Insurance Information

Some insurance plans require you and/or your doctor to call with specific information and obtain approval before you receive hospital services. You are responsible for reading your health insurance booklet or asking your employer for clarification and complying with the requirements of your plan.  Some insurance plans, if not notified prior to service, will reduce their reimbursement, causing the patient to pay more out-of-pocket expense.  We are pleased to share what information we obtain about your coverage. Simply call a Financial Counselor:  A-F (906) 776-5664; G-L (906) 776-5643; M-Z (906) 776-5666.

The hospital submits claims in accordance with its contracts with Medicare, Blue Cross, Medicaid and certain other managed care plans. You will be expected to pay your deductible and coinsurance and certain other non-covered charges when we bill you after the plan has processed the claim. For other insurance plans, we will ask you to assign payment to us, and we will submit your insurance claim. You are responsible for providing information required by your insurance plan to obtain your benefits. If insurance payment is delayed or denied, we will notify you. It may be helpful for you to directly contact your employer or your insurance plan in those instances. You are responsible for all charges not paid under your claim. 

Dickinson participates with the following state and federal payer programs:

  • Medicare

Commercial Insurance Contracts

 

  • Aetna
  • Anthem Blue Cross Blue Shield of Wisconsin (includes Blue Priority WI)
  • Blue Cross Blue Shield of Michigan
  • Cigna
  • Cofinity (National PPO Rental Network)
  • Common Ground
  • First Health (National PPO Rental Network)
  • Group Health Cooperative of Eau Claire – effective July 1, 2022
  • HAP
  • HealthEOS / Multiplan (National PPO Rental Network)
  • Humana (excludes HMO plans)
  • Network Health
  • Partners Direct Health
  • Priority Health
  • Security Administrative Services (SAS)
  • Security Health Plan (SHP)
  • United Healthcare
  • WEA Trust
  • WPS Health Insurance

Affordable Care Act (ACA)

 

  • Blue Cross Blue Shield of Michigan
  • Common Ground
  • Molina Healthcare

Medicare Advantage Contracts

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • HealthPartners
  • Humana
  • Network Health
  • Security Health Plan (SHP)
  • United Healthcare
  • Upper Peninsula Health Plan (UPHP)

Some of the above offer more than one plan, and Marshfield may not participate with all plans. Please check your provider directory or the web site listed on the back of your insurance card to determine if Marshfield is in-network for your specific plan.

Financial responsibility for services provided rests with the patient, regardless of insurance coverage.  After Dickinson has received payment from the patient’s insurance company, staff will send the patient a statement of the balance that is due on the account. Although medical bills are submitted directly to the appropriate insurance company, it is the responsibility of the patient to make sure that the services are paid promptly and in full.  It is understood that a variety of financial situations may require special arrangements, and staff will work with patients on an individual basis.  Please feel free to ask any questions regarding professional fees for the services provided.

Medicaid HMO Contracts

  • Anthem Blue Cross Blue Shield of Wisconsin – BadgerCare Plus and SSI plans
  • Group Health Cooperative of Eau Claire – BadgerCare Plus and SSI plans – effective July 1, 2022
  • Inclusa – Family Care plan
  • Lakeland Care – Family Care plan
  • MHS Health Wisconsin – BadgerCare Plus and SSI plans
  • Molina Healthcare – BadgerCare Plus and SSI plans
  • MyChoice Wisconsin – BadgerCare Plus plan
  • Security Health Plan (SHP) – BadgerCare Plus plan
  • United Healthcare – BadgerCare Plus and SSI plans
  • Upper Peninsula Health Plan (UPHP) – Michigan Medicaid, Healthy Michigan, MIChild, Children’s Special Health Care Services

Other Government Contracts

TRICARE East – Humana Military (Participating Network Provider)

Veteran’s Administration Community Care Network via Optum (VA CCN)

Insurance Assistance

Healthcare Coverage or Supplemental/Secondary Coverage may be available for you if you fall within the income guidelines within the Federal Poverty Level (FPL).

These amounts are based on federal guidelines, which change each yr. (Last revised Feb 1, 2016)

How to apply

The only way to know if you are able to enroll in either a Michigan Medicaid or a Wisconsin Medicaid program is to apply.  Michigan residents can apply anytime by going to www.michigan.gov/mibridges. Wisconsin residents can apply anytime by going to www.access.wi.gov.  Or you can pick up a paper application at your local Department of Health and Human Service Agency.  Michigan and Wisconsin residents can apply at Marshfield Medical Center-Dickinson by contacting your appropriate Financial Counselor listed above. Financial Counseling here at MMC-D works in collaboration with Gwen Gibson with the Michigan Department of Health and Human Services.  Gwen can be contacted at (906) 776-5326 with any additional questions and needs.  The contact numbers for Wisconsin Department of Health and Human Services: Marinette County: 1-888-732-7549, opt#1; Florence/Forest County: 1-888-794-5722

The only way to know if you are able to enroll in either a Michigan Medicaid or a Wisconsin Medicaid program is to apply.  Michigan residents can apply anytime by going to www.michigan.gov/mibridges. Wisconsin residents can apply anytime by going to www.access.wi.gov.  Or you can pick up a paper application at your local Department of Health and Human Service Agency.  Michigan and Wisconsin residents you can apply right here at MMC-D by contacting your appropriate Financial Councilor listed above. Financial Counseling here at MMC-D works in collaboration with Gwen Gibson of  works in collaboration with the Michigan Department of Health and Human Services.  Gwen can be contacted at (906) 776-5326 with further questions and needs.  The contact numbers for Wisconsin Department of Health and Human Services: Marinette County: 1-888-732-7549, opt#1; Florence/Forest County: 1-888-794-5722

Marketplace

If you are not able to enroll in a Medicaid program through your State, you may be eligible to purchase private health insurance through the federal Health Insurance Marketplace. Generally, you can only purchase private health insurance through the Marketplace once a year in the fall during open enrollment.  However, if you have a change in your life, like moving to a new state, losing your job, having a baby, getting married or divorced, etc., you may be able to purchase private health insurance outside of open enrollment. For more information about the Marketplace, go to www.HealthCare.gov or call our local Medical Care Access Coalition (MCAC) at (906) 776-5411.

Benefits through Social Security:
Find out what benefits you may be eligible for through Social Security by calling 1-800-772-1213

Family Size
Monthly 100% FPL
Monthly 212% FPL
1
$13,590.00
Up to
$28,810.80
2
$18,310.00
Up to
$38,817.20
3
$23,030.00
Up to
$48,823.60
4
$27,750.00
Up to
$58,830.00
5
$32,470.00
Up to
$68,836.40
6
$37,190.00
Up to
$78,842.80
7
$41,910.00
Up to
$88,849.20
8
$46,630.00
Up to
$98,855.60
9
$51,350.00
Up to
$108,862.00
10
$56,070.00
Up to
$118,868.40