Financial Assistance Policy

Plain Language Summary

At Penn Highlands Healthcare, we understand that when individuals come to us for care they could be experiencing something urgent that may be unfamiliar or at times frightening.  At those times, concerns especially about having an unplanned medical bill should not stop them from having the necessary care they need.  At Penn Highlands Healthcare, we strive to provide quality service and safety to the communities we serve regardless of an individual’s ability to pay.  Our Financial Assistance Policy, or FAP, exists to provide eligible individuals partially or fully discounted emergent or medically necessary hospital/physician care. Individuals seeking Financial Assistance must apply for the program, which is summarized below. 

Eligible individuals 
are patients receiving urgent or medically necessary care who must submit a Financial Assistance Application (including required documentation), and who are determined eligible for Financial Assistance by Penn Highlands Healthcare.

Eligible Services
are the emergent and/or medically necessary healthcare services provided by Penn Highlands Healthcare which includes Penn Highlands Brookville, Penn Highlands Clearfield, Penn Highlands DuBois and Penn Highlands Elk facilities, and the Penn Highlands Physician Network.

How to Apply

Financial Assistance Applications may be obtained and/or submitted as follows:

Download the Financial Assistance Application 

You may also Pick-up an application at the Business Office of any Penn Highlands Healthcare facility at the addresses listed below. You can request an application to be mailed to you by calling the any of the phone numbers indicated below:

  • 100 Hospital Road, Brookville, PA 15825  - 814-849-1438
  • 438 Front Street, PO Box 992, Clearfield, PA 16830 - 814-768-2484
  • 204 Hospital Avenue, PO Box 447, DuBois, PA 15801 - 814-375-4200
  • 763 Johnsonburg Road, St. Marys, PA 15857 - 814-788-8246
  • 757 Johnsonburg Road, Suite 200, St. Marys, PA 15857 - 800-841-9397

Determination of Financial Assistance Eligibility

Generally, individuals are eligible for financial assistance based upon their income level according to the federal poverty guidelines and their ability to pay.

  • Individuals with a family income of 300 percent of the federal poverty guidelines or less may be eligible for a discount of 100 percent.
  • Individuals with a family income of 301-350 percent of the federal poverty guidelines may be eligible for a discount of 80 percent.
  • Individuals with a family income of 351-400 percent of the federal poverty guidelines may be eligible for a discount of 60 percent.

Eligible individuals will not be charged more for emergency or other medically necessary care than Amounts Generally Billed, or AGB, to individuals with insurance.  

Financial assistance is not available for individuals who opt out of available insurance coverage, or those who fail to reasonably comply with insurance requirements, such as obtaining authorizations or referrals.