{"hospital":{"ccn":"390113","name":"MEADVILLE MEDICAL CENTER","city":"MEADVILLE","state":"PA","zip":"16335","phone":"814-333-5000","ownership":"Voluntary non-profit - Private","website_domain":"mmchs.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"300","layer":"documented","quote":"Individuals whose household income and assets are at or below 300% of the FPL are eligible to receive free care with qualified FAP.","source_id":"fap-5bd0f34094f02bd3","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Uninsured Discount - Available to uninsured or insured patients with non-covered charges. This program offers a 40% discount on total charges.","source_id":"fap-548c22b9bd8817b8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"https://www.mmchs.org/wp-content/uploads/2023/06/MMC-Financial-Assistance-Program-Application-2023.pdf","layer":"documented","quote":"[Click here for the Financial Assistance Application](https://www.mmchs.org/wp-content/uploads/2023/06/MMC-Financial-Assistance-Program-Application-2023.pdf)","source_id":"fap-f9934a4aa40d9ecd","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["photo_id","proof_of_income","social_security_letter","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"Acceptable sources of verification include, but are not limited to: o Denial of eligibility for Medical Assistance within past 90 days, if applicable. o Pay stubs or letters from employers, listing wages before taxes, past 90 days. o Most recent Federal Tax Return with applicable schedules. o Award letters or bank statements showing deposits of Social Security, other disability, pension, worker’s compensation, or unemployment compensation payments. o Award letters, court documents, or bank statements showing deposits of child or spousal support payments. o Documentation of other sources of income. o If the household has no income, letters from persons who are assisting with daily living needs, explaining the help that the persons provide (e.g., grocery purchases or rent and utility payments). o Health Savings Account (HSA) and other dedicated account statements. o Checking and Savings statements, past 90 days o Copy of Health Insurance Card(s), if applicable. o Copy of Driver’s License.","source_id":"application-a0ecab325a51152c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Application Period: the period during which the hospital accepts and processes FAP applications. This period begins with the date of the first post-discharge billing statement and ends 240 days after MMC provides the individual with their first post-discharge billing statement.","source_id":"fap-548c22b9bd8817b8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":{"value":15,"layer":"documented","quote":"Request for financial assistance shall be processed promptly and MMC will notify the individual or applicant in writing of approval/denial within 15 business days of receipt of a completed application.","source_id":"fap-5bd0f34094f02bd3","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Notification Period: the period during which Meadville Medical Center must notify an individual about the FAP. The period begins with the date of the first post-discharge billing statement and ends 120 days later.","source_id":"fap-548c22b9bd8817b8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"(814-333-5737)","layer":"documented","quote":"The Financial Counselor contact information is (814-333-5737) to access help with FAP applications for uninsured or underinsured patients.","source_id":"fap-548c22b9bd8817b8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"Monday-Friday, 7:00 am – 3:30 pm","layer":"documented","quote":"A financial counselor is available Monday-Friday, 7:00 am – 3:30 pm.","source_id":"billing-fb494ebcb6ab7a3d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-548c22b9bd8817b8","kind":"hospital_web","url":"https://www.mmchs.org/wp-content/uploads/2023/04/A-401-Patient-Financial-Assistance.pdf","title":"A-401 Patient Financial Assistance 1","fetched_on":"2026-10-14","sha256":"548c22b9bd8817b8ef5b3f13028c3bb2d424a2f2fbc37d650779582f051be6b4","effective_date":null},{"id":"application-a0ecab325a51152c","kind":"hospital_web","url":"https://www.mmchs.org/wp-content/uploads/2023/06/MMC-Financial-Assistance-Program-Application-2023.pdf","title":"Meadville Medical Center Meadville Medical Center Financial Assistance Program ...","fetched_on":"2026-10-14","sha256":"a0ecab325a51152c74062b139a0099d0370d4667514d8399c210ef817779b342","effective_date":null},{"id":"billing-fb494ebcb6ab7a3d","kind":"hospital_web","url":"https://www.mmchs.org/resources/billing-insurance","title":"Billing & Insurance - Meadville Medical Center","fetched_on":"2026-10-14","sha256":"fb494ebcb6ab7a3dbe465099623ac32df932cc6a177042891a0fea551b4c1504","effective_date":null},{"id":"fap-5bd0f34094f02bd3","kind":"hospital_web","url":"https://www.mmchs.org/wp-content/uploads/2025/05/A-401-PATIENT-FINANCIAL-ASSISTANCE-_.pdf","title":"A-401 Patient Financial Assistance 1","fetched_on":"2026-10-14","sha256":"5bd0f34094f02bd3e78743426ed5fd597f29b13eece3868ea3a79b6b39567a94","effective_date":null},{"id":"fap-f9934a4aa40d9ecd","kind":"hospital_web","url":"https://www.mmchs.org/resources/financial-assistance/","title":"Financial Assistance","fetched_on":"2026-10-14","sha256":"f9934a4aa40d9ecdf158847aa6dfb5aa304079d53f5c37a588f6304ee2bdf164","effective_date":null}],"accuracy":null}