Written by a parent, not a doctor. Nothing here is medical advice.

Pennsylvania program

Cancer-bill help for Hershey families (Four Diamonds)

Cancer-bill assistance for Pennsylvania families through Penn State Health Golisano Children’s Hospital in Hershey. Four Diamonds helps with eligible costs left by insurance when the cancer diagnosis occurred before age 22.

What it is

Cancer-bill assistance for Pennsylvania families through Penn State Health Golisano Children’s Hospital in Hershey. Four Diamonds helps with eligible costs left by insurance when the cancer diagnosis occurred before age 22.

Four Diamonds can remove eligible cancer-related medical balances for Pennsylvania families treated at Hershey. The diagnosis must have occurred before age 22. The oncology social worker confirms enrollment and any exception for care needed elsewhere.

Eligibility rules
  • Four Diamonds is for Pennsylvania families whose child was diagnosed before age 22 and is treated at the Hershey children's hospital. The Hershey team confirms enrollment and any exception for care elsewhere.
  • The Hershey social worker confirms current enrollment conditions, any income or insurance requirements, required benefit paperwork and exactly which cancer-related bills are covered.
What you get
  • 100% of eligible cancer-related medical expenses insurance does not cover.
  • Lodging and transportation help through the hospital's program.
  • No family charge for the assistance.
What the help includes
  • The program covers eligible cancer-related medical costs left after insurance. Unrelated medical costs need a separate coverage or assistance review.
  • Lodging and transportation help are described by the hospital, with the practical arrangements handled there.
If you decide to apply
  1. Ask the Hershey oncology social worker about enrolling your child in Four Diamonds.
  2. Have the diagnosis date and insurance cards ready.
  3. Ask which bills, lodging and travel costs the program can cover for your child.

717-531-1740 · Official page ↗

After you ask
  • Enrollment takes place through the hospital's social work and financial-assistance team. Confirmation tells the family how eligible remaining bills will be handled.
  • The financial-assistance office number is 717-531-1740.
Good to know

The Hershey team confirms eligibility and which cancer-related bills are included. It can also explain any exception when your child’s needs require another hospital.

Other details
  • An insurance statement is useful for showing what the plan covered and what remains.
  • Another hospital generally uses its own assistance policy. The Hershey team can confirm whether your child’s needs allow a Four Diamonds exception for care elsewhere.
Ask your social worker

“Could Four Diamonds cover our child's remaining cancer bills at Hershey? Could you explain any limits and travel help, then help us enroll if our child qualifies?”

Why I’m asking: I want to know which treatment costs the hospital program can take off our family's budget.

More background and detailed requirements
Additional program information and published rules

Who does what

The three parts, side by side. The agency decides; nobody on this page does.

You

Ask to be enrolled at the first meeting with the social worker.

Your social worker

The Hershey social worker enrolls the family and connects lodging and transportation help.

The care team

Records and letters when the application asks for them.

Who decides
Four Diamonds through Penn State Health
Ask your social worker
“Can you enroll us in Four Diamonds now, and tell us what it covers beyond the medical bills, such as lodging and travel?”

How to apply

First step: Ask the Hershey oncology social worker to enroll the child in Four Diamonds (financial assistance office 717-531-1740).

  1. Ask the Hershey social worker to enroll the child in Four Diamonds at diagnosis.

Official application / program page ↗

Where it starts: The hospital's social work and financial assistance office enrolls families.

What to gather

  • Insurance cards
  • Diagnosis date

How long: Enrollment at diagnosis through the social worker.

What a yes looks like

Enrollment confirmed; cancer-related bills the plan leaves go to Four Diamonds.

What a no looks like, and the next move

The hospital explains an enrollment refusal and whether an exception or another assistance policy applies.

Watch out

  • The Hershey team confirms enrollment and any patient-need exception for care elsewhere.
  • No published income limit; ask the social worker what the enrollment asks for.

Each hospital’s own policy

The federal rule sets the floor; each hospital’s policy sets the actual numbers. “Unknown” means the policy could not be read yet: call the number and ask.

HospitalFree care up toDiscounts up toInsured familiesFinancial counselor
Children's Hospital of Philadelphia · policyunknownunknownunknown800-974-2125
UPMC Children's Hospital of Pittsburgh · policy300% FPL400% FPLyes833-298-7321 option 2
Penn State Health Golisano Children's Hospital · policy300% FPL300% FPLyes717-531-1740
St. Christopher's Hospital for Children · policy200% FPL400% FPLyes484-628-5683
Geisinger Janet Weis Children's Hospital · policy300% FPL300% FPLyes800-640-4206
Lehigh Valley Reilly Children's Hospital · policyunknownunknownyes484-884-0840

The numbers and the rules

The arcane layer, kept on purpose. Checked September 9, 2026.

What it is worth

At Penn State Children's: 100% of cancer-related medical expenses not covered by insurance for a child diagnosed before age 22; help with lodging and transportation in practice.

  • $100 — Share of eligible cancer-related medical expenses not covered by insurance
  • $22 — Diagnosed before age

Covers: Cancer-related medical expenses not covered by insurance · Lodging and transportation assistance (hospital description; practice)

What it costs the family: None.

The eligibility facts, as published

Hospital
Pennsylvania families treated at Penn State Health Golisano Children’s Hospital, Hershey; the program confirms any patient-need exception involving another hospital.
Age
diagnosed with cancer before age 22
Income
no published ceiling

The trap: Assuming every Pennsylvania children's cancer program has this. Pennsylvania has no state childhood-cancer fund; Four Diamonds is Hershey's.

Where I read this

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