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.
We know the cost of healthcare services and prescription medication copays can be a concern for you, and we are prepared to help. Our staff will assist you in understanding what your health insurance will pay, the options you may have to pay and the part of the bill you are responsible for paying.
We hope we can ease your concerns and help you focus on your first priority - a prompt return to good health.
What is the (medical) Financial Assistance Program?
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. 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 (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.
Eligible care services include emergent and/or medically necessary healthcare services provided by Penn Highlands Healthcare (PHH), which includes Brookville, Clearfield, Connellsville, DuBois, Elk, Huntingdon, Mon Valley, State College and Tyrone facilities, Penn Highlands Healthcare at Home and the Penn Highlands Physician Network (PHPN).
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
DownloadIn 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 State College
239 Colonnade Boulevard
State College, PA 16803
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
What is the Penn Highlands Pharmacy Financial Assistance Program?
If you fall below 350% of the federal poverty guidelines for income, you may qualify for Penn Highlands Healthcare’s (PHH) Pharmacy Financial Assistance Program. Under this program, you may be entitled to assistance with your copays at PHH community pharmacies depending on your financial status.
To view federal poverty guidelines, visit http:aspe.hhs.gov/poverty.
Participation in the Penn Highlands Pharmacy Financial Assistance Program is based on your income and the size of your household. In order to receive the program benefits, once you qualify and your account is activated, your prescriptions must be filled at one of the Penn Highlands community pharmacies.
Patients must have primary insurance and all prescriptions submitted to the Penn Highlands Pharmacy Financial Assistance Program must be covered under the patient’s primary coverage. Enrolled patients with primary insurance will have their out-of-pocket- prescription copays covered by the program.
It is important to note that the program only covers prescription orders written by an eligible Penn Highlands Healthcare physician or provider.
How do I apply?
Penn Highlands Healthcare is partnering with ProAct Pharmacy Benefit Management to provide a high level of service to our patients. ProAct will take your registration information and verify your eligibility. If you have medications that are currently being filled at a pharmacy or have a new prescription and wish to enroll in the Penn Highlands Pharmacy Financial Assistance Program follow the registration steps below:
- Call ProAct at 1-888-381-3272 and provide the representative with your current income and household size information.
- If you temporarily qualify based on your income and household size, a one-time-use verbal authorization will be given to you to help with your copays.
- The call center will fax the Penn Highlands community pharmacy processing information for each patient once they are temporarily enrolled.
- In order to continue receiving the copay savings, you will be required to submit proof of income documentation to ProAct within 30 days of the verbal authorization.
- Proof of income must be submitted from all eligible sources for all household members including the most recent pay stub showing the gross pay; most recent signed 1040 tax return and/or all W-2s and 1099s for the prior year.
- Patients who do not provide income verification during their temporary period, will have their participation in the program revoked.
When should I apply?
You may apply at any time if you are struggling with copays for prescription medications.
You may reapply if your financial situation changes.
How do I know if I'm approved?
If you temporarily qualify based on your income and household size, a one-time-use verbal authorization will be given to you to help with your copays. Once your verification documents are received and reviewed, a final determination will be made and you will be notified.
Where are the Penn Highlands Community Pharmacies located?
Penn Highlands Community Pharmacies offer convenient locations for you to fill prescriptions and buy over-the-counter medications and healthcare products.
Our retail pharmacies are staffed by teams of experienced pharmacists that will help you and your family on your healthcare journey.
Where can I learn more?
For more information, call 1-888-381-3272.