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Billing & Insurance

Financial Policies

The health care billing process is very confusing for all of us, so it is important that you become familiar with your health plan’s summary of benefits so you know your financial responsibilities.

Pentucket Medical’s payment policy is that:

  • Co-pays and deductibles are paid at the time of your visit.
  • Other charges will be billed to your insurance plan or government program.
  • Unpaid balances are due from you immediately after receiving your statement.
  • If you have questions about a billing issue, please call 1-617-726-3884 and a business office representative will be happy to assist you.

We participate with most state and national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance or other deductible amounts.

Attention MassHealth members: Mass General Brigham ACO is a new health plan for MassHealth Members.

Click here to learn more about Mass General Brigham ACO.

Generally, we participate with:

Allways Health Partners
Anthem NH
Blue Cross Blue Shield of Massachusetts
Boston Medical Center Health Net Plan
Commonwealth Care Alliance
Fallon Health
First Health/Coventry
Harvard Pilgrim Health Care
Health Net Federal Services/Tricare/ Humana Military

Mass Health
Partners HealthCare Choice (MassHealth ACO)
Railroad Medicare
Senior Whole Health
Tufts Health Plan
Tufts Health Public Health Plan (formerly Network Health)
United Health Care

Please contact our billing office please call 1-617-726-3884 or call your insurance carrier should you have questions.

Urgent Care Billing

Preventive Health Exam Billing

Notifying Patients

Physician Office and Hospital Outpatient Billing

Cost Estimate


Important Medicaid redetermination update

Medicaid (MassHealth in Massachusetts) has maintained members’ coverage and benefits due to continuous coverage requirements that started during the COVID-19 emergency. Starting April 1, Medicaid will return to its normal annual renewal process. If Medicaid has enough information to confirm your eligibility, your coverage will be renewed automatically. If Medicaid is not able to confirm your eligibility automatically, you will receive a renewal form in a blue envelope to the mailing address that is on file.

To avoid disruption in coverage, please visit your state’s website to ensure Medicaid has your most current information.

Massachusetts Medicaid

New Hampshire Medicaid

Maine Medicaid