Please arrive 15 minutes early for check-in to avoid delays or rescheduled appointments. Please bring a photo ID, method of payment (cash, check or credit), any insurance we can bill for you, and proof of income if applying for sliding fee discounts.
IUD & Nexplanon inserts, Gardasil, and Colposcopy Visits: Payment expected at the time of service if we’re unable to verify insurance coverage for you in advance. Please provide us with your current insurance card at least 1 business day before your appointment.
Please arrive prepared to leave a urine sample.
For an IUD placement or replacement visits, we will need your insurance information at least 1 day before your visit to verify expected coverage. If you are not insured, we will check available programs. Sliding fees are available if you are uninsured and do not qualify for other programs. To see if you qualify, please bring proof of income to your visit. If you have not provided your insurance information in advance, we may require payment up front. (We will reimburse you if insurance covers.)
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, or 5 days before replacement of an IUD you have now.
Before your visit, eat a light meal and drink fluids 1-3 hours before your visit. Talk to your provider about over the counter medication or other options to reduce cramping after IUD placement.
IUD Removal: If you are not seeking pregnancy, use an effective method of birth control or abstain from sex for at least 5 days before your IUD is removed.
For Nexplanon placement or replacement visits, we will need your insurance information at least 1 day before your visit to verify expected coverage. If you are not insured, we will check available programs. Sliding fees are available if you are uninsured and do not qualify for other programs. To see if you qualify, please bring proof of income to your visit.. If you have not provided your insurance information in advance, we may require payment up front. (We will reimburse you if insurance covers.)
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, or 5 days before replacement of a Nexplanon you have now.
Nexplanon Removal: If you are not seeking pregnancy, use an effective method of birth control or abstain from sex for at least 5 days before your Nexplanon is removed.
Please arrive prepared to leave a urine sample.
Tests for bacterial infections (such as chlamydia and gonorrhea) are accurate 2 weeks after exposure. If you are concerned about a recent encounter but not showing symptoms, its advised that you schedule your appointment 2 weeks or more after exposure for accurate results.
Tests for viral infections (such as HIV) are accurate several weeks after exposure. Please call for more information.
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.
The sliding fee scale is available for all medically indicated testing. Your provider will help assess what is medically indicated. You may request additional tests for your peace of mind, which would not be offered on a sliding fee scale.
For women with a vaginal infection: Do not use over the counter treatments before your visit. Some medications can interfere with an accurate diagnosis.
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.)
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 gross (before taxes) income. Per our federal grant, household members include dependent children, partners that live with you, and spouses. We ask all patients for donations, regardless of fee level. Donations allow Bridgercare to be here for you as our federal grant makes up less than 20% of our budget.
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
- The Montana Co-op
- We also participate with First Choice Health Network , Multiplan, and Interwest networks.
We are not Medicare providers and we cannot coordinate benefits if Medicare is your primary coverage.
Bridgercare strongly recommends calling your insurance company before your appointment. (Use the customer service number on the back of your card.) It’s important to understand your coverage and in-network provider options. Our providers are 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.
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.
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.
Sliding fee discounts may be available for men and women of reproductive age and are based on the number of household members and gross (before taxes) income. Per our federal grant, household members include dependent children, partners that live with you, and spouses. We ask all patients for donations, regardless of fee level. Donations allow Bridgercare to be here for you as our federal grant 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 that you contact the Billing staff right away if you have questions or concerns about a balance or fulfilling payment obligations to avoid collections. 406-587-0681 extension 306 or ask for Billing
It’s also 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 with balance information, collections activity may occur.
Bridgercare requires a minimum of $20/month, or the monthly minimum needed to pay a 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 collections agency and make online payments here.