Visit and Payment Information

Visit and Payment Information 2018-02-07T12:22:42+00:00

Please arrive 15 minutes  before your schedule appointment time for check-in to ensure that we have time to see you for your full visit.   Please bring a photo ID, method of payment (cash, check or credit), any insurance we can bill for you, and proof of your income (such as paystubs) if  applying for sliding fee discounts.  Scroll down for more info on payments and insurance!

 IUD & Nexplanon inserts, Gardasil, and Colposcopy Visits:  Please provide your current insurance card at least 1 business day before your appointment.  Payment expected at the time of service if we’re unable to verify insurance coverage for you in advance.

A pap test may or may not be performed at your annual visit, according to your history and current guidelines.  If you are due for a pap test, or would like one, please schedule your visit for a date you willl not be on your period.  For test accuracy, avoid anything in the vagina for 48 hours before a pap test (this includes tampons, douching, and sex.)

Avoid anything in the vagina for 48 hours before your procedure (this includes tampons, douching, and sex.)  Before your visit, eat a light meal and drink fluids (about 1-3 hours before your visit.)  This visit does not qualify for our regular sliding fee discounts, however, other discounts and payment plans are available.  Please provide our office with your insurance at least 1 business day before your appointment in order to check on coverage for you.

We need your insurance information at least 1 business day before your visit to obtain coverage information, or payment may be required up front. If you are not insured, we will check available programs to assist with the cost of the procedure.  To see if you qualify, please bring proof of income to your visit.  If you have any questions about insurance coverage or expected costs, please call us as soon as possible prior to your appointment.

Please arrive prepared to leave a urine sample. We will not be able to insert your IUD if there is a chance you may be pregnant.  Use an effective birth control method or abstain from sex for two weeks before your IUD placement.  We can insert your IUD regardless of whether you are bleeding or on your period.

Eat a light meal and drink fluids 1-3 hours before your visit.  Please arrange for childcare or bring someone to watch children for you in the waiting room.  Optional: to reduce cramping, you may take 800 mg ibuprofen with food about an hour before your procedure.  For information on your device, please visit Bedsider.org.

If you are not seeking pregnancy, and are removing or replacing:  a Mirena you’ve had in place for more than 7 years, or a Paragard you’ve had in place for more than 12 years, you must abstain from intercourse or use an effective backup method of birth control for 2 weeks prior to your visit.

We need your insurance information at least 1 business day before your visit to obtain coverage information, or payment may be required up front.   If you are not insured, we will check available programs to assist with the cost of the procedure.  If you have any questions about insurance coverage or expected costs, please call us as soon as possible prior to your appointment.

We will not be able to insert your Nexplanon if there is a chance you may be pregnant. Use an effective birth control method or abstain from sex for two weeks before your Nexplanon placement.

Eat a light meal and drink fluids 1-3 hours before your visit.  Please arrange for childcare or bring someone to watch children for you in the waiting room.  Optional: to reduce cramping, you may take 800 mg ibuprofen with food about an hour before your procedure.  For information on your device, please visit Bedsider.org.

  If you are not seeking pregnancy and are removing or replacing a Nexplanon you have had for over 3 years, you must abstain from intercourse or use an effective method of backup birth control for 2 weeks prior to your visit.

Please arrive prepared to leave a urine sample.

If you have symptoms of an infection, you should be seen right away.  Some infections (such as genital warts or herpes simplex virus) may require an exam during any outbreak for accurate diagnosis.   For women with a vaginal infection:  Do not use over the counter treatments before your visit.  Some medications can interfere with an accurate diagnosis.

Tests for bacterial infections (such as chlamydia and gonorrhea) are accurate 2 weeks after possible exposure to the infection.  If you are concerned about a more recent encounter but are not showing symptoms, its advised that you schedule your appointment 2 weeks or more after your exposure to make sure you receive accurate results.

Tests for viral infections (such as HIV) are accurate several weeks after exposure.  Please call for more information.

