# Sentara Northern Virginia Medical Center

Hospital in Woodbridge, VA. Verified from the hospital's own policy.

Sentara Northern Virginia Medical Center likely gives free care to households with a yearly income up to $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4, $116,040 for 5 or $133,080 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $47,880 | $63,840 |
| 2 | $64,920 | $86,560 |
| 3 | $81,960 | $109,280 |
| 4 | $99,000 | $132,000 |
| 5 | $116,040 | $154,720 |
| 6 | $133,080 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 300% of poverty level, patient pays nothing (100% write-off), for insured and uninsured patients with less than $50,000 in available assets
- 300.1% to 400% of poverty level, patient pays 20% of gross charges (80% discount), uninsured and self-pay patients only, with less than $50,000 in available assets
- 400.1% to null% of poverty level, patient pays 50% of hospital gross charges (uninsured and self-pay discount, outside the financial assistance policy)

## How to apply

- Call 757-233-4600 and ask for financial assistance.
- [Application form](https://www.sentara.com/en/health-care/documents/f/financial-assistance-application-brochurepdf-274144)
- [Financial Assistance Policy (#2247, revised 3/26/2026)](https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374)
- [Plain language summary](https://www.sentara.com/en/health-care/documents/p/plainlanguagesummarypdf-273753)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring proof of income (three most recent pay stubs, or latest federal tax return or W-2), government assistance, Social Security, workers compensation or unemployment letters, if any, bank statements, proof of assets.
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. If the amount owed is more than 100% of household income, the balance is reduced to 25% of household income
- Languages. English, Spanish, Korean, Vietnamese, Tagalog, Urdu, Chinese

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency care and other medically necessary care at the hospital, and from Sentara Medical Group and other Sentara medical groups listed in the policy.

Not covered. Doctors not employed by Sentara bill separately and are not covered. Cosmetic surgery, bariatric surgery, weight loss clinics, elective procedures, clinical trials and bills tied to an injury claim against someone else are not covered.

## Notes

Sentara may approve help without an application if public records show income at or below 300% of the poverty level, or if the patient has Medicaid, gets SNAP, is homeless, or uses a free clinic or community health center. Patients are expected to apply for Medicaid or other coverage first. Approval covers care up to 240 days before the application and 6 months after approval (12 months if income is only a fixed pension or Social Security). Uninsured patients above 400% of the poverty level get a 50% discount. Help line is 757-233-4600 or 1-877-768-3993, Monday to Friday, 8:30 a.m. to 4:30 p.m. Applications can also be sent through Sentara MyChart.

## Sources

- Free care level https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > Uninsured Patients with a Household Income at or below 300% of the then-current Federal Poverty Guidelines and with less than $50,000 in Available Assets
- Discount level https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > Uninsured Patients and Self-Pay Patients with a Household Income above 300%, but at or below 400%, of the then-current Federal Poverty Guidelines
- Insured patients https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > are eligible for a full, 100% write-off of any remaining patient responsibility balance after insurance has paid on Covered Services
- Asset test https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > and with less than $50,000 in Available Assets are eligible for a full, 100% write-off of Covered Entity Gross Charges
- Very large bills https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > exceeds 100% of Household Income the Covered Entity will adjust the patient responsibility balance to 25% of the applicant’s Household Income.
- Deadline https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > Application Period – Period of time beginning on the service date through 240 days after the provision of the patient’s first billing statement
- Documents https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > three most recent pay stubs at time of application; most recent annual Federal tax return or W-2 at time of application
- What is not covered https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > A Covered Entity does not have the authority to offer Financial Assistance with respect to charges from providers not employed by Sentara Health.
- Financial counseling phone https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > may also be mailed free-of-charge to patients upon request by phoning 757-233-4600
- Covered facility https://www.sentara.com/en/health-care/documents/s/sentarafappdf-274374
  > Sentara Northern Virginia Medical Center

Last checked 2026-11-11.

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