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Hill-Burton Uncompensated Services Inquiry

The following is our standard response to written requests for information on the Hill-Burton uncompensated services program:

Many hospitals and other health care facilities received Federal funds under the Hill-Burton program to meet their construction and/or modernization needs. In return, these facilities are required to provide a specific amount of free or below cost health care (known as uncompensated services) to persons unable to pay. For most facilities, the uncompensated services obligation lasts approximately 20 years. Eligibility for Hill-Burton uncompensated services is based on family size and income. The Federal Poverty Guidelines are used to determine financial eligibility. At some facilities, family eligibility may be based on income up to twice the poverty guidelines, and at some nursing homes may be based on income up to triple the guidelines. See the Poverty Guidelines.

To find out if an individual qualifies for Hill-Burton assistance and whether or not a facility provides the specific services needed, application must be made at the admissions or business office at a Hill-Burton facility. Please note that services fully covered by third-party insurance or a governmental program are not eligible for Hill-Burton coverage, nor are Medicare deductible or coinsurance amounts eligible. In addition, private pharmacy, laboratory and physician fees and services excluded by the facility from its published allocation plan, are not covered by this program. See a list of currently obligated Hill-Burton facilities

Since some facilities are now reaching completion of their obligations, you should call the business office of the facilities which are of interest to you to ensure that they are still participating in the Hill-Burton program. Please note that the facilities which have an asterisk (*) next to their names are certified under a compliance alternative. Their programs may be called either a free care, a charity care, a discounted health services, or an indigent care program, etc. These programs may also use different financial and other criteria to establish eligibility.

See our Free Care Brochure (Acrobat/pdf - get the free Reader). This brochure provides a general explanation of the program and instructions for filing an application. It also explains the circumstances under which a facility may deny a request for Hill-Burton uncompensated services.

If you have more questions about Hill-Burton free care, contact:
DFCR
5600 Fishers Lane
Room 16C-17
Rockville, Maryland 20857, or email us at
dfcrcomm@hrsa.gov

If you owe bills or require services at non-Hill-Burton facilities, contact:
The hospital's department of social services or your county department of social services for help in obtaining financial assistance.

If you need help paying for prescription medications, contact:
The Pharmaceuticals Research and Manufacturers Association directory of Patient Assistance Programs (not a U.S. Government Web site)

     

 


Health Resources and Services Administration
U.S. Department of Health and Human Services
Parklawn Building
5600 Fishers Lane
Rockville, Maryland 20857

 


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