Apply for financial help at Penn Highlands Healthcare

Applying for Financial Assistance

Our community based and controlled health care system exists to improve regional access to a wide array of premier primary care and advanced health services while supporting a reverence for life and the worth and dignity of each individual.

    How Do I Apply?

    You will need to complete an easy Financial Assistance Application and attach documents that prove your income. Each patient requesting financial assistance should complete and submit a separate application.

    Financial Assistance Application

    Download

    In order for your application to be processed upon receipt, please provide the following documents as they are necessary to complete the processing of your application:

    • Complete Federal Tax Return (most recent) including all schedules and W-2s.
    • Copy of most current two month’s paycheck stubs for each income listed.
    • Most current month’s bank statements and/or other income verification.
    • Social Security Income verification (if applicable).
    • Unemployment verification (if applicable).
    • Copy of Medicaid denial (if applicable).

    Please understand that we cannot process your application until all supporting documentation is received.


    When Should I Apply?

    You should apply for financial assistance as early as possible during your medical care. However, you may apply at any time before, during, or after your treatment, up to the resolution of your Penn Highlands account.

    You may reapply if your financial situation changes.

    How do I know if I'm approved?
    You will receive written confirmation in the mail.


    Where Can I Learn More?


    By Phone

    Talk with a financial advocate, simply call during our business hours:
    Penn Highlands Brookville Business Office - 814-849-1438
    Penn Highlands Connellsville Business Office - 724-626-2224
    Penn Highlands Clearfield Business Office - 814-768-2484
    Penn Highlands DuBois Business Office - 814-375-4200
    Penn Highlands Elk Business Office - 814-788-8246
    Penn Highlands Huntingdon Business Office - 814-643-8495
    Penn Highlands Mon Valley Business Office, 724-258-1179
    Penn Highlands State College Business Office - 814-375-4200
    Penn Highlands Tyrone Business Office 814-682-1840 or 814-684-1255 ext . 7096
    Penn Highlands Healthcare at Home - 800-841-9397

    By Appointment
    If you need assistance with completing the application form and would like to schedule an appointment, please call the Business Office.

    Business Office Locations:

    Penn Highlands Brookville
    100 Hospital Road
    Brookville, PA 15825

    Penn Highlands Clearfield
    A Campus of Penn Highlands DuBois
    438 Front Street
    Clearfield, PA 16830

    Penn Highlands Connellsville
    401 East Murphy Avenue
    Connellsville, PA

    Penn Highlands DuBois
    204 Hospital Avenue
    DuBois, PA 15801

    Penn Highlands Elk
    763 Johnsonburg Road
    St Marys, PA 15857

    Penn Highlands Huntingdon
    1225 Warm Springs Avenue
    Huntingdon, PA 16652

    Penn Highlands Mon Valley
    1163 Country Club Road
    Monongahela, PA

    Penn Highlands Tyrone
    187 Hospital Drive
    Tyrone, PA 16686

    Penn Highlands Healthcare at Home
    757 Johnsonburg Road
    Suite 200
    St Marys, PA 15857

    FAP Patient Financial Guide

    Download