UPMC Susquehanna - Financial Assistance Program


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Data Provided By
Lycoming County United Way Lycoming County United Way
General Information
Description of ProgramProvides eligible patients with financial assistance for Susquehanna Health System bills.
LocationLycoming
Geographic AreaLycoming County, Sullivan County, Tioga County, Bradford County, Potter County, Clinton County, Union County, Northumberland County, Snyder County
Public TransportationYes.
Facility/ADA AccessYes.
Intake Procedure
  • 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.).
 
Contact Information
Contact's Phone570-326-8196; 800-433-0816
Physical Site Address 11205 Grampian Blvd., Suite - 1E
Physical Site City, State, ZipWilliamsport, PA 17701
Mailing Address 11205 Grampian Blvd., Suite - 1E
Mailing City, State, ZipWilliamsport, PA 17701
Main Phone570-326-8196; 800-433-0816
Web Addresssusquehannahealth.org
 
Additional Information
Update typeE-mail
 
Affiliated Agency and Services
Affiliated Agency:
UPMC Susquehanna
This Program: UPMC Susquehanna - Financial Assistance Program
Affiliated Services: UPMC Susquehanna - Financial Assistance Program