{"hospital":{"ccn":"390001","name":"GEISINGER-COMMUNITY MEDICAL CENTER","city":"SCRANTON","state":"PA","zip":"18510","phone":"570-703-8000","ownership":"Voluntary non-profit - Private","website_domain":"geisinger.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"300","layer":"documented","quote":"Approved patients whose household income and family size are up to and including 300% of the FPG will receive a 100% discount from the gross charges generated for basic medical services.","source_id":"fap-d7682b9dabd0fe91","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"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","social_security_letter","tax_return","pay_stubs"],"layer":"documented","quote":"Supporting documentation for qualification regarding this program will consist of income information, inclusive but not limited to: Federal Income Tax Form 1040 from the prior year, pay stub copies, written verification of any other income received (i.e. Social Security, ADC, child support, alimony, etc.), and current credit reports.","source_id":"fap-d7682b9dabd0fe91","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"mail to: Geisinger Uncompensated Care Services 49-38 100 N. Academy Ave. Danville, PA 17822-4938"},{"kind":"in_person","detail":"available at all Geisinger hospital emergency departments and admission areas and clinic locations."}],"layer":"documented","quote":"Step 1: Request an application form.\nThese forms are available at no charge by visiting our website at geisinger.org or by calling 800-640-4206. In addition, these forms are available at all Geisinger hospital emergency departments and admission areas and clinic locations.\nStep 2: Complete and return the form.\nOnce you have completed the application, mail to: Geisinger Uncompensated Care Services 49-38 100 N. Academy Ave. Danville, PA 17822-4938","source_id":"billing-b2bd951d8f97579f","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 receive a written decision promptly, usually within 30 days of applying.","source_id":"billing-b2bd951d8f97579f","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"800-640-4206","layer":"documented","quote":"call our knowledgeable patient service representatives at 800-640-4206.","source_id":"billing-b2bd951d8f97579f","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["Arabic","English","Chinese","Nepali","Spanish","Vietnamese"],"layer":"documented","quote":"Financial assistance forms are available in Arabic, English, Chinese, Nepali, Spanish and Vietnamese.","source_id":"billing-b2bd951d8f97579f","checked_on":"2026-10-11","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-d7682b9dabd0fe91","kind":"hospital_web","url":"https://www.geisinger.org/-/media/OneGeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/need-help/financial-assistance-policy/2021/1784-16714-2021-Geisinger-Financial-Assistance-Policy_ENGLISH-06252021.pdf?la=en","title":"Finance","fetched_on":"2026-10-11","sha256":"d7682b9dabd0fe9194eddeafcb7571004df049f19b842cf92c81c3d3b46e5059","effective_date":null},{"id":"application-ec14b573e8b8da39","kind":"hospital_web","url":"https://www.geisinger.org/-/media/onegeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/need-help-paying-your-bill/ghs-plain-language-financial-assistance-policy-071116","title":"A. 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