Duke University Health System (DUHS) offers interest‐free payment plans of up to six years, depending on the amount you owe to all Duke Health entities. The table below shows the maximum amount of time you can take to pay based on your outstanding balance.
Patient Balance (All Duke Health Entities)
Up to $2,000
$2,000 to $5,000
$5,001 to $7,500
$7,501 to $10,000
Greater than $10,000
You can set up a payment plan 24/7 through your Duke MyChart account. If you need assistance, call our customer service team at 919-620-4555 (local) or 800-782-6945 (toll-free) between 8:00 am and 5:00 pm Monday, Tuesday, Wednesday, and Friday, or from 8:00 am to 4:00 pm Thursday.
DUHS Financial Assistance
If you receive treatment at any DUHS location and have difficulty paying for care, you may be eligible to receive discounted services through our Financial Assistance Policy. This policy applies to all DUHS hospitals and clinics, as well as partners like Durham Emergency Physicians and Durham Radiology Associates, Inc.
Which Services Are Eligible?
You may be eligible for financial assistance if you receive services needed to prevent a health issue. Urgent and emergency care covered by our financial assistance policy includes:
- Care provided in a DUHS Emergency Department
- Inpatient (overnight) care at a DUHS hospital
- Follow-up treatment for services received through an emergency department
Transplant, experimental, and elective services are not eligible for a financial assistance discount.
DUHS Financial Assistance Discounts
You may receive a discount of up to 100 percent based upon how your household income compares to the latest Federal Poverty Level.
2021 Duke Patient Revenue Management Organization (PRMO) Financial Assistance Sliding Scale
If you have high out-of-pocket costs after insurance, you may also be eligible for financial assistance. Eligibility is based on your ability to pay for basic living expenses and is evaluated on a case-by-case basis.
Financial assistance may also be approved in these situations:
- Limited-value estates for deceased patients
- Patients with collections balances and who are in verified Chapter 7 or Chapter 13 bankruptcy
- Patients who receive specialty care through Project Access
- Patients who express an inability to pay for outpatient prescription medications from Duke’s retail pharmacy
Applying for Financial Assistance
If you receive care at an emergency department or you’re uninsured and get care from a community clinic like the Lincoln Community Health Center, you won’t need to apply for assistance.
When you receive care, we’ll check with you to see if you’re eligible. During your visit, financial counselors will share with you any outside forms of financial assistance -- such as Medicaid or the Crime-Victim or Cancer-Control Programs -- that can help pay for services.
If outside financial assistance is not available, we will automatically apply a discount to your bill based on your reported income level. To qualify, you may need to provide us with documentation such as paycheck stubs, a W-2 form, or other kinds of paperwork related to your income. If you’re not able to share this information, you may not receive financial assistance.
For more information, see the DUHS financial assistance summary and application form. You can download the documents:
- DUHS Financial Assistance Summary - English (PDF, 112 KB)
- DUHS Financial Assistance Application - English (PDF, 172 KB)
- Resumen de la política de asistencia financiera de DUHS - Español (PDF, 107 KB)
- Formulario de asistencia financiera de DUHS – Español (PDF, 172 KB)
You can also pick up copies of these policies or a financial assistance application when you check in at a Duke Health clinic or hospital. Completed applications can be returned to PRMO in any of these three ways:
- Fax: 919-620-1241
- Mail to: PRMO, 5213 S. Alston Ave., Durham, NC 27713
- Email: firstname.lastname@example.org (This option is only to submit an application. PRMO does not accept or reply to questions sent to this email.)
To obtain the full version of the DUHS Financial Assistance Self-Pay Collections policies, send a request in writing to:
Self-Pay Collections Department
5213 South Alston Ave.
Durham, NC 27713
If You Have Questions
If you apply for financial assistance, please allow up to seven weeks for processing. After that time, you can check your status by calling our customer service team at 919-620-4555 (local) or 1-800-782-6945 (toll-free) between 8:00 am and 5:00 pm Monday, Tuesday, Wednesday, and Friday, or from 8:00 am to 4:00 pm Thursday.
Financial Assistance: Part of Our Commitment to Community Health
As a not-for-profit health system, Duke University Health System is committed to caring for our patients, nurturing the sick, and strengthening the well. We honor our tax-exempt status and our responsibility to the counties we serve through various programs, activities, and partnerships that are aimed at improving the health of our communities. The details of our community involvement can be found here.