Payment PolicyPayment is expected at the time of your visit. This includes co-payments required by your insurance company. We offer an Affordable Care Program to ensure that our services are available to everyone, regardless of ability to pay. Please inquire about the Affordable Care Program or payment arrangements if you need more information.
We accept cash, personal check, credit and debit cards from VISA, MasterCard and American Express, as well as payment from all insurance companies. A fee may be charged for any checks returned for non-sufficient funds.
Insurance
We accept all major insurance companies and managed care health plans, including Aetna, Anthem Blue Cross and Cigna, as well as Medicare and Medicaid. Your insurance card contains the correct information we need to bill your insurance for you - please bring your card to each visit.
We do not participate in all managed care plans. We recommend that you check with your managed care plan to ensure that the health center is named as a participating provider in order to obtain your best reimbursement. If your plan requires you to choose a primary care provider (PCP), be sure to name your health center provider.
Affordable Care Program
Through funding from the U.S. Bureau of Primary Health Care, we offer an Affordable Care Program. This program is based on income and family size and reduces the amount you pay for health center services.
If you qualify, you may pay only $10 to $55 of the cost for most services. You may be eligible for this program even if you have insurance. The chart below contains the guidelines for family size and income levels for the Affordable Care Program (effective January 2008).
If your income falls within the guidelines, we encourage you to apply.
| Family Size |
Your family income is less than: |
| 1 |
$20,801 |
| 2 |
$28,001 |
| 3 |
$35,201 |
| 4 |
$42,401 |
| 5 |
$49,601 |
| 6 |
$56,801 |
| 7 |
$64,001 |
| 8 |
$71,201 |
Proof of income is required to process your application. A copy of a current Federal Income Tax Return is strongly encouraged as proof of income. However, documents listed below are also acceptable:
- Veteran Benefits
- General Assistance
- Workers' Compensation
- W-2 forms
- Income tax returns
- Social Security notice
- Pension notice
- Fuel assistance notice
- Current pay stubs
- Unemployment award notice
- Alimony/child support
- AFDC and/or food stamps
- Interest on savings
- Letter from employer
You will receive a letter from the Affordable Care Program Coordinator within 10 days of our receipt of your completed application. A completed application includes your proof of income documents.
Questions?
Contact: Affordable Care Program Coordinator
Phone: 888-723-9218 or 207-861-3416
Address: PO Box 727
Waterville, ME 04903-0727
Non-payment
It is our goal to assist all of our patients to find payment options as appropriate. Please be aware, however, that we reserve the right to send anyone who has not made a payment in 90 days to a collection agency.
Billing Questions
If you have any questions regarding your bill, please call your patient account representative at 1-888-723-9218 or 861-3400.
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