DELAWARE VALLEY HOSPITAL, INC

WALTON, NY · version 3 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Below 200% FPL"

documented · checked 2026-10-11 · **Financial Assistance Policy**

eligibility.insured_patients_coveredYes

"The Financial Assistance Policy is applicable to individuals without health insurance, or patients whose health insurance leaves a balance for emergency or medically necessary services."

documented · checked 2026-10-11 · **Financial Assistance Policy**

apply.documents_requiredPay stubs
Tax return
Other documents

"Documents required along with completed application are: 1. Pay Stubs: last 30 days 2. Other Income such as Investments, Child Support, Unemployment, Social Security, Workers’ Compensation 3. Most Recent Tax Return: if self-employed 4. Self-Attestation: if no income is reported 5. Family size: number of individuals in household"

documented · checked 2026-10-11 · **Financial Assistance Policy**

apply.submit_methodsMail: Mail completed and signed application to: UHS Financial Assistance 33 Lewis Road Binghamton, NY 13905

"Mail completed and signed application to: UHS Financial Assistance 33 Lewis Road Binghamton, NY 13905"

documented · checked 2026-10-11 · **Financial Assistance Application (English)**

apply.decision_days30 days

"Approval/Denial of the application will be made within 30 days of the Financial Assistance Coordinator receipt of all requested documentation."

documented · checked 2026-10-11 · **Financial Assistance Policy**

contacts.phone607-770-0025

"[**607-770-0025**](tel:607-770-0025)"

documented · checked 2026-10-11 · Binghamton Medical Financial Assistance | Hospital Bill Help | UHS

contacts.hoursMonday through Friday from 8:00am to 4:30pm

"How to Obtain Information and Assistance Regarding Our Financial Assistance Program For information regarding our Financial Assistance Program, please visit our Financial Assistance offices at UHS Bingham-ton General Hospital, UHS Wilson Medical Center, UHS Chenango Memorial Hospital or UHS Delaware Valley Hospital, Monday through Friday from 8:00am to 4:30pm."

documented · checked 2026-10-11 · [PDF] Financial Assistance Program Plain Language Summary

contacts.languagesEnglish
Spanish
Russian

"Financial Assistance Application and Plain Language Summary are available in English, Spanish and Russian."

documented · checked 2026-10-11 · [PDF] Financial Assistance Program Plain Language Summary

coverage.facilitiesUHS Wilson Medical Center
UHS Binghamton General Hospital
UHS Chenango Memorial Hospital
UHS Delaware Valley Hospital
UHS Medical Group Physicians
Twin Tier Home Health

"**UHS Wilson Medical Center** **UHS Binghamton General Hospital** **UHS Chenango Memorial Hospital** **UHS Delaware Valley Hospital** **UHS Medical Group Physicians** **Twin Tier Home Health**"

documented · checked 2026-10-11 · Binghamton Medical Financial Assistance | Hospital Bill Help | UHS

Sources

Binghamton Medical Financial Assistance | Hospital Bill Help | UHS — fetched 2026-10-11

[PDF] Financial Assistance Program Plain Language Summary — fetched 2026-10-11

Binghamton Medical Financial Assistance | Hospital Bill Help | UHS — fetched 2026-10-11

**Financial Assistance Policy** — fetched 2026-10-11

**Financial Assistance Application (English)** — fetched 2026-10-11

**Financial Assistance Application (Spanish)** — fetched 2026-10-11