Financial Assistance Program (FAP)


Having trouble paying your bill? Bucktail Medical Center has a Financial Assistance Program that may be able to help. If you have any questions about our Financial Assistance Program, please contact the Financial Assistance Coordinator at 570-923-1000 ext 2185 or the Business Office at 570-531-6154.

Plain Language Summary (English)
Plain Language Summary (Spanish)

Application & Instructions

Please be sure to complete all information on the application. Missing information could mean a delay in processing.

FAP Application Instructions-19-001
FAP Application-19-001
2024 Poverty Guidelines
Policy & Procedure – Provider Listing

Financial Assistance Program Policies

All applicants should review the FAP policies for eligibility. If you have questions about any of the policies, contact the Financial Assistance Coordinator at 570-923-1000 ext. 2185.

Financial Assistance policy-Revised 04.01.2019
Policy and Procedure – Billing and Collection
Policy and Procedure – Emergency Medical Care

You may be eligible for other programs

There may be other Pennsylvania programs that can help.

COMPASS form (English)
COMPASS form (Spanish)
CHIP form (English)
CHIP form (Spanish)