Financial Assistance Program Guidelines
Individual Written Notice to All Patients
Notice of Availability of WellSpan Evangelical Community Hospital Financial Assistance Program
WellSpan 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 WellSpan 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:
WellSpan Evangelical Community Hospital
One Hospital Drive
Lewisburg, PA 17837