Complete an application
You must complete, sign and provide all supporting documentation in order to be considered for full assistance.
We provide emergency, urgent and medically necessary health care regardless of ability to pay.
If you are unable to pay, you may qualify for financial assistance. Assistance is based upon income. If your family adjusted income is less than 200% of federal poverty guidelines, you may be eligible for up to a 100% discount.
This financial assistance policy covers hospital and urgent care services provided in Gainesville, Ocala, Central Florida, and St. Johns. This includes UF Health Physicians clinics. For information on financial assistance for UF Health Jacksonville locations, visit ufhealthjax.org.
You must complete, sign and provide all supporting documentation in order to be considered for full assistance.
We will notify you of our determination of qualification by letter. Please allow 7 business days for our review process.
Non-United States residents may be reviewed on an exception basis (emergent, urgent or traumatic care, but may not apply to aftercare / follow-up services).
You may also pick up a physical copy of the application at the following locations:
You can send us your completed application:
You may also turn in completed application in person to:
Hours are Monday to Friday 8 a.m. to 4:30 p.m.
Uninsured patients may be eligible for a self-pay discount. This discount is up to 45% of your total charges. Please note, any self-pay or financial assistance discount applied is reversed if:
Some of your providers may bill separately from the hospital. Their costs would not be covered by our financial assistance policy. A list of these independent physicians is available on our price transparency page.
UF Health Shands uses the "look-back" method to determine "amounts generally billed" (AGB) to individuals who have insurance covering emergency or other medically necessary care. The AGB is determined utilizing the look-back method as described in Code of Federal Regulations, Title 26, Internal Revenue Service 1.501(r)-5(b)(3). The updated AGB percentage applicable as of 7/1/2024 is 20.46%, resulting in a minimum discount of 79.54% applied to gross charges.
The percentage was calculated using all claims allowed by Medicare fee-for-service for both inpatient and outpatient services having discharge dates from 7/1/23 to 6/30/24.
Please contact us at (352) 265-7906 or 1-888-766-8154 if you have any questions. The hours are Monday to Thursday 8 a.m. to 8 p.m., Friday 8 a.m. to 5 p.m., and Saturday 9 a.m. to 1 p.m.