How to apply for UF Health Flagler Hospital (St. Augustine) Financial Assistance

Who it's for

UF Health Flagler Hospital — also branded UF Health St. Johns — is the principal acute-care hospital serving St. Johns County, located at 400 Health Park Boulevard in St. Augustine. The hospital is a UF Health affiliate operating its own Financial Assistance and Charity Care Policy. Under the UF Health Flagler FAP, charity care is provided as health care services without charge or at a discount to qualifying patients — specifically those who are uninsured, underinsured, ineligible for any government health care benefit program, and unable to pay for medically necessary care, based on individualized determination of financial need. The granting of charity is based on individualized financial need and does not take age, gender, race, social/immigrant status, sexual orientation, or religious affiliation into account. Modeled income gate uses the UF Health system-wide standard of approximately 200% Federal Poverty Guidelines as the primary charity threshold, consistent with other UF Health network facilities (UF Health Shands, UF Health Jacksonville, UF Health Leesburg, UF Health Spanish Plaines). Apply via the Patient Attestation and Application for UF Health Flagler Hospital Charity — mail to UF Health Flagler Hospital Business Office Financial Assistance Department, 400 Health Park Blvd, St. Augustine FL 32086, or fax to 904-819-4906. Patient Financial Services 904-819-4539 (M-F 8a-5p); a Financial Counselor is located in the main lobby 8a-4:30p.

What you'll need

• Completed Patient Attestation and Application for UF Health Flagler Hospital Charity
• Proof of household income (pay stubs, Social Security award letter, tax return, SSA-1099)
• Proof of family/household size
• Photo identification
• Documentation of insurance status (or proof of uninsured status)
• Mail to: UF Health Flagler Hospital Business Office Financial Assistance Department, 400 Health Park Blvd, St. Augustine FL 32086 OR fax to 904-819-4906

Where to apply

Renewals

per encounter; annual recertification for ongoing patients