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  
BC/BS Empire Plattsburgh Participating in all lines
All lines except Mediblue
BC/BS NH Anthem Brattleboro  
BC/BC NENY HealthNow Mt. Anthony
Plattsburgh
Traditional/Indemnity
BC/BS Excellus Plattsburgh  
BC/BS Vermont All Offices  
CBA All Offices  
CDPHP Mt. Anthony
Plattsburgh
Not all practitioners at other locations
Please check with other locations
Cigna/Great West All Offices  
Coventry/First Health All Offices  

Elevate Plan Options

Brattleboro
Mt. Anthony
Timber Lane

Participating only with Elevate Plan Options.
This is a health plan of Harvard Pilgrim
Not participating with Elevate Plan (NH ONLY)

Fidelis

Mt. Anthony
Plattsburgh
St. Albans
Timber Lane
 
Harvard Pilgrim Brattleboro
Mt. Anthony
Timber Lane
 
Health Net (Tricare) All Offices  
Health New England (HNE) Mt. Anthony Drs. Dranginis & King
Ladies First Brattleboro
Mt. Anthony
St. Albans
 
Maine Medicaid Brattleboro Emergency Service
Martin's Point All Offices  
Multiplan All Offices  
MVP All Offices  
NH Healthy Families Brattleboro  
NH Medicaid Brattleboro  
NY Medicaid Mt. Anthony
Plattsburgh
 
NY Medicare Mt. Anthony
Plattsburgh 
At Mt Anthony, Dr. King only
RR Medicare Brattleboro
Mt. Anthony
St. Albans
 
Secure Horizons (UHC) All Offices  
Tufts Mt. Anthony  
United Healthcare Commercial All Offices  

UHC-The Empire Plan

Plattsburgh

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