Insurance & Payment Information

Blue Mountain Clinic accepts most insurance plans. If you have specific questions regarding your insurance coverage, please contact your insurance provider. Your contract with an insurance company is between you and them; therefore, the ultimate responsibility for payment belongs to you.

It is your responsibility to ensure that the Clinic has your correct insurance information and to make sure that the services provided are a benefit of your contract. If your insurance has a Preferred Provider Network, you will be responsible for verifying participation of any physician involved in your care.

Patients will be asked to present their current insurance card at each appointment. Failure to have your card could delay your appointment, and it will be the responsibility of the patient to provide proof of coverage.

Blue Mountain Clinic is in-network with major commercial plans, as well as Medicare and Montana Medicaid. Under the Affordable Care Act, many plans are required to cover annual wellness exams, pap smears, and STI screenings without out-of-pocket costs. Your plan may require you to see an in-network provider or use a pharmacy in order to access these benefits.

We require co-payments to be paid at the time of service, and payment in full for any deductibles and services not covered by your policy.

For your convenience, we accept cash, checks, and credit cards.

Payment in full is due at the time of service.

If your medical care is due to an injury and/or an accident (i. e. Workers Compensation or Motor Vehicle Accident), please have ready the claim number, name of claim adjuster, phone number, correct billing address and date of injury.

We reserve the right to charge interest on any account over 60 days.

Blue Mountain Clinic can offer many lab tests in-house. There is no assurance that lab work will be covered by your insurance. Certain tests (such as pap tests, pathology, and some blood work) must be sent to labs outside of Blue Mountain Clinic. We will forward your insurance information, although we cannot guarantee what will be covered, nor what the exact charge will be. Please be aware you will receive a separate bill from these other facilities. You must contact the outside lab directly if you have any billing questions.

We will send you a bill after insurance has been billed.

If no payment is received, a second statement will be sent, and the account is considered past due.

If no payment is made during that time, a third statement is sent with a final notice letter.

If no payment or contact is made after 10 days, accounts will be turned over to collections.

ALL THIRD-PARTY COLLECTION FEES WILL BE YOUR RESPONSIBILITY. These fees may include agency fees, attorney fees, and a collection fee of up to 50% of the account total added to the balance.

It is our policy to discharge patients who have been turned over to collections.

Please note: Although your routine visit may be covered by your insurance plan, any additional medical problems discussed and addressed during your appointment may require an additional fee which is determined by your insurance company.

Plan First

People who can get pregnant, aged 19 to 44, may qualify for free pregnancy-related healthcare (including birth control) through Plan First.

Plan First is available to all patients aged 19-44 who:

• are a Montana resident
• can bear children
• aren’t currently pregnant
• meet income guidelines

For more information or to complete an application, please visit the Plan First website.

Montana Cancer Control Program

The Montana Cancer Control Program  may help cover the cost of wellness visits, colorectal screening, and mammograms for uninsured or underinsured people.

Affordable Care Act – Health Insurance Marketplace

Check out Healthcare.gov for health plan options. You may qualify for tax credits towards your premiums, or for coverage through Montana Medicaid.

You can apply for Montana Medicaid here: https://apply.mt.gov/

Medicaid requires that you have a Passport Provider.

• If we have been assigned as yours, great!
• If you’re our current patient and we are NOT your passport provider, we can help you change it at any time.
• If you’re NOT our current patient, but we ARE your passport provider, please fill out paperwork to establish care with us – we’ll be happy to get you set up with a new primary care provider.

• We encourage you to learn about your Medicare or Medicare Advantage plan, and what it does and does not cover. You are responsible for understanding your own insurance coverage.
• We are able to provide “Welcome to Medicare” exams to our established patients.
• We are able to do yearly wellness visits – which are NOT hands-on physicals – but we strongly encourage you to obtain your yearly preventive care with internal medicine or family medicine clinician who may offer more expertise with the issues accompanying advancing age. Of course, we are happy to see you for any health concerns.

You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care may cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance a cost estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit the Center for Medicare and Medicaid Services website  or call 1-800-985-3059.