Duke Health Financial Assistance Policy & Application
Use the official Duke Health policy and application links, review published income ranges and provider limitations, then build a qualified action plan. This page does not determine eligibility.
North Carolina statewide program
Statewide participating-hospital discounts may be more important than an older or incomplete system summary.
NCDHHS publishes a 100% discount below 200% FPG, at least 75% from 200–250%, and at least 50% from 250–300% for insured and uninsured North Carolina residents at participating acute-care hospitals. Verify that the facility, service, and bill fall within the current state program and hospital policy.
Verify with NCDHHSWhat the official source currently supports
- Facilities covered
- Duke University Health System hospitals and participating entities identified by the policy
- Policy effective date
- 2026-01-01
- Application deadline or lookback
- No universal deadline verified from the source. Ask in writing.
- Presumptive eligibility
- Not established in this record — ask whether the account was screened automatically.
- Hardship or catastrophic review
- Duke describes an adjusted-gross-income pathway for qualifying balances that exceed 15% of projected annual household income, including applications above 300% FPG.
Contact and submit
919-620-4555 or 800-782-6945
Not verified — use the current application
English, Spanish, Other translated summaries available through Duke
Documents to prepare
- Completed financial-assistance form
- Household income documentation
- Information about available insurance and government-program pathways when requested
Providers included
- DUHS emergency and medically necessary services within policy scope
Provider and service exclusions
- Services or providers outside the policy scope; verify every separately issued bill
Plain-language limitations
- Duke publishes a sliding scale: 100% through 200% FPG, then 90%, 80%, 70%, and 65% at successive bands through 300% FPG.
- The policy, covered entity, service type, documentation, and final hospital review control.
Collections and deadline warning
Request written account-hold and collection instructions when submitting the application. Do not ignore a lawsuit, validation, appeal, authorization, or payment deadline.
Evidence record
Official sources used
Retrieved 2026-08-06Supports: 2026 sliding scale, examples, and patient access pointDUHS Financial Assistance PolicyDuke University Health System · Effective 2026-01-01
Retrieved 2026-08-06Supports: Policy scope, hardship provision, application, and eligibility details
Turn the policy into an action plan
Compare a broad income range without sending sensitive answers to analytics.
The finder adds the bill stage, documentation checklist, provider warning, questions, missing information, and printable result.
Related medical-bill actions
Verify the bill around the application
Request and review an itemized hospital bill
Organize charges, dates, providers, insurance processing, and questions before paying.
Compare an EOB with a provider bill
Check whether the final patient responsibility matches the insurer's explanation.
Financial assistance before paying
Understand the difference between assistance, a payment plan, and a separately billing provider.
Facility fee versus professional fee
Separate the hospital charge from clinician and ancillary bills.
Why one visit creates multiple bills
Map the facility, clinician, radiology, lab, anesthesia, and ambulance billing entities.
Medical Bill Response System
Use the broader bill-review path when the problem is not limited to financial assistance.
Review record: Official source retrieved 2026-08-06. Primary-source review complete. Next scheduled review: January 2027, or earlier when the official source changes. This educational page does not determine eligibility, legal rights, insurance coverage, or whether a balance is owed.