Keystone Health Sliding Fee Discount Program
The policy of Keystone Health is to provide patients who qualify with an opportunity to participate in a program reducing the amount owed to Keystone Health for services received. The major determining factors in this program are household income and size. You must be a current patient in order to qualify.
Once you are approved for the Sliding Fee Discount Program, you will receive a participant card indicating your level of reduction and a cover letter explaining where the card is honored. You must present your card at the time of each visit.
If at any time you are not compliant with the guidelines and stipulations applied to this process and the process of collections, your application will be terminated and account balance will be reversed to full fee. In addition, if at any point during your eligibility you acquire Medical Insurance, you will no longer be eligible for the Keystone Health Reduced Fee program.
For questions or for an application please call our Outreach Enrollment Navigators at (717) 709-7969.
English Application
Click here to download the Keystone Health Sliding Fee Discount Program Application in English or click the link below for the online application.
Keystone Health Sliding Fee Discount Program Application
Spanish Application
Click here to download the Keystone Health Sliding Fee Discount Program Application in Spanish or click the link below for the online application.