Get the free wakemed financial assistance application

Wakened Health & Hospitals Financial Assistance Application Return Completed form to: MR# Phone number for questions: (919) 3508359 Guarantor/Patient (Responsible Party) Information: Is patient deceased?

How to fill out wakemed financial assistance application

How to fill out Wakemed charity care:

1. Obtain the Wakemed charity care application form from their website or by visiting the hospital's financial services department.
2. Fill in your personal information accurately, including your name, address, contact details, and social security number.
3. Provide detailed information about your income, assets, and insurance coverage. This may include information about your employment, any government assistance programs you receive, and any savings or investments you have.
4. Attach any necessary supporting documents, such as pay stubs, tax returns, bank statements, and proof of insurance coverage.
5. Review the completed application form to ensure all information is accurate and complete.
6. Submit the application form and supporting documents to the Wakemed financial services department either in person or by mail.

Who needs Wakemed charity care:

1. Individuals who are uninsured or underinsured and are unable to afford the medical services provided by Wakemed.
2. Patients who demonstrate financial need based on their income and assets, and meet the eligibility criteria set forth by Wakemed.
3. Individuals who require medical treatment or services at Wakemed but are not covered by any insurance provider.

For pdfFiller’s FAQs

How can I send wakemed financial assistance application for eSignature?

To distribute your wakemed financial assistance application, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.

How do I make edits in wakemed financial assistance application without leaving Chrome?

Install the pdfFiller Chrome Extension to modify, fill out, and eSign your wakemed financial assistance application, which you can access right from a Google search page. Fillable documents without leaving Chrome on any internet-connected device.

Can I edit wakemed financial assistance application on an Android device?

With the pdfFiller Android app, you can edit, sign, and share wakemed financial assistance application on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!

What is wakemed charity care?

WakeMed Charity Care is a program that provides financial assistance to patients who are unable to pay for medical services due to low income or financial hardship.

Who is required to file wakemed charity care?

Individuals who are uninsured or underinsured and are seeking financial assistance for medical services may be required to file for WakeMed Charity Care.

How to fill out wakemed charity care?

To fill out WakeMed Charity Care, patients need to complete an application form that includes details about their income, household size, and any medical expenses. Documentation such as tax returns or pay stubs may also be required.

What is the purpose of wakemed charity care?

The purpose of WakeMed Charity Care is to ensure that individuals with financial difficulties can access necessary medical services without the burden of high costs.

What information must be reported on wakemed charity care?

Information that must be reported on WakeMed Charity Care includes personal identification details, income level, household size, assets, and any outstanding medical bills or expenses.