{"hospital":{"ccn":"330058","name":"GENEVA GENERAL HOSPITAL","city":"GENEVA","state":"NY","zip":"14456","phone":"315-787-4175","ownership":"Voluntary non-profit - Other","website_domain":"flhealth.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Below 200% FPL Waive all charges","source_id":"application-bfde6a49bffd230d","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"You may be eligible for hospital financial assistance to pay your bills if you are uninsured,if your insurance is exhausted, or if you have health insurance but have proof of paid medical expenses totaling more than 10% of your income.","source_id":"application-bfde6a49bffd230d","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income"],"layer":"documented","quote":"The hospital may request you submit documentation as proof of income; examples of documentation might include a pay stub,a letter from your employer if applicable,or Form 1040.","source_id":"application-bfde6a49bffd230d","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"The completed form can be mailed to Geneva General Hospital,Attn:Financial Counselor,196 North Street,Geneva,NY 14456."},{"kind":"in_person","detail":"You may also bring the form directly to the Patient Financial Services Department at Geneva General Hospital or the Access Department at Soldiers and Sailors Memorial Hospital."}],"layer":"documented","quote":"The completed form can be mailed to Geneva General Hospital,Attn:Financial Counselor,196 North Street,Geneva,NY 14456.You may also bring the form directly to the Patient Financial Services Department at Geneva General Hospital or the Access Department at Soldiers and Sailors Memorial Hospital.","source_id":"summary-ac77aeabb6aae363","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"You will be notified within 30 days after completion and submission of documentation,telling you if you have been approved and the level of discount received.","source_id":"summary-ac77aeabb6aae363","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":180,"layer":"documented","quote":"Hospitals cannot send unpaid bills to a collection agency for at least 180 days after your first bill.","source_id":"application-bfde6a49bffd230d","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"315-787-4150","layer":"documented","quote":"If you need assistance with this application,please contact UR Medicine Finger Lakes Health’s financial assistance office at 315-787-4150.","source_id":"application-bfde6a49bffd230d","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Geneva General Hospital","Soldiers and Sailors Memorial Hospital"],"layer":"documented","quote":"Allmedically necessary services provided by Geneva General Hospital and Soldiers and Sailors Memorial Hospital,to include all hospital services,emergency care,inpatient,outpatient, associated physician practices, clinics,urgent cares,and FL Medical,P.C.are covered by the discount.","source_id":"summary-ac77aeabb6aae363","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"application-bfde6a49bffd230d","kind":"hospital_web","url":"https://www.flhealth.org/sites/default/files/Financial%20Aid%20Forms%2025/Financial%20Aid%20application%20with%202025%20FPL%20with%20logo.fillable.docx","title":"Financial Assistance Application","fetched_on":"2026-10-11","sha256":"bfde6a49bffd230d2e575271508e2fb19bd382aa6dad0d95ea98edcc024dfe5a","effective_date":null},{"id":"summary-ac77aeabb6aae363","kind":"hospital_web","url":"https://www.flhealth.org/sites/default/files/Financial%20Aid%20Forms%2025/FLH%20financial%20aid%20summary%20-%202025%20FINAL%20032125.docx","title":"Plain Language Summary","fetched_on":"2026-10-11","sha256":"ac77aeabb6aae363ba8aca365446e2353b83f26ddf395bd89eb14ec9b3a8b7d9","effective_date":null},{"id":"billing-badb46603751f88f","kind":"hospital_web","url":"https://www.flhealth.org/patients-visitors/patient-financial-services/pay-your-bill-online","title":"Billing and Collections Policy","fetched_on":"2026-10-11","sha256":"badb46603751f88f467ec78be148f3fe332454055fddc605282e31ed5efd901d","effective_date":null}],"accuracy":null}