UPMC Susquehanna - Financial Assistance Program

UPMC Susquehanna - Financial Assistance Program


Send the URL of this service profile via SMS text message.
Enter Phone Number:
(Full US mobile number of recipient, eg. 1-303-555-1234) 
 


 
Data Provided By
Lycoming County United Way
General Information
Description of ServiceProvides eligible patients with financial assistance for Susquehanna Health System bills.
LocationLycoming
Geographical 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. (W2’s, Form 1099, etc.).
 
Contact Information
 
Contact's Phone 570-326-8196; 800-433-0816
Physical Site Address 1 1205 Grampian Blvd., Suite - 1E
Physical Site City, State, Zip Williamsport, PA 17701
Mailing Address 1 1205 Grampian Blvd., Suite - 1E
Mailing City, State, Zip Williamsport, PA 17701
Mail Attention To SH Financial Assistance Office
Main Phone 570-326-8196; 800-433-0816
Web Address susquehannahealth.org/
 
Additional Information
Type of UpdateE-mail
 
 
Affiliated Agency, Programs, and Services
Affiliated Agency: UPMC Susquehanna
Affiliated Program: UPMC Susquehanna - Financial Assistance Program
This Service: UPMC Susquehanna - Financial Assistance Program
 
Taxonomy Postings
Posted to Categories: Medical Care Expense Assistance (LH-5100.5000)