Financial Assistance
If you are experiencing financial challenges or are unable to pay your health care bill in full, University of Vermont Health Network offers a range of financial assistance options so you can continue to access the care you need, when and where you need it.
UVM Health Network is committed to providing financial assistance to patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care.
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Policy Summary
- Credit and Collection Policy
- Out-of-Network Law
Apply for Financial Assistance
To apply for financial assistance, complete the application and mail it to the address on the form. Please include the requested supporting documentation found on the application. If you need help completing the application, contact UVM Health Network's financial assistance office at 802-847-8000 or toll-free at 800-639-2719.
The Financial Assistance Program application form contains helpful information about eligibility, patient rights and more.
Providers Offering Financial Assistance and Discounted Care
Not all providers are covered by our financial assistance policy. To find out if your provider is covered, see the participating providers list below. If your provider is not listed, they are not covered under our financial assistance policy.
Hospital Bills: All UVM Health Network eligible services are covered under the financial assistance policy.
Provider Bills: To determine if your provider is covered under the financial assistance policy, please see the list of providers listed below.
Location | Address |
---|---|
Au Sable Forks Health Center | 15 Pleasant Street, Au Sable Forks, NY 12912 |
Cardiac Rehabilitation - Elizabethtown Community Health Center | 66 Park Street, Elizabethtown, NY 12932 |
Cardiology - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
Cardiology - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Community Health Center | 66 Park Street, Elizabethtown, NY 12932 |
Crown Point Health Center | 2679 Main Street, Crown Point, NY 12928-2603 |
Elizabethtown Community Hospital | 75 Park Street, Elizabethtown, NY 12932 |
Elizabethtown Community Hospital - Ticonderoga | 101 Adirondack Drive, Ticonderoga, NY 12883 |
Elizabethtown Community Hospital - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Emergency Department - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
Emergency Department - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Gynecology - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
High Peaks Health Center | 18 Community Center, Wilmington, NY 12997 |
Infusion Center - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
Infusion Center - Ticonderoga | 101 Adirondack Dr, Ticonderoga, NY 12883 |
Inpatient Care Unit | 75 Park Street, Elizabethtown, NY 12932 |
Inpatient Pharmacy - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
Laboratory - Elizabethtown | 75 Park Street, Elizabethtown, NY 12932 |
Laboratory - Ticonderoga | 101 Adirondack Drive, Ticonderoga, NY 12883 |
Medical Records Office | 8 Williams Street, Elizabethtown, NY 12932 |
Obstetrics and Gynecology - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Occupational Therapy - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Orthopedics - Elizabethtown | 75 Park Street, Elizabethtown, VT 12932 |
Orthopedics - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Patient & Family Advocacy | 75 Park Street, Elizabethtown, NY 12932 |
Physical Therapy & Rehabilitation - Elizabethtown Community Health Center | 66 Park Street, Elizabethtown, NY 12932 |
Physical Therapy & Rehabilitation - Smith House Health Care Center | 39 Farrell Road, Willsboro, NY 12996 |
Physical Therapy & Rehabilitation - Ticonderoga | 101 Adirondack Drive, Suite 1, Ticonderoga, NY 12883 |
Pulmonary Rehabilitation | 66 Park Street, Elizabethtown, NY 12932 |
Radiology | 75 Park Street, Elizabethtown, NY 12932 |
Smith House Health Care Center | 39 Farrell Road, Willsboro, NY 12996-3904 |
Westport Health Center | 6097 NYS Route 9N, Westport, NY 12993-2308 |
Contact
If you want more information about the financial assistance program, need help with the application process or have questions about your application status, please contact our customer service team at 802-847-8000 or 800-639-2719 (toll-free).