fbpx

Visit and Payment Information

Visit and Payment Information2019-01-25T17:14:12+00:00

Please arrive 15 minutes  before your schedule appointment time for check-in to ensure that we are able 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.

Please complete this form  prior to your appointment.  The information will be sent to Dr.Casper to review with you at your visit.

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 currently working on getting credentialed to accept Medicare as well. Please call to discuss in more detail.

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.

Women: We aren’t able to provide “Welcome to Medicare” exams. We are able to do yearly wellness visits, but we strongly encourage you to obtain your yearly preventive care with an internal medicine or family practice provider who may offer more expertise with the issues accompanying advancing age. If you already have a primary care provider, we are happy to see you for pelvic exams, if you prefer to do them here. Of course, we are happy to see you for any sexual health concerns. Visits for women who have gone through menopause are not covered under our sliding fee scale.

Men: We aren’t able to provide “Welcome to Medicare” exams. We are able to see you for your other yearly wellness visits, but we strongly encourage you to obtain preventive care with an internal medicine or family practice provider who may offer more expertise with the issues accompanying advancing age. We are happy to see you for any sexual health concerns

Privacy Policy

This notice describes how medical information about you may be used and disclosed and how you can get this information. Please review it carefully.

Understanding Your Health Record / Information

Each time you visit a hospital, physician, or other health care provider, a record of your visit is made. This record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care. This information serves as a:

  • basis for planning your care and treatment
  • means of communication among the health professionals who contribute to your care
  • legal document describing the care you received
  • means to verify that services billed were actually provided
  • a tool in educating health professionals
  • a source of data for medical research
  • a source of information for public health officials
  • a source of data for facility planning and marketing
  • a tool to evaluate and improve the care we provide

Understanding what is in your record and how your health information is used helps you to:

  • ensure its accuracy
  • better understand who, what, when, where and why others may access your health information
  • make informed decisions when authorizing disclosure to others

 

Your Health Information Rights

Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information it contains belongs to you. You have the right to:

  • request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522
  • obtain a paper copy of the notice of information practices upon request
  • inspect and get a copy of your health record as provided for in 45 CFR 164.524
  • amend your health record as provided in 45 CFR 164.528
  • get an accounting of disclosures of your health information as provided in 45 CFR 164.528
  • request communications of your health information by alternate means or locations
  • revoke your authorization to use or disclose health information except to the extent that action has already been taken

You have the right to inspect and copy your protected health information.

You may inspect and get a copy of your protected health information that is contained in a designated record set for as long as we maintain that information.  A “designated record set” contains medical and billing records and any other records that your health care provider and the clinic uses for making decisions about you.  We may charge a reasonable fee for copying records.

You may not, however, under federal law, inspect or copy the following records: psychotherapy notes, information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to this information.  A decision to deny access may be appealed, depending on the circumstances.  Please contact our Privacy Official if you have questions about access to your medical record.

You have the right to request a restriction of your protected health information.

Bridgercare’s policy is to routinely deny access to protected health information for anyone other than the patient unless the patient has given us explicit permission to share this information.  You have the right to request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this notice of privacy practices.   Your request must state the specific restriction requested and to whom you want the restriction to apply.  You may request a restriction by talking with your healthcare provider or our Privacy Official.  We may disclose information without your authorization is those situations described on page 3 of this Notice.

You have the right to receive confidential communications from us by alternative means or at an alternative location.

We will accommodate reasonable requests.  You do not have to provide a reason for your request.  We may require information as to how payment will be made or specification of an alternative address or other method of contact.  This request must be made in writing on our Client Profile form.

You have the right to request changes to your protected health information.

You may request changes to your protected health information in a designated record set for as long as we maintain this information.  We may deny your request for a change in certain cases.  In this event, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and provide you with a copy of such.  Questions about changing your health record should be directed to our Privacy Official.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information.

This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices.  You may receive specific information regarding these disclosures that occurred after April 14, 2003.  The right to receive this information is subject to certain exceptions, restrictions and limitations.

Our Responsibilities

Bridgercare is required to:

  • maintain the privacy of your health information
  • provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
  • abide by the terms of this notice
  • notify you if we are unable to agree to a requested restriction
  • accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain.  A written copy of changes will be provided within 60 days of such changes.

We will not use or disclose your health information without your authorization, except as described in this notice.

For More Information or to Report a Problem

You may contact our Privacy Official at 587-0681 if you have questions or need more information.

If you believe your privacy rights have been violated, you can file a complaint with Bridgercare’s Privacy Official or with the U.S. Secretary of Health and Human Services using the HIPAA Complaint Submission Form at cms.hhs.gov/hipaa/hipaa2/default.asp, or by mail to HIPAA Complaint, 7500 Security Blvd., C5-24-04, Baltimore, MD 21244.  There will be no retaliation for filing a complaint.

Examples of Disclosures for Treatment, Payment and Health Operations

Treatment:  We will use your health information for treatment.

For example: Information obtained by your healthcare provider such as symptoms, examination results, and laboratory tests will be recorded and used to determine the course of care for you.

Payment:  We will use your health information for payment.

For example: A bill may be sent to you or a third-party payer. The information on the bill may include personal identifiers (date of birth, policy number), diagnoses, procedures and supplies used.

Operations:  We will use your health information for clinic operations.

For example: The Clinical coordinator and clinicians may use your health record to assess and improve the quality of care we provide.

Business associates:  In some circumstances, persons or agencies that provide services for our clinic such as outside laboratory testing or computers support may have access to protected health information in order to perform their work.  We require business associates to appropriately safeguard your information.

Emergency:  We may use or disclose information in the event of a medical emergency requiring treatment.

Research:  We may disclose information for medical research when protocols to ensure privacy have been approved by an institutional review board.

Marketing:  We may contact you to provide appointment reminders, information about treatment alternatives or other health related services that may be of interest to you.

Food and Drug Administrations (FDA):  We may disclose health information relative to adverse events with respect to food, supplements, product and product defects, or to enable product recalls, repairs or replacement.

Workers compensation:  We may disclose health information to the extent authorized and necessary to comply with workers compensation law or other similar programs established by law.

Public Health:   As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease injury, or disability.

Correctional institution:  Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals.

Law enforcement:  We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a staff member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.

Rev. 9.15

Service Animals

Qualified service dogs are welcome at Bridgercare.  For the safety and comfort of our staff and patients, we are not able to accommodate therapy and emotional support animals inside the clinic, whether it is a visit or a refill pickup.  Please contact staff ahead of your visit to Bridgercare if you have any questions!

Bridgercare does not write letters to recommend or prescribe emotional support animals at this time.