INSURANCE COVERAGE

Mid-State works with the following insurance companies:

• Aetna Healthcare
• Aetna Dental
• Ambetter
• Anthem Blue Cross
• Cigna Healthcare
• Coventry (CCN – First Health – HCVM)
• Harvard Pilgrim (Excluding Elevate Health)
• Health Plans, Inc.
• MVP
• Northeast Delta Dental
• NH Medicaid
• NH Health Families
• Wellsense
• Medicare – includes info for parts A, B, and D
• Tricare (Standard)
• Tufts Freedom Health Plan
• UnitedHealthcare
• Railroad Medicare

Mid-State Health Center strives to make accessing health care as smooth a process as possible. If your insurance company is not listed, claims will be submitted. However, we cannot guarantee coverage or payment.

Patients are responsible for all outstanding balances not covered by insurance.

Health Plan Incs, Machine Readable Files can be found here. 

SELF-PAY PATIENTS & UNINSURED

We are happy to work with patients who are self-pay. We offer assistance in accessing enrollment in the Health Insurance Marketplace. Self-pay patients that pay at the time of service will receive a 30% discount (discount is not available for dental services or sliding scale fees).

NH HealthCost was developed by the  New Hampshire Department of Insurance to improve the price transparency of health care services in New Hampshire.

Visit their website if you would like to explore what you might expect to pay for certain services based on where you go to get the service and what type of service it is.  This includes things like MRIs, Colonoscopy, Mammogram, and many other health services, tests, and screenings.

Under the law, health care providers need to give patients who don’t have insurance, or who are not using insurance, an estimate of the bill for medical items and services. Learn more about your right to a Good Faith Estimate here.  

Need access to affordable coverage – we can help!

THE HEALTH INSURANCE MARKETPLACE

Find health coverage that meets your needs and budget!

Outside of Open Enrollment, you may qualify for a Special Enrollment Period:

In the Marketplace, you qualify for a special enrollment period 60 days following certain life events that involve a change in family status (for example, marriage or birth of a child) or loss of other health coverage. Job-based plans must provide a special enrollment period of 30 days. If you have questions about the Special Open Enrollment process, please feel free to contact our Marketplace Outreach & Enrollment Coordinator at 603-536-4000 Ext. 1450

For Enrollment in the Marketplace, there are three ways to explore your options and enroll, choose the one that fits you!

By Phone:

Call: 1-800-318-2596

TTY: 1-855-889-4325

• Available 24/7
• Register and Enroll
• Find Answers to Questions

If you are interested in exploring your options for affordable coverage through the Health Insurance Marketplace we have trained Certified Application Counselors available to assist you. The assistance in exploring health insurance options on the Marketplace is offered at no cost to consumers.

In-Person Assistance here at Mid-State:

Mid-State is here to help! We have four specially trained Certified Application Counselors available to assist you.

Certified Application Counselors are able to help you understand your options, help you apply on the Marketplace and can assist with questions you might have about your situation or any special enrollment issues.