Susquehanna Health Hospital Bill Financial Assistance Program
STEP 1
Patients should contact the SH Financial Assistance Office at 570-326-8196 or 1-800-433-0816 or by visiting our office at 1205 Grampian Blvd., Suite - 1B.
STEP 2
It is the patient’s responsibility to complete the SH Financial Assistance Application.
STEP 3
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.). Submit all information to:
Susquehanna Health
1205 Grampian Blvd., Suite 1B
Williamsport, PA 17701
If you have any questions about the SH Financial Assistance Program, please feel free to visit us in person at 1205 Grampian Blvd - Suite 1B - Williamsport, PA 17701 or you may call us at 570-326-8196 or 1-800-433-0816.