Financial Assistance

Financial Assistance

We know your first concern is for your child to be healthy and happy, so we offer financial assistance to help you overcome potential obstacles that medical bills may present to getting the care your child needs.

Contact Us

For questions related to financial assistance, call

800-254-2619

How to apply for financial assistance

Complete a financial assistance application (see language choices below) and attach the following documents (if applicable):
  • Most recently filed Federal Income Tax Return
  • Four (4) most recent paystubs
  • Four (4) most recent bank statements
  • Social Security Income determination
  • Unemployment income
  • Pension income
  • Distribution confirmation from estates or liability settlements (financial assistance will not be considered until the final settlement of the estate or litigation)
  • Medical assistance or health insurance marketplace
  • Proof of citizenship or lawful permanent residence status (green card)
  • If household has no income, letter from person(s) who assist with living expenses
  • Any other information deemed necessary by Milton S. Hershey Medical Center to adequately review the financial assistance application to determine qualification for financial assistance.

All applicants will be notified by phone or letter when a determination has been made regarding the financial assistance qualification.

New Internal Revenue Service (IRS) Regulations Effective July 1, 2016

On July 1, 2016, new Internal Revenue Service (IRS) regulations take effect, which change the requirements not-for-profit hospitals and health systems must meet to keep their tax exempt status.

The revised regulations - IRS Code 501(r) - were part of the Patient Protection and Affordable Care Act and will be implemented at Penn State Health hospitals and medical practices.

Changes include requiring hospitals and health systems to:

  • A have written financial assistance policy (FAP) and “plain language summary” of the policy available to the public
  • Limit the amounts that can be charged for emergency or other medically-necessary care to individuals eligible for financial assistance, charging only “Amounts Generally Billed” (AGB) for such care
  • Refrain from extraordinary collection actions (ECA) before making reasonable efforts to determine whether an individual qualifies for financial assistance.

In response to the final regulations, the Milton S. Hershey Medical Center and its Medical Group practices have revised financial assistance policies and processes.

Starting July 1, 2016, our revised financial assistance policy will go into effect. Under the new policy, patients who qualify will receive 100% financial assistance for medically-necessary services. Partial financial assistance awards will be discontinued.

You can download the new information on financial assistance below, including the new financial assistance application and “plain language summary” of our financial assistance policy.

Questions about financial assistance should be directed to Patient Financial Services at 717-531-5069 or 800-254-2619. Office hours are Monday-Wednesday 8 a.m. to 5:30 p.m. and Thursday-Friday 8 a.m. to 5 p.m.

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Spanish

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Additional resources

In addition to standard financial assistance plans, we offer other services to help you pay your balance:

  • Interest-free payments: We do not charge interest on healthcare balances or charge a fee for carrying a balance.
  • Pharmacy assistance: If you have a problem paying for prescription drugs, we can connect you with our pharmacy specialist. She can work with you to find equal, low-cost prescriptions or other pharmacy programs directly from drug companies.
  • Four Diamonds: This charity offers financial assistance for children who are diagnosed with cancer before the age of 18. The charity often assists with out-of-pocket medical expenses, lodging, and transportation.

Policy

Financial Services hours of operation

Monday, 8:00 a.m. – 8:00 p.m.
Tuesday and Wednesday, 8:00 a.m. – 5:30 p.m.
Thursday and Friday, 8:00 a.m. – 4:30 p.m

Physical address

Penn State Health
Milton S. Hershey Medical Center
Academic Support Building
90 Hope Drive 2nd floor, Suite 2106