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Data Provided By
Lycoming County United Way
Description of Program
Provides eligible patients with financial assistance for Susquehanna Health System bills.
Lycoming County, Sullivan County, Tioga County, Bradford County, Potter County, Clinton County, Union County, Northumberland County, Snyder County
Contact the SH Financial Assistance Office.
Complete the SH Financial Assistance Application.
Return the 1) completed application, 2) approval or denial from Medical Assistance, and 3) verification of income from all sources. (Federal Income Tax return and / or Social Security Benefits statement from the year(s) prior to your open balances). You must send copies of your entire income tax return, including all related schedules and copies of all income support within the household. (W2â��s, Form 1099, etc.).