Uninsured Financial Assistance
North Carolina Baptist Hospital (NCBH) is a not-for-profit hospital that is committed to providing healthcare to those in need, regardless of their ability to pay. Wake Forest University Physicians (WFUP) is the medical group practice for Wake Forest Baptist Medical Center (WFBMC) and functions as the exclusive medical staff for NCBH, and also serves as the clinical faculty for Wake Forest University Health Sciences (WFUHS) a not-for-profit subsidiary of Wake Forest University.
NCBH and WFUP are devoted to providing financial relief for medical expense incurred by families who do not have access to financial resources to pay for their health care services. Relief is provided to those patients requiring medically necessary treatment after exhausting all other sources of payment or financial assistance. NCBH and WFUP routinely screen all patients with limited financial resources for eligibility in the following programs: Group Health Insurance Plans, Individual Health Insurance Plans, COBRA, Health Coverage Tax Credits, Medicare, Medicaid and Women-Infant-Children (WIC). If you qualify for coverage under any of these programs, you must enroll in the program and are not eligible for financial assistance through NCBH or WFUP. To see if you are potentially eligible for any of these programs, you may visit the Foundation for Health Coverage Education’s website and complete a brief five question survey that will identify programs for which you qualify.
Below is a summary of our charity care and financial assistance programs:
Charity Care Discounts
Charity Care Discounts are determined using criteria such as income, asset and other fund sources availability, considered in relation to the nature and the extent of medical services required. Based upon these criteria, patients will be eligible to receive a discount of 100, 75 or 50 percent of the patient’s responsibility, if their calculated gross annual income is between 200 to 400 percent of the most recently published Health and Human Services Federal Poverty Guidelines.
Financial assistance is available for qualified parties.
Before we can consider your application you must attach a copy of your most recent Federal Income Tax Return, as well as all W-2's for everyone working in your household. In the absence of a Federal Income Tax Return, employment history must be documented and verifiable for the previous twelve months; including your most recent payroll check stub. If you receive Social Security benefits please provide us with a copy of your Social Security benefit statement. If you receive any other income and/or benefits please provide us with the supporting documentation. Documentation of all outstanding balances will be required. Incomplete applications will automatically be denied.
Financial Assistance Application Process
Attach all required documentation, including your most recent payroll check stub or Federal Income Tax Return.
If you have any questions on the application, please call 336-716-3988.
Mail or drop off the application at :
Wake Forest Baptist Medical Center - Cashier’s Office
Medical Center Boulevard
Winston-Salem, NC 27157
Uninsured Patients
Before we can consider your application you must attach a copy of your most recent Federal Income Tax Return, as well as all W-2's for everyone working in your household. In the absence of a Federal Income Tax Return, employment history must be documented and verifiable for the previous twelve months; including your most recent payroll check stub. If you receive Social Security benefits please provide us with a copy of your Social Security benefit statement. If you receive any other income and/or benefits please provide us with the supporting documentation. Documentation of all outstanding balances will be required. Incomplete applications will automatically be denied.
Payment Plans
NCBH and WFUP recognize that many families are unprepared for expenses associated with healthcare services and as such, strongly recommend that any family who needs more time to pay their medical bills take advantage of our interest free payment plan. Payment plans can be established prior to, at the time of, or after services have occurred. To set up a payment plan, please contact our Customer Service Department at: 336-716-3988Catastrophic Discounts
Catastrophic Discounts
Catastrophic discounts are available to patients with a balance greater than 20% of annual household income when household income is over 400 percent of the Federal Poverty Level. This includes patients with health insurance coverage.