Billing & Insurance

You should understand the coverage provided by your insurance plan. There may be limits as to which practitioners you can see or the services you can receive. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts. You may also be responsible for amounts your insurance carrier considers non-covered services. If you have questions regarding your coverage, please contact your insurance carrier. Customer service phone numbers are usually printed on the insurance card.

PCHP participates with most local and many national insurance plans. You should note, however, that participation with insurance plans may be different for each office. Please refer to the table below to see if we participate with the insurance company providing your coverage at the location you will be visiting. Please also note, although we intend to keep this table current, it is subject to change without notice.

If you have any billing questions, we encourage you to contact our Billing Office toll-free at 1 (866) 866-2616.

Accepted Insurance Plans

Insurance

Office Coverage

Comments

Aetna All Offices HMO excluded from agreement
Allegiance Mt. Anthony
Village
 
American Progressive - Today's Option Village  
BC/BS Empire Village
Plattsburgh
Participating in all lines
All lines except Mediblue
BC/BS NH Anthem Brattleboro  
BC/BC NENY HealthNow Mt. Anthony
Plattsburgh
Village
Traditional/Indemnity
BC/BS Excellus Plattsburgh
Village
 
BC/BS Vermont All Offices  
CBA All Offices  
CDPHP Mt. Anthony
Plattsburgh
Village
Not all practitioners at other locations may be participating.  Please check with other locations for participating practitioners.
Cigna/Great West All Offices  
Coventry/First Health All Offices  
Fidelis Mt. Anthony
Plattsburgh
St. Albans
Timber Lane
Village
 
Harvard Pilgrim Brattleboro
Mt. Anthony
Timber Lane
 
Health Net (Tricare) All Offices  
Health New England (HNE) Mt. Anthony
Village
Drs. Dranginis & King
Dr. Carroll
Ladies First Brattleboro
Mt. Anthony
St. Albans
Village
 
Maine Medicaid Brattleboro Emergency Service
Martin's Point All Offices  
Multiplan All Offices  
MVP All Offices  
NH Healthy Familes Brattleboro  
NH Medicaid Brattleboro  
NY Medicaid Mt. Anthony
Plattsburgh
Village
 

 
NY Medicare Mt. Anthony
Plattsburgh
Village
Dr. King only
North American Preferred/Meritain All Offices Not all practitioners
RR Medicare Brattleboro
Mt. Anthony
St. Albans
Village
 
Secure Horizons (UHC) All Offices  
Tufts Mt. Anthony
Village
 
United Healthcare Commercial All Offices  

United Healthcare        The Empire Plan

Plattsburgh
Village

 
Vermont Medicaid All Offices  
VT Medicare Brattleboro
Mt. Anthony
St. Albans
Timber Lane
Village
 
WellCare NY Mt. Anthony
Village
 
Well Sense Health Plan Brattleboro