{"hospital":{"ccn":"390198","name":"LECOM MEDICAL CENTER AND BEHAVIORAL HEALTH PAV","city":"ERIE","state":"PA","zip":"16509","phone":"814-864-4031","ownership":"Voluntary non-profit - Private","website_domain":"lecomhealth.com","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"140","layer":"documented","quote":"1. Patients whose family income is at or below 140% of the FPL are eligible to receive free care;","source_id":"fap-28c8d07da22f5182","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"For patients with insurance, the patient completes a Charity Care Application. Financial Assistance given will be determined by the level of household income corresponding to the number of family members (which qualify as a “dependent” for federal income tax purposes), and household expenses where there are extenuating circumstances.","source_id":"fap-9ef08f18ac52874a","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":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"INCOME VERIFICATION: INCOME VERIFICATION SHALL INCLUDE COPIES OF PAY STUBS, TAX RETURNS, BANK STATEMENTS AND OTHER RECORDS THAT MAY BE REQUESTED TO VERIFY INCOME","source_id":"fap-763f8b79759f8a26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":""}],"layer":"documented","quote":"Completed applications should be forwarded to the Patient Finance Department for determination of eligibility and are reviewed by the end of month following of the receipt of the completed application.","source_id":"fap-763f8b79759f8a26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Requests for charity shall be processed promptly and LECOM Medical Center and Behavioral Health Pavilion notify the patient or applicant in writing within 30 days of receipt of a completed application.","source_id":"fap-28c8d07da22f5182","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(814) 664-4641","layer":"documented","quote":"For more information, please contact our financial counseling office at 814-664-4641.","source_id":"fap-763f8b79759f8a26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"Monday- Friday from 8:00am- 4:30pm, excluding holidays","layer":"documented","quote":"A financial counselor is available Monday- Friday from 8:00am- 4:30pm, excluding holidays, as well as other appointments as necessary to assist in applying for financial assistance.","source_id":"fap-763f8b79759f8a26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["English"],"layer":"documented","quote":"Information shall also be included on facility websites and in the Conditions of Admission form. Such information shall be provided in the primary languages spoken by the population serviced by LECOM Medical Center and Behavioral Health Pavilion which is only English in the demographic area)","source_id":"fap-28c8d07da22f5182","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["LECOM Medical Center and Behavioral Health Pavilion"],"layer":"documented","quote":"LECOM Medical Center and Behavioral Health Pavilion posts the availability of its Financial Assistance Policy at all Hospital registration wailing areas (the Emergency Room and Radiology) including copies for distribution upon request. Paper copies are also available at the Hospital front desk.","source_id":"fap-9ef08f18ac52874a","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-9ef08f18ac52874a","kind":"hospital_web","url":"https://lecomhealth.com/patients-visitors-information/patient-services/financial-assistance","title":"LECOM Medical Center Financial Assistance - LECOM Health","fetched_on":"2026-10-13","sha256":"9ef08f18ac52874ac6f0cfa13dd2d1f0b08b58592e1a66d4c7dbe568dd9fc37c","effective_date":null},{"id":"fap-72e5b811d6a2c393","kind":"hospital_web","url":"https://lecomhealth.com/wp-content/uploads/2025/08/403_Financial_Assistance_Policy.pdf","title":"LECOM Medical Center Financial Aid Assistance Policy","fetched_on":"2026-10-13","sha256":"72e5b811d6a2c393e6bd1b72552912a8fd6dde6ac3d614c930570d646107e709","effective_date":null},{"id":"fap-28c8d07da22f5182","kind":"hospital_web","url":"https://lecomhealth.com/wp-content/uploads/2025/08/402_Charity_Care.pdf","title":"Click here to download and review the Hospital Charity Care Policy.","fetched_on":"2026-10-13","sha256":"28c8d07da22f5182fa880a9f9a7530b2cfcbb13fd85c8d951f512df124b8cd5d","effective_date":null},{"id":"fap-763f8b79759f8a26","kind":"hospital_web","url":"https://lecomhealth.com/corry-memorial-hospital/about-corry-memorial-hospital/financial-assistance/","title":"Financial Assistance","fetched_on":"2026-10-13","sha256":"763f8b79759f8a26adf3512546ef879c414d31d00f6870d2463ce443caaabade","effective_date":null}],"accuracy":null}