Hospital Charity Care Program
Evangelical Community Hospital remains firmly committed to working collaboratively with its community to identify, understand and address the healthcare needs of the communities it serves. Evangelical’s commitment is to provide high quality, effective care with a consistently high level of dignity, respect and skill to each of our patients, regardless of their ability to pay. Your financial circumstances will not affect the care you receive.
All patients who do not have insurance, or who because of financial hardship cannot pay for emergent or medically necessary care, are eligible under Evangelical’s policies to receive care at a discount or without charge. Patients may apply for financial assistance at any time – before, during or after their care.
Our General Financial Assistance Policy. We provide financial assistance for emergency and other medically necessary care on a sliding scale discount from our normal charges. All applicants will be screened for Medicaid coverage and must cooperate with the Medicaid representatives to be eligible for assistance under our financial assistance policy. Applicants will not be charge more than the amounts generally billed (AGB) for emergency or other medically necessary care. If you are eligible for financial assistance under our Policy, you will receive free or other discounted assistance according to the following sliding scale:
Charges Will Not Exceed Amounts Generally Billed to Medicare
If you receive an award of financial assistance under our Policy and your award does not cover 100% of our charges for the service, you will not be charged more for emergency or other medically necessary care than the amount we generally bill patients having insurance under Medicare.
How to Obtain Information and Assistance Regarding Our Financial Assistance Policy
If you need help paying for medical care, you are responsible to apply for Financial Assistance. Applications are available in English and Spanish. A Financial Counselor is available to help you complete the application. The application requires you to provide financial information. To Apply:
Online – http://www.evanhospital.com/patients/insurance/charity-care.
The website provides information about the program and includes an application form. You can print out the application and mail it to:
Evangelical Community Hospital
Attention: Financial Counselor
One Hospital Drive
Lewisburg PA 17837
Copies of the required financial information must be included with your application.
In person – Go to the Cashiers Office at Evangelical Community Hospital. Ask to meet with the Financial Counselor, they will help you complete the application. For questions, call: Financial Counselor 570-522-4445.
By Mail – Contact the Financial Counselor at 570-522-4445 and request an application be mailed to you.
By Phone – Contact the Financial Counselor at 570-522-4445 and request to fill out the application verbally. Appointments may need to be made. Patients must then forward required documentation to complete the application process.
Translation services are available in both English and Spanish according to the 5-percent/1000 person threshold under the HHS Guidance safe harbor and 501r final regulations.
Free Copies of our Financial Assistance Policy, Application Form, and this Summary are available in English and Spanish and can be obtained by calling 570-522-4445 or going online at http://www.evanhospital.com/patients/insurance/charity-care .
Las copias de nuestra Política de ayuda financiera, el Formulario de solicitud y el presente Resumen están disponibles en español.