North Carolina Hospital Financial Assistance Policies
Compare current official policy and application links for major North Carolina health systems, understand the statewide medical-debt protections, and build a hospital-specific action plan.
Current statewide floor
Participating North Carolina acute-care hospitals adopted standardized discounts for insured and uninsured residents.
discount below 200% FPG
discount from 200–250% FPG
discount from 250–300% FPG
NCDHHS says all 99 eligible acute-care hospitals joined the medical-debt program. The current program also describes presumptive eligibility, debt-relief, credit-reporting, and collection protections. The exact bill, facility, service, residency, date, and hospital policy still require verification.
Reviewed system records
Major North Carolina hospital systems
These pages add system-specific policy, application, provider, contact, documentation, hardship, and limitation details to the statewide rules.
Atrium Health
Published free-care screening range through 300% FPG.
Review policy detailsNovant Health — North Carolina
Published free-care screening range through 300% FPG.
Review policy detailsDuke Health
Published free-care screening range through 200% FPG.
Review policy detailsUNC Health
Published assistance screening range through 300% FPG.
Review policy detailsWakeMed Health & Hospitals
Published free-care screening range through 300% FPG.
Review policy detailsECU Health
Published free-care screening range through 200% FPG.
Review policy detailsCone Health
Current policy and application found; numerical threshold requires direct verification.
Review policy detailsMission Health
Current policy and application found; numerical threshold requires direct verification.
Review policy detailsIf a bill is already in collections
Tell the hospital and collector that financial-assistance review is being requested. Ask what can be paused and get the answer in writing. Do not ignore a lawsuit, validation, appeal, or payment deadline while the application is pending.
If insurance processing is the problem
North Carolina Department of Insurance Consumer Services and Health Insurance Smart NC can help with regulated insurance questions, denials, and external review. Call 855-408-1212 or use the official NCDOI site.
Open NCDOI contact optionsRelated actions
Review the bill as well as the policy
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: Statewide program and eight major-system records reviewed August 6, 2026. Hospital pages disclose missing terms and link to controlling sources. Next scheduled review: January 2027, or earlier after an NCDHHS or hospital-policy change.