Financial Assistance

State law requires hospitals to provide free and discounted care to eligible patients. Mid-Valley Hospital's Healthcare Assistance Program offers assistance to individuals who cannot afford to pay, even if you have health insurance. You may qualify for free or discounted care regardless of race, color, sex, religion, age, marital status, national origin, or the presence of any sensory, mental or physical handicap, provided the patient meets the eligibility criteria.  Please fill out the application below and return to our financial counselors.