ENDLESS MOUNTAINS HEALTH SYSTEMS

"1. Patients whose family income is at or below 100% of the FPL are eligible to receive free care;"

documented · checked 2026-10-11 · Financial Assistance Policy

"Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1. State-funded prescription programs; 2. Homeless or received care from a homeless clinic; 3. Participation in Women, Infants and Children programs (WIC); 4. Food stamp eligibility; 5. Subsidized school lunch program eligibility; 6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down); 7. Low income/subsidized housing is provided as a valid address; and 8. Patient is deceased with no known estate."

documented · checked 2026-10-11 · Financial Assistance Policy

"Section Three: Verification of Income Please attach proof of income from the past 30 days to this application. Please verify all income listed in Section One."

documented · checked 2026-10-11 · Financial Assistance Application

"**How do I receive a copy of the Financial Assistance Policy?** You may request your free copy of the Financial Assistance Policy by calling 570-278-3801 xt. 1199, mailing Credit Mgr. 100 Hospital Drive, Montrose, PA 18801, or visiting our website at [www.endlesscare.org](http://www.endlesscare.org/). **If you need assistance:** For assistance with the Financial Assistance Policy and/or application process, please call 570-278-3801 xt. 1199, or speak with a patient financial services representative. **HOW DO I APPLY?**Please request a copy of the application from any of the following areas: EMHS Admissions Staff EMHS Emergency Department Reception Desk Patient Financial Services Representatives Call 570-278-3801 xt. 1199 Mail – Credit Mgr. 100 Hospital Drive, Montrose, PA 18801 **Mail completed applications (including all required supporting documentation) to: Endless Mountains Health Systems, Attn. Credit Mgr., 100 Hospital Drive, Montrose, PA 18801.**"

documented · checked 2026-10-11 · Financial Assistance – Plain Language Summary

"Requests for charity shall be processed promptly and EMHS shall notify the patient or applicant in writing within 30 days of receipt of a completed application."

documented · checked 2026-10-11 · Financial Assistance Policy

"**Sally Emmons, Revenue Cycle Team Leader, at 570-278-3801 Ext. 3105**"

documented · checked 2026-10-11 · Financial Assistance | Get Help Today - Affordable Care Solutions — Endless Mountains Health Systems

"A paper application may also be picked up at the Registration Desk at Endless Mountains Health Systems, **100 Hospital Drive, Montrose, PA  18801**"

documented · checked 2026-10-11 · Financial Assistance | Get Help Today - Affordable Care Solutions — Endless Mountains Health Systems