Home / Patients & Visitors / Notices to Patients / Charity Care Policy

Charity Care Policy

UConn Health/Waterbury Hospital is committed to providing quality healthcare to all patients regardless of their ability to pay. We offer financial assistance to eligible Connecticut residents who are uninsured or underinsured and need help paying for medically necessary services. Eligibility is based on household income with discounts available for those earning up to 400% of the Federal Poverty Level.

Applying for Financial Assistance:

To apply for financial assistance, individuals can obtain an application through the Waterbury Hospital portal or from a financial counselor. Required documentation includes proof of income and residency. Our financial counselors are available to assist with the application process during normal business hours, Monday through Friday from 8:00 AM – 4:30 PM, ET.

Applications are reviewed within 30 days of submission. Once approved, eligible care will be covered for a period of six months. Individuals covered under this policy will not be charged more than the amount generally billed to individuals who have insurance coverage such care. If an application is denied, individuals have the right to appeal. We also offer interest-free payment plans to help manager any remaining balances due from a patient.

This policy applies to services provided by UConn Health Waterbury Hospital workforce members and excludes those not deemed medically necessary such as cosmetic procedures. Emergency care is provided to all patients, regardless of their ability to pay. A full list of covered providers is available on our website.

For more information or to apply for financial assistance, please call our Financial Counseling Office:

UConn Health Waterbury Hospital
Financial Counseling Department
64 Robbins Street

Waterbury, CT 06708

203-573-6550

waterburyhospital.org

Calculating Financial Assistance

Consistent with Section 501(r)(5) of the Internal Revenue Code, amounts generally billed (AGB) are calculated by dividing the total allowed amount into total charges on claims billed to commercial insurance carriers and Medicare over a 12-month period.

This calculation will be performed annually and put into effect within 120 days of the AGB rate being published.

The current AGB for UConn Health Waterbury Hospital is 21%. Patients eligible for financial assistance will pay no more than 21% of gross charges.

Financial Assistance
Awarding

100% Discount
(Uninsured and Underinsured
Patients)

79% Discount
(Uninsured Patients)

Federal Poverty Level*

Household/Family Size

0% - 250%

251% - 400%

1

$0 - $39,125

$39,126 - $62,600

2

$0 - $52,875

$52,876 - $84,600

3

$0 - $66,625

$66,626 - $106,600

4

$0 - $80,375

$80,376 - $128,600

5

$0 - $94,125

$94,126 - $150,600

6

$0 - $107,875

$107,876 - $172,600

7

$0 - $121,625

$121,626 - $194,600

8

$0 - $135,375

$135,376 - $216,600

9

$0 - $149,125

$149,126 - $238,600

10

$0 - $162,875

$162,876 - $260,600

 

*Based on annual income.