How to apply for Duke Health Financial Assistance (Durham County) in North Carolina

Duke University Health System (Duke University Hospital, Durham); UNC Health also serves Durham County patients.

Who it's for

Duke University Hospital in Durham is the main hospital serving Durham County. Duke Health's Financial Assistance Policy gives free or discounted care on a published sliding scale: at or below 200% of the federal poverty level the bill is written off in full, and above that the discount steps down — 90% at 225% of poverty, 80% at 250%, 70% at 275%, and 65% at 300%. IMPORTANT: North Carolina residents no longer have to apply. Duke automatically screens NC patients and deems them eligible under a state-mandated presumptive protocol, so a qualifying senior may already be covered without filling anything in. Ask the billing office to confirm your status before paying.

Durham: Duke Health gives 100% free care at or below 200% of the federal poverty level and sliding-scale discounts from 201% to 300%; transplant, experimental, elective, and fertility services are excluded.

People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.

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What you'll need

  • Completed Duke Health financial assistance application
  • Proof of household income
  • Proof of identity and residency

Where to apply

Apply online: official application

By phone: 919-620-4555

What to say when you call

"Hello, I'm calling to ask about Duke Health Financial Assistance (Durham County). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need completed Duke Health financial assistance application, proof of household income, proof of identity and residency — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

per application / episode of care

Official source →Last verified · October 8, 2026

Not sure if you qualify? Run a free check first.

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Not legal or financial advice. The agency makes the final eligibility decision.