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Billing & Insurance

Financial Policies

The health care billing process is very confusing for all of us, so it is important that you become familiar with your health plan’s summary of benefits so you know your financial responsibilities.

Pentucket Medical’s payment policy is that:

  • Co-pays and deductibles are paid at the time of your visit.
  • Other charges will be billed to your insurance plan or government program.
  • Unpaid balances are due from you immediately after receiving your statement.
  • If you have questions about a billing issue, please call 978-557- 8645 and a business office representative will be happy to assist you.

We participate with most state and national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance or other deductible amounts.

Attention MassHealth members: Partners HealthCare Choice is a new health plan for MassHealth Members.

Click here to learn more about Partners HealthCare Choice.

Generally, we participate with:

Aetna
Allways Health Partners
Anthem NH
Blue Cross Blue Shield of Massachusetts
Boston Medical Center Health Net Plan
Cigna
Commonwealth Care Alliance
Fallon Health
First Health/Coventry
Harvard Pilgrim Health Care
Health Net Federal Services/Tricare/ Humana Military
Humana

Mass Health
Medicare
Multiplan/IHP
Multiplan/PHCS
Partners HealthCare Choice (MassHealth ACO)
Railroad Medicare
Senior Whole Health 
Tufts Health Plan
Tufts Health Public Health Plan (formerly Network Health)
UniCare
United Health Care

Please contact our billing office please call 978-557- 8645 or call your insurance carrier should you have questions.

Urgent Care Billing

Preventive Health  Exam Billing

Notifying Patients

Physician Office and Hospital Outpatient Billing

Cost Estimate

Reopening

Pentucket Medical has remained committed to ensuring the safety of our patients during the COVID-19 pandemic.

Since June 1, we have been treating patients on-site per the four-phase guidance issued to healthcare facilities by Governor Baker and the Massachusetts Department of Health and Human Services.

In the coming weeks, we will continue following stringent infection prevention processes and implementing specific precautions to ensure a safe environment for essential patient care services.

Here are some of the changes you will see on your next visit to Pentucket Medical:

When scheduling an appointment with a clinician, you will be provided a phone number to call when you arrive at the office this will allow you to remain safe in your car until it is time to see your provider essentially cutting out waiting rooms

We appreciate your support.

 

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