INSURANCE
What We Accept and How We Accept It
**Please see the link below to MMC’s Financial and Billing Policy that you are required to sign at time of service**
Manchester Medical Center (MMC) is an accepted Out-Of-Network provider with MOST commercial insurances (see below for exceptions). We will accept most major insurance companies health plans copay/coinsurance at the time of visit. MMC CANNOT accept out-of-state Medicaid.
MMC will submit your bill to any commercial health insurance company even though we are an accepted OUT-OF-NETWORK provider. We will accept payment from your insurance company, but you will also be balance billed for the remaining balance that may not be paid/covered by insurance up to a $395 out of pocket maximum above what is allowed toward your deductible. You are responsible for your deductible as per the provisions of your insurance plan.
We CANNOT submit out of state Medicaid. If you have Medicaid from any state other than Vermont, you will be billed as a “Self-Pay” patient.
Manchester Medical Center Urgent Care is currently IN-NETWORK with only:
Medicare
Green Mountain Care/Dr. Dynosaur (Vermont Medicaid)
BCBS-VT which includes: Accountable Blue; Blue cross and Blue Shield of Vermont members/products; BlueCard (out-of-area) Programs; CBA Blue; Federal Employee Program; Medicare Advantage, include Vermont Blue Advantage; Medicare Supplemental Insurance (Vermont Blue 65, formerly Medi-comp); The Vermont Health Plan; Any other program bearing the BCBS service mark
As an accepted Out-Of-Network provider, MMC will collect your URGENT CARE COPAY at the time of your visit, electronically submit the balance of your claim to your insurance company. Once the insurance company processes this claim, they will then decide how much of your bill they are obligated/willing to pay based on the insurance plan that you selected.
Once MMC receives that payment from your insurance company, we will determine if there is a remaining balance left unpaid. If this is the case, you will be responsible for the difference that your insurance company does not pay.
Most insurance plans will have some out-of-network benefits, but if your insurance plan does not have out-of-network benefits and you would rather pay the full balance at the time of service, we can offer you a 15% cash discount at that time.
We will accept any insurance network's HSA account.
While we may have the ability to electronically access your insurance plan and associated limitations, we are not always able to know these details. With the variety and complexity of plans offered by insurers, it is the responsibility of the patient to know their own coverage, in particular out-of network coverage, of their individual insurance plan.
If you need assistance, our office staff is always willing to help you sort out this complex system. Simply contact our office with any questions! 802-768-1718
Payment Information:
In order to maintain financial stability in the current medical insurance environment and to provide the best possible medical care at the lowest possible cost, we have established the following payment policies:
If MMC participates in your insurance plan:
Copayments and estimated coinsurance payments are required at registration
Your claim will be electronically submitted
Payment for charges from an earlier visit not covered by insurance is due at registration.
If MMC accepts your insurance as an out-of-network provider your claim will be electronically submitted:
Copayments and estimated coinsurance payments are required at registration
Payment for charges from an earlier visit not covered by insurance is due at registration.
If MMC does not accept your insurance or you do not have insurance:
Payment of all unpaid balances on your account is required at registration.
Payment in full for your visit charges is required at check out.