
Allied Services Scranton Rehab Hospital, Allied Services Wilkes-Barre Hospital, and Allied Home Health provide free, medically necessary care to persons who qualify. If you cannot afford the cost of care, you are encouraged to apply for free care. You may obtain information and an application at any outpatient clinic or by calling 570-348-1364 or 877-727-3422 or you may download an application below.
IMPORTANT NOTE: Financial aid services are only available at Allied Services Scranton
Rehab Hospital, Allied Services Wilkes-Barre RehabHospital Inpatient and
Outpatient facilities, and at Allied Services Home Health.
Provided below is an application for assistance with medical care through
Allied Services Uncompensated Financial Aid Program. This program applies
to all medically necessary charges incurred at Allied Services Scranton
Rehab Hospital, Allied Services Wilkes-Barre Rehab Hospital or Allied
Services Home Health.
Please note that this is only for facility charges and only those professional
fees that appear on Allied Services bill. Arrangements for other fees
cannot be made by this Health System and must be discussed with the individual
practice plan.
Additional instructions are included in the application provided below.
Uncompensated Health Care Financial Assistance Program Policy
Uncompensated Health Care Financial Assistance Application
Financial Aid Policy
Plain Language Summary of Charity Care and Financial Assistance Policy
Uncompensated Health Care Financial Assistance Program Policy (Spanish)
Uncompensated Health Care Financial Assistance Application (Spanish)
You must include the following with your completed application:
Additional submission instructions are provided in the application.
Allied Services
Patient Accounts Department
UFA Program
100 Executive Park
Clarks Summit, PA 18411
Valerie Antonio
P: 570-348-1372
F: 570-341-4498
E:
vanton@allied-services.org
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