Applying for Financial Assistance
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.
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 Clearfield Business Office - 814-768-2484
Penn Highlands DuBois Business Office - 814-375-4200
Penn Highlands Elk Business Office - 814-788-8246
Penn Highlands Community Nurses - 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
438 Front Street
Clearfield, PA 16830
Penn Highlands DuBois
204 Hospital Avenue
DuBois, PA 15801
Penn Highlands Elk
763 Johnsonburg Road
St Marys, PA 15857
Penn Highlands Community Nurses
757 Johnsonburg Road
Suite 200
St Marys, PA 15857