UPMC - Financial Assistance Program
1205 Grampian Blvd., Suite - 1E, Williamsport, PA 17701
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. (W2s, Form 1099, etc.).
Service free of charge.
Bradford, PA
Clinton, PA
Lycoming, PA
Northumberland, PA
Potter, PA
Snyder, PA
Sullivan, PA
Tioga, PA
Union, PA
Description
Provides eligible patients with financial assistance for Susquehanna Health System bills.
What's Here
Providing organization
UPMC
UPMC Susquehanna has a total of 228 licensed acute beds and 22 bassinets and 138 long-term care beds in the Skilled Nursing Unit. Divine Providence Hospital, the organization's Center of Excellence for Outpatient Services and Williamsport Regional Medical Center are centered in Williamsport, the county seat. Muncy Valley Hospital, located in Muncy, is positioned to serve the eastern portion of the county.
