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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 1-617-726-3884 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: Mass General Brigham ACO is a new health plan for MassHealth Members.

Click here to learn more about Mass General Brigham ACO.

Generally, we participate with:

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

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

Please contact our billing office please call 1-617-726-3884 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

Reminder: To protect all of our patients, you must wear a mask to enter any of our locations.
Public health guidance for masking related to vaccination status has NOT changed in healthcare settings.

Vaccine Appointment Scheduling

Patients age 12 and older can schedule a vaccine appointment on the State’s website. Please note, any patient under 18 needs a parent or guardian’s consent which can be found here.

COVID-19 Information

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