Financial Assistance
We provide emergency, urgent and medically necessary health care regardless of ability to pay.
If you are unable to pay, you may qualify for financial assistance. Assistance is based upon income. If your family adjusted income is less than 200% of federal poverty guidelines, you may be eligible for up to a 100% discount.
What is 200% of federal poverty guidelines?
- How we calculate our averages
- HHS Poverty Guidelines
- UF Health Jacksonville financial assistance information
Applying for financial assistance
- In order to be considered for full assistance, you must complete, sign and provide all supporting documentation required on our Financial Assistance Application.
- Financial Assistance polices apply to United States residents. Non-United States residents may be reviewed on an exception basis (emergent, urgent or traumatic care, but may not apply to aftercare / follow-up services).
- Please allow 7 business days for our review process. We will notify you of our determination of qualification by letter.
Financial assistance application
- Financial Assistance Application
Plain language summary - Solicitud de asistencia economica (Espanol)
Plain language summary (Espanol) - Financial Assistance Application (Chinese)
Plain language summary (Chinese)
You may also pick up a physical copy of the application at the following locations:
- UF Health Shands Hospital
Admissions Department Room 1331, 1600 SW Archer Road Gainesville, Florida 32608 - UF Health Shands Children’s Hospital
Room 1335-11600, 1600 SW Archer Road Gainesville, Florida 32608 - UF Health Shands Cancer Hospital
Admissions Department Room 1319, 1515 SW Archer Road Gainesville, Florida 32608 - UF Health Heart & Vascular and Neuromedicine Hospitals
Cashier’s Office Room 1522, 1505 SW Archer Road Gainesville, Florida 32608 - UF Health Psychiatric Hospital
Admissions Department Room 1105.5, 4101 NW 89th Blvd Gainesville, Florida 32606 - UF Health Leesburg Hospital
600 E. Dixie Avenue Leesburg, Florida 34748 - UF Health Spanish Plaines Hospital
1451 El Camino Real The Villages, Florida 32159 - UF Health Shands Patient Financial Services
UF Health Professional Park 3300 SW Williston Road Gainesville, FL 32608
Policies
Financial assistance policy
- Financial Assistance Policy
- Política de asistencia economica (Espanol)
- Financial assistance policy (Chinese)
Billing and collection policy
- Billing and Collections
- Política de facturaciones y cobranzas (Espanol)
- Billing and collections policy (Chinese)
Physicians who bill independently
Forms
- Profit and loss
- Profit and loss (Chinese)
- Profit and loss (Espanol)
- Wage verification
- Wage verification (Chinese)
- Wage verification (Espanol)
- LOS and unemployment
- LOS and unemployment (Chinese)
- LOS and unemployment (Espanol)
Turning in applications
You can send us your completed application:
- By email to finassistprogram@shands.ufl.edu
- By fax to 352.627.4648
- By mail to:
UF Health Financial Assistance
PO BOX 100334
Gainesville, FL 32610
Turn in Person:
- Patient Financial Services Customer Service
3300 SW Williston Road
Gainesville, FL 32608
- UF Health Admissions Department
1600 SW Archer Rd, Room 1335-1
Gainesville, FL 32608
- UF Health Leesburg Hospital
600 E Dixie Avenue
Leesburg, FL 34748
- UF Health Spanish Plaines Hospital
1451 El Camino Real
The Villages, FL 32612
Hours are Monday to Friday 8 a.m. to 4:30 p.m.
Uninsured patients
Uninsured patients may be eligible for a self-pay discount. This discount is up to 45% of your total charges. Please note, any self-pay or financial assistance discount applied is reversed if:
- Insurance is applied
- A Third Party Liability (TPL) is identified
- A settlement is identified
- A miscellaneous source of payment is identified
How we calculate our averages
UF Health Shands uses the "look-back" method to determine "amounts generally billed" (AGB) to individuals who have insurance covering emergency or other medically necessary care. The AGB is determined utilizing the look-back method as described in Code of Federal Regulations, Title 26, Internal Revenue Service 1.501(r)-5(b)(3). The updated AGB percentage applicable as of 7/1/2024 is 20.46%, resulting in a minimum discount of 79.54% applied to gross charges.
The percentage was calculated using all claims allowed by Medicare fee-for-service for both inpatient and outpatient services having discharge dates from 7/1/23 to 6/30/24.
Contact Us
Please contact us at (352) 265-7906 or 1-888-766-8154 if you have any questions. The hours are Monday to Thursday 8 a.m. to 8 p.m., Friday 8 a.m. to 5 p.m., and Saturday 9 a.m. to 1 p.m.