Financial Assistance Program Guidelines

Individual Written Notice to All Patients

Notice of Availability of Evangelical Community Hospital Financial Assistance Program

Evangelical Community Hospital will make available a reasonable amount of financial assistance services to persons eligible under applicable Federal Community Services Administration Guidelines. Patient eligibility for Evangelical Community Hospital Financial Assistance Program is determined by measuring family income against the Income Poverty Guidelines established by the Federal Community Services Administration.

The requirements are congruent with the Health and Human Services Poverty Income Guidelines for the 48 Contiguous States and the District of Columbia. If you need financial assistance please call 570-522-4445 or read the brochure and complete the form using the buttons below.

Financial Assistance Form Financial Assistance Form

Financial Assistance Brochure Financial Assistance Brochure 

Política de asistencia financiera Política de asistencia financiera

Folleto de asistencia financiera Folleto de asistencia financiera 

Business Office:
Evangelical Community Hospital
One Hospital Drive
Lewisburg, PA 17837