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.
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.
For questions or for an application please call our Outreach Enrollment Navigators at (717) 709-7969.
To submit a reduced fee application, select below and submit online;
OR, you can print, complete, and email to: reducedfeeapplications@keystonehealth.org;
OR print, complete, and mail to: 111 Chambers Hill Drive, Suite 200 (ATTN: Reduced Fee Program), Chambersburg, PA., 17201.
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.
Solicitud de Asistencia Financiera para Keystone Health
Click here to download the Keystone Health Sliding Fee Discount Program Application in Haitian Creole.
