessary care to patients with insurance (AGB, as defined by IRS Section 501(r)).

How do I Apply?

You can get an application from any of the following sources:

• Any of our hospitals or clinic registration desks
• The application here or select the apply here button below to apply through MyChart (preferred method)
• Call 8 a.m. to 5 p.m. Monday through Friday (910) 615-7070.
• By mail (at no cost); just call and request it to be sent to you
• Download and print the application by clicking the link provided

Please mail completed applications (with all required documentation and information specified in the application instructions) to PO Box 2000, Fayetteville, NC 28302, Attention Financial Assistance Specialist, or by giving it to the person at the Hospital or Clinic registration desk.

Your application, with required documentation is then reviewed. If there is something missing, we will notify you and provide you a chance to provide it, so the application can be considered.

How Does Cape Fear Valley Determine Eligibility?

Patients or guarantors must apply for the program by filling out the Application for Hospital Sponsored Charity (link below).

All third party resources and non-hospital financial aid programs, including Medicaid, must be reviewed before financial assistance can be requested.

The patient or guarantor must provide any or all of the following:

• Income from all sources
• Copies of statements from savings and checking accounts, certificates of deposit, stocks, bonds, money market accounts, etc.
• Value of assets including home and real estate
• Monthly expenses
• Number of dependents
• Copies of most recent pay stubs (three months)
• Copies of most recent state and federal income tax forms, including documentation (see policy)

Cape Fear Care Card

Who's eligible?

• All Cape Fear patients

How do I get a card?

• Enroll at capefearvalley.payzen.com/cards
• After entering some basic information, you'll see your limit, monthly amount, and term.
• You'll be able to access your digital card right away, and you'll receive a physical card in the mail in about a week.

How do I use my card?

• Simply pay for healthcare services at a Cape Fear location with your card (either online with your card number or in person with the physical card).
• Your bill will be automatically split into monthly payments based on the terms you selected
• Manage your card and plan details from PayZen's self-service portal.