Waive

HARRISON COMMUNITY HOSPITAL

CADIZ, OH · version 1 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"If you and/or the responsible party’s income combined is at or below 200% of the federal poverty guidelines, you will have no financial responsibility for the care given by WVU Medicine Weirton Medical Center."

documented · checked 2026-10-11 · FAP Plain Language Summary

apply.form_urlhttps://wvumedicine.org/wp-content/uploads/System_Pages/Forms/HSN_FAP_Attachment-1_Financial-Application.2024-4282025.pdf

"[Financial Assistance Application Form](https://wvumedicine.org/wp-content/uploads/System_Pages/Forms/HSN_FAP_Attachment-1_Financial-Application.2024-4282025.pdf)"

documented · checked 2026-10-11 · Policies and Financial Applications

apply.documents_requiredProof of income

"If you reported $0 income, please provide a brief explanation of how you (or the patient) are meeting basic living needs."

documented · checked 2026-10-11 · [PDF] Financial Assistance Application Form - WVU Medicine

apply.submit_methodsMail: Please provide the information requested and mail to the following address: WVU Medicine – Harrison Community Hospital Financial Counseling 951 E Market Street Cadiz, OH 43907
Portal: you may apply for financial assistance through MyWVUChart

"If you meet the above requirements, you may apply for financial assistance through [MyWVUChart](https://mywvuchart.com/MyChart/Authentication/Login?) or by [downloading a copy of the application](https://wvumedicine.org/billing-and-insurance/pay-a-bill/ "Policies and Financial Applications") and returning it by mail."

documented · checked 2026-10-11 · Financial Assistance FAQs | WVU Medicine

apply.window_days_from_first_bill240 days

"Applications will only be processed for patients with current balances (within 240 days from first billing statement), a scheduled appointment or a patient in need of financial clearance prior to obtaining an appointment."

documented · checked 2026-10-11 · [PDF] Financial Assistance Application Form - WVU Medicine

contacts.phone304-598-6260

"WVU Medicine Locations: [304-598-6260](tel:3045986260)"

documented · checked 2026-10-11 · Financial Assistance FAQs | WVU Medicine

contacts.hoursMonday – Friday, 8 am – 4 pm

"please contact us at one of the numbers below, Monday – Friday, 8 am – 4 pm or visit us in person."

documented · checked 2026-10-11 · Financial Assistance FAQs | WVU Medicine

Sources

Princeton Community Hospital FINANCIAL ASSISTANCE ... — fetched 2026-10-11

[PDF] Financial Assistance Application Form - WVU Medicine — fetched 2026-10-11

FAP Plain Language Summary — fetched 2026-10-11

Financial Assistance FAQs | WVU Medicine — fetched 2026-10-11

Policies and Financial Applications — fetched 2026-10-11

Financial Assistance — fetched 2026-10-11

downloading a copy of the application — fetched 2026-10-11