Coronavirus

See the latest Coronavirus Information including testing sites, visitation information, appointments and scheduling, location hours, data and more.

To make a secure online payment using Visa or Master Card for Penn Medicine Home Health, please complete the form below.

We value your privacy and personal information will be used only for bill payment. If you have questions or would like to speak to a Patient Billing Representative, please call 717-397-8251 or 888-800-1064 Monday - Friday 8:00 am - 4:30 pm.

If you believe you made a payment in error, please contact our Customer Service team at 717-544-4953 or 800-647-4419.

* To submit a payment with this form you must use a Google Chrome Browser

 

Penn Medicine Home Health Bill Payment Form

Please Note: This payment form is for Affilia Home Health. Please fill out all fields. (*) indicates required fields.

Contact and Account Information
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Payment Details
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Please use MMYY format (e.g. Oct 2020 = 1020)
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Transaction Amount
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