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 at (906) 776-5634.
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.
MMC- Dickinson Contracted Insurance Plans – last updated 11/1/2023
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
- HAP
- HealthEOS / Multiplan (National PPO Rental Network)
- Humana (excludes HMO plans)
- Partners Direct Health
- Priority Health
- Security Administrative Services (SAS)
- Security Health Plan (SHP)
- United Healthcare
- WPS Health Insurance
Affordable Care Act (ACA
- Blue Cross Blue Shield of Michigan
- Common Ground
- Molina Healthcare
- Security Health Plan (SHP)
Medicare Advantage Contracts
- Aetna
- Blue Cross Blue Shield of Michigan
- HealthPartners
- Humana
- Security Health Plan (SHP)
- United Healthcare
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
- Inclusa – Family Care plan
- Lakeland Care – Family Care plan
- MHS Health Wisconsin – BadgerCare Plus and SSI plans
- Molina Healthcare – BadgerCare Plus and SSI plans
- 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).
Family Size | Monthly 100% FPL | Monthly 212% FPL | |
|---|---|---|---|
1 | $990.00 | Up to | $2,098.80 |
2 | $1,335.00 | Up to | $2,830.20 |
3 | $1,680.00 | Up to | $3,561.60 |
4 | $2,025.00 | Up to | $4,293.00 |
5 | $2,370.00 | Up to | $5,024.00 |
6 | $2,715.00 | Up to | $5,755.80 |
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 apply with your Department of Health and Human Service agency in person, by phone or by mail with a paper application. If you live in Michigan, you can apply right here at Marshfield by contacting Gwen Gibson at (906) 776-5326. Gwen works in collaboration with the Michigan Department of Health and Human Services. 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) 774-3980.
Benefits through Social Security:
Find out what benefits you may be eligible for through Social Security by calling 1-800-772-1213