Our financial assistance policy

• Your financial circumstances will not affect the care you receive. All patients are treated with respect and fairness.
• Assistance is available for medically necessary care. You may apply for financial assistance anytime — before, during or after your care.
• If you have no health insurance or limited insurance benefits and/or limited financial resources, you may be eligible for assistance. Uninsured patients are required to apply for Pennsylvania Medical Assistance or enroll in the Federal or State Health Insurance Marketplace.
• Approval of financial assistance is determined by Geisinger’s policy guidelines.
• To apply for financial assistance, you must provide us with all information necessary to apply for other funding sources that may be available to you, such as Medical Assistance, Medicare Disability or other federal or state programs.
• You’re financially responsible for your healthcare and for applying for financial assistance. Geisinger will make application materials easily available through MyChart.
• You may also download a financial assistance application below. If you’re unable to print and want to request a financial assistance application be mailed to you, call 800-640-4206.

For more information or to apply for financial aid, download our Financial Assistance Policy brochure or our Payment Options brochure in English, Spanish, Chinese, Gujarati, Haitian Creole or Nepali below.

Key definitions

• Participating provider: Participating (or “par”) providers are physicians or other healthcare providers who have an agreement with a particular insurance payer (the insurance company, HMO, PPO or government program that pays for your care). These agreements outline the terms and conditions of participation for both the payer and the provider.
• Non-participating provider: Non-participating (or “non-par”) providers are physicians or other healthcare providers who have not agreed to enter into an agreement with a particular insurance payer, unlike participating providers. They may also be called out-of-network providers.

Out-of-network care

Do you have an HMO plan that does not have out-of-network benefits and doesn’t participate in Geisinger’s network? Consider getting care within your insurance plan’s network to avoid high medical expenses.

Out-of-network services can be much more costly than in-network services. Be sure to contact your insurance company to see if you’re out of network. If so, you’ll be responsible for costs.

If you choose to continue your care with Geisinger, you’ll either need preapproval from your insurance company or you’ll have to go through our financial clearance process. You’ll need to pay the estimated adjusted medical expenses in full before your appointment is scheduled.*

For questions or concerns about your insurance coverage or how to find the most cost-effective care, call the Patient Service Call Center at 800-640-4206.

*Medicaid enrollees will be referred to seek care within their network if they don’t have pre-approval from their insurance company.