Financial Assistance
Who can apply?:
All patients who received medical care from Physicians Care Surgical Hospital are eligible to apply for financial assistance. The Financial Assistance Policy provides free care to those who:
- Ruled out all other payment options. For example, you may be eligible for Medical Assistance and will be required to apply for those programs first.
- Received care for medically necessary services.
- Have family incomes not in excess of 200% of the Federal Poverty Guidelines.
In rare cases, Physicians Care Surgical Hospital also provides discounted or free care to individuals who are faced with medical bills that are large enough to threaten financial survival. When applying for this type of assistance, individuals will be required to provide information about their income and assets. The CEO of Physicians Care Surgical Hospital will make any recommendations for discounted or free care in these cases.
How to Apply:
You may obtain a copy of our Financial Assistance Policy and Application Form by clicking on the links below. Paper copies of the policy and application are available at any location where patient registration occurs. They are also available in our billing office.
Financial Assistance Policy
Financial Assistance Policy - Plain Language Summary
Application Form
Translations Available:
Spanish Financial Assistance Policy
Spanish Application Form
Russian Financial Assistance Policy
Russian Application Form
Gujarati Financial Assistance Policy
Gujarati Application Form
Tagalog Financial Assistance Policy
Tagalog Application Form
German Financial Assistance Policy
German Application Form
Mandarin Financial Assistance Policy
Mandarin Application Form
FAP- Plain Language Summary:
Spanish Financial Assistance Policy
Russian Financial Assistance Policy
Gujarati Financial Assistance Policy
Tagalog Financial Assistance Policy
German Financial Assistance Policy
Mandarin Financial Assistance Policy
Who can I contact if I want to request a free copy by mail, have any questions, or need assistance completing an application?
- Billing office: (610) 495-3330 Opt 3
- In person assistance is available by asking for a Business Office Associate at the Registration Desk of Physicians Care Surgical Hospital at 454 Enterprise Dr, Royersford, PA 19468