The sliding fee scale is available for all medically indicated testing.  Your provider will assess what is medically indicated.  You may request any additional tests that aren’t medically indicated, which are available at no discount.

 

Payment and Insurance Information

Having insurance won’t affect your eligibility for sliding fees, and in fact, we recommend utilizing both!  Sliding fees are available for men and women of reproductive age, and are based on household size and before-taxes income.  Our federal grant includes dependent children, partners that live with you, and spouses as part of your household.  We will ask all patients for donations, regardless of fee level.  Donations allow Bridgercare to be here for you as our federal grant only covers some of our services and makes up less than 20% of our budget.

Bridgercare strongly recommends calling your insurance company before your appointment, using the customer service number on the back of your card.  It’s important to understand your coverage and in-network provider options before accessing services.  Our providers are Melissa Casper, Karlee Haus, Mary Cook, Nikki Buck and Susan Dolan.  If you have more than one insurance plan, we must know which is primary in order to submit claims.  Please bring any cards with you to ensure correct claims submission.

Bridgercare providers are in network with:

  • Blue Cross Blue Shield
  • Montana Medicaid, including Plan First and the Montana HELP Plan
  • BCBS Healthy Montana Kids
  • Montana Cancer Control Program
  • Pacificsource
  • CIGNA/Allegiance
  • The Montana Co-op
  • We also participate with First Choice Health Network , Multiplan, and Interwest networks.

*We are not Medicare providers and cannot submit Medicare claims orcoordinate benefits if Medicare is your primary coverage.

Due to the Affordable Care Act, many plans are required to cover birth control and preventative care such as annual wellness exams and STI screenings without a copay.  (More info here.)  Your plan may require that you see an in-network provider or use a pharmacy in order to access these benefits.

Uninsured?  The current tax penalty for not having insurance starts at $695 a year. We are here to help patients connect with affordable options, get covered, and avoid a tax penalty.  Give us a call if you’d like free information or assistance!

  • Women age 19 to 44 making less than $26,000 a year may qualify for free women’s healthcare (including birth control) through Plan First.
  • Men and women age 19 to 64 who make less than $17,000 per year may qualify for a free or very low cost health plan (less than 5% of your income) through Montana HELP.  Apply online here.
  • The Montana Cancer Control Program is a program for women that may help cover the cost of annual wellness visits, colorectal screening, and mammograms for uninsured or under-insured women making less than $29,700 a year.
  • If these don’t apply to you, but you are uninsured, check out Healthcare.gov for health plan options.  You may qualify for tax credits towards your premiums.

Having insurance won’t affect your eligibility for sliding fees, and in fact, we recommend utilizing both!  Sliding fees are available for men and women of reproductive age, and are based on household size and before-taxes income.  Our federal grant includes dependent children, partners that live with you, and spouses as part of your household.  We will ask all patients for donations, regardless of fee level.  Donations allow Bridgercare to be here for you as our federal grant only covers some of our services and makes up less than 20% of our budget.

We accept cash, check, debit, money order, and credit card payments.  Payment is expected at the time of service, and payment plans are available.

Bridgercare wants to work with patients to make healthcare affordable and accessible.  It’s important to contact our Billing staff right away if you have questions or concerns about a balance or payment plans to avoid collections.  Please call (406)-587-0681 extension 306 or ask for Billing at our front desk.

It’s important that you notify the clinic with any change of address or contact information right away, even if your mail is being forwarded.  If we are not able to reach you about a balance, collections activity may occur.

Bridgercare requires a minimum of $20/month, or the monthly minimum amount needed to pay off yourr balance in full within 12 months of your visit (whichever occurs first.)  If other balances are accrued while making payments on an existing balance, we request that these are paid in full at the time of service to avoid adding to any existing balance.  The front desk can also put a payment plan on file for you and run your card each month on the date of your choice.

If we do not receive the minimum payments on your account for 6o days, you may be eligible for pre-collection.  If payment is not received at that time, full collection will occur.

If you have been sent to collection, payment can no longer be accepted at Bridgercare, but you can contact the collection agency and make online payments with Centron here.