Waive

LANCASTER GENERAL HOSPITAL

LANCASTER, PA · version 1 · published · JSON

eligibility.free_care_max_fpl300% of the federal poverty level

"More specifically, any patient/family that falls below 300% of the Federal Governments Federal Poverty Guidelines will qualify for a full coverage discount"

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

eligibility.insured_patients_coveredYes

"Financial assistance may be available for both the uninsured and underinsured"

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

apply.form_urlhttps://tupa-q-001.sitecorecontenthub.cloud/api/public/content/financial_assistance_english_attachment_c_application.pdf

"[Lancaster General Health financial assistance application (English)](https://tupa-q-001.sitecorecontenthub.cloud/api/public/content/financial_assistance_english_attachment_c_application.pdf)"

documented · checked 2026-10-13 · Lancaster General Health Financial Assistance website

apply.documents_requiredPay stubs
Bank statements
Tax return
Social Security letter

"including but not limited to pay stubs, bank statements, tax return (including all schedules and supporting documentation), proof of alimony and/or child support, social security 1099 forms or award letters, unemployment or workers’ compensation award letters, and any other letters or statements of support documenting income sources"

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

apply.window_days_from_first_bill240 days

"Persons who qualify for financial assistance as stated in this policy, may apply for financial assistance at any time during the treatment cycle or up to 240 days from the first statement billing date of the date of service."

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

apply.decision_days10 days

"Financial Assistance eligibility determinations are generally made within 10 business days of the receipt of a completed application."

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

contacts.phone717-544-1957

"[717-544-1957](tel:+1-717-544-1957)"

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

contacts.languagesEnglish
Spanish
Vietnamese

"The Financial Assistance Policy, Plain Language Summary, the Financial Assistance Application, and associated application process letters will be available in English, Spanish, and Vietnamese based on the primary languages spoken by the LEP populations within the community being the lesser of 1,000 or 5 percent of community served threshold, using the United States Census Bureau data from 2013 and 2014."

documented · checked 2026-10-13 · Lancaster General Hospital Assistance policy

Sources

Lancaster General Hospital Assistance policy — fetched 2026-10-13

Financial Assistance Plain Language Summary — fetched 2026-10-13

Financial assistance — fetched 2026-10-13

Financial Assistance Policy — fetched 2026-10-13

LGH Financial Assistance Policy – Spanish — fetched 2026-10-13

LGH Financial Assistance Policy – Vietnamese — fetched 2026-10-13

Lancaster General Health Financial Assistance website — fetched 2026-10-13

Financial Assistance Attachment B: Amounts Generally Billed (AGB) Calculation — fetched 2026-10-13