The completion the Lancaster General Patient Financial Statement is the first and most important step in the determination of your family’s eligibility for financial assistance.

In addition to completing the Patient Financial Statement, please be sure to attach a copy of your most recent tax return as proof of income. If you did not file a tax return please attach copies of your pay stubs and copies of bank statements for the past three (3) months. Lancaster General will retain copies of all patient information used to determine financial need, as required by federal and state law.

You will continue to receive patient bills until you return the signed and completed Lancaster General Patient Financial Statement with proof of income. We will process your request for Financial Assistance within five (5) business days and notify you of your eligibility by phone and mail.

Federal and state law requires all hospitals to seek payment for care provided. This means we could ultimately turn unpaid bills over to a collection agency, which could affect your credit status. Therefore, it is important that you let us know if there is a problem paying your bill.