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(352) 733-0111

Financial Assistance

Questions about billing?

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?

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

You may also pick up a physical copy of the application at the following locations:

Policies

Financial assistance policy

Billing and collection policy

Physicians who bill independently

Forms

Turning in applications

You can send us your completed application:

  • By email to ptreldept@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 the Villages 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 AGB percentage applicable as of 7/1/2023 is 20.39%, resulting in a minimum discount of 79.61% 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 7/1/22 to 6/30/23.

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.