How To Apply

How to apply

You may apply at any time during the billing process by completing and submitting an application (which includes providing the required information). All applications for the Financial Assistance Program will be reviewed and processed per the hospital policy.

Financial Assistance Application

How to obtain copies of the policy and application

You may obtain a copy of our Policy and the Financial Assistance Application form: 
  1. On the Pocono Medical Center website at www.poconohealthsystem.org (Financial Assistance Application)
  2. In any of our financial counselor’s offices. 

You may also call Customer Service and speak to a representative, we will mail you a copy of the Financial Assistance policy, plain language summary and application form.


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