{"hospital":{"ccn":"390185","name":"LEHIGH VALLEY HOSPITAL - HAZLETON","city":"HAZLETON","state":"PA","zip":"18201","phone":"570-501-4000","ownership":"Voluntary non-profit - Other","website_domain":"lvhn.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Less than 200%","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Insured individuals with a patient responsibility amount owed due to a deductible, coinsurance or copayment are eligible for Financial Assistance if their annual income is less than 300% of the Federal Poverty Guidelines.","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"/sites/default/files/2025-01/English_Fillable_FAP_Application_2025.pdf","layer":"documented","quote":"[Complete LVHN’s financial assistance program application](/sites/default/files/2025-01/English_Fillable_FAP_Application_2025.pdf)","source_id":"fap-f9916861893993f2","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["proof_of_income"],"layer":"documented","quote":"Financial Counselors will interview patients and secure Financial Assistance applications that include proof of income.","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Financial Assistance application can be completed within the first 240 days of the collection process","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"570-501-4813","layer":"documented","quote":"by contacting a Financial Counselor at 570-501-4813","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday, 7:30 a.m.-3:00 p.m.","layer":"documented","quote":"Walk-in hours: Monday through Friday, 7:30 a.m.-3:00 p.m.","source_id":"fap-f9916861893993f2","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Copies of the Financial Assistance Policy and a summary of the policy (Attachment D) can be obtained in English and Spanish via:","source_id":"fap-08b738c22486d4f3","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Lehigh Valley Hospital–Hazleton"],"layer":"documented","quote":"Lehigh Valley Hospital–Hazleton\nAddress: 700 E Broad St, Hazleton, PA 18201\nLocation: First Floor\nWalk-in hours: Monday through Friday, 7:30 a.m.-3:00 p.m.","source_id":"fap-f9916861893993f2","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-08b738c22486d4f3","kind":"hospital_web","url":"https://www.lvhn.org/sites/default/files/uploads/PDFs/LVH%20Hazleton%20Financial%20Assistance%20Policy%20Updated%20January%202018.pdf","title":"LVH Hazleton Financial Assistance Policy ...","fetched_on":"2026-10-13","sha256":"08b738c22486d4f3300a7df1dca9b18c64f1b047b9b248e211f56232058bf087","effective_date":null},{"id":"fap-f9916861893993f2","kind":"hospital_web","url":"https://www.lvhn.org/financial-services/get-financial-assistance","title":"Get Financial Assistance | Lehigh Valley Health Network","fetched_on":"2026-10-13","sha256":"f9916861893993f24179b50520004863d896922ac3fb24366a059efe7e41d35a","effective_date":null},{"id":"fap-185f9c09e3b65a2f","kind":"hospital_web","url":"https://www.lvhn.org/sites/default/files/2020-05/FAP_LVPG_Providers.pdf","title":"LVPG providers (Lehigh Valley, Hazleton, Schuylkill)","fetched_on":"2026-10-13","sha256":"185f9c09e3b65a2fa67fa31e314f6af7840c5b516bca1b01f0244e9dafa1436c","effective_date":null},{"id":"fap-a8b04fa6aef29995","kind":"hospital_web","url":"https://www.lvhn.org/sites/default/files/2020-05/FAP_Non-LVPG_Providers.pdf","title":"Non-LVPG providers (Lehigh Valley, Hazleton, Schuylkill)","fetched_on":"2026-10-13","sha256":"a8b04fa6aef29995b0f8b59aeb78759c224019a457b8f3fa9c7b6f81d94d6028","effective_date":null},{"id":"fap-c4b25cdc4e448ec6","kind":"hospital_web","url":"https://www.lvhn.org/sites/default/files/2020-05/FAP_Non-LVPG-P_Providers.pdf","title":"Non-LVPG providers (Pocono)","fetched_on":"2026-10-13","sha256":"c4b25cdc4e448ec67630b5321c2cf55805aa4f5160f873466f5b290a043a2747","effective_date":null}],"accuracy":null}