Bronson Primary Care Partners Insurance & Billing

Bronson Primary Care Partners Fees & Insurance

Payment for your healthcare services from our doctors may be covered by your medical insurance. For every appointment, you'll need to bring your insurance card(s). We'll send claims for services we do in our office to your insurance company. You'll get one bill for lab, X-ray and other testing procedures done at a Bronson location. Billing for these services will be sent to you or your insurance company.

Your insurance company can explain what services will be paid for under your insurance plan, such as:

  • Preventive care
  • Any service that may require an approval or a referral from a doctor before your appointment
  • If you need to have lab tests or X-rays taken at another facility other than Bronson

Other items to be aware of:

  • Please tell our staff if your lab test results and X-rays need to be sent to other doctors or medical practices.
  • At the time of your appointment you will need to pay for any co-payments or deductibles that are due.
  • We accept cash, checks and most major credit cards for our services.
  • You may be charged a small fee for copies of your medical records and for filling out medical forms.

If you have trouble paying a bill, need help with paying a bill or have questions about fees or insurance, please contact our billing department at (269) 341-6117 or (800) 699-6117, Monday through Friday, 8 a.m. to 4:30 p.m.

Insurance Participation

Participating Health Plans and Networks

  • ABS Bronson Tier 1 (not SmartHealth)
  • Aetna (includes Meritain & Student Health
  • Blue Care Network HMO (includes PCP Focus & Exchange Plans)
  • Blue Cross Blue Shield Traditional (includes Exchange Plans & Personal Chioce - Level 2 only)
  • CentraCare
  • Cigna / Great West Healthcare
  • Cofinity
  • Community Blue (BCBSM PPO)
  • Community Health Alliance (CHA)
  • HealthSmart / Direct Care America / Interplan Health Group
  • Healthscope Benefits
  • Lakeshore Regional Partners (Allegan, Kent, Muskegon, Ottawa, W. MI County CMH, BLH Behavioral Unit)
  • McLaren HealthyMI
  • Medicaid - IL
  • Medicaid - IN
  • Medicaid - MI (traditional)
  • Medicaid Plan - Aetna Better Health of MI (formerly Coventry Cares)
  • Medicaid Plan - Children with Special Health Care Needs
  • Medicaid Plan - McLaren Health Plan
  • Medicaid Plan - Meridian Health Plan of MI (formerly Health Plan of MI)
  • Medicaid Plan - Priority Health Choice
  • Medicaid Plan - UnitedHealthcare Community Plan (formerly Great Lakes Health Plan)
  • Medicare (traditional)
  • Medicare Advantage Plan - All Medicare Fee For Service Plans (PFFS logo on ID card)
  • Medicare Advantage Plan - BCN (except Connected Care, Healthy Saver & MyChoice Wellness)
  • Medicare Advantage Plan - CentraCare
  • Medicare Advantage Plan - McLaren Advantage SNP (Dual eligible only)
  • Medicare Advantage Plan - Meridian Advantage Plan HMO SNP
  • Medicare Advantage Plan - Meridian Care (formerly Meridian Prime)
  • Medicare Advantage Plan - Priority Health (all products)
  • Medicare Plus Blue
  • Meridian Choice (Exchange Plan)
  • Meridian Complete MI Health Link (Dual eligible program)
  • Meridian HealthyMI
  • Multiplan (Beech Street / PHCS / PPO Next / Real Health)
  • Physicians Health Plan of Mid-Michigan (not PPO product)
  • Point Comfort Underwriters (Refugee Resettlement Program)
  • Priority Choice HealthyMI
  • Priority Health (includes Bronson Healthcare Partners & W. MI Partners)
  • Railroad Medicare
  • Southwest MI Behavioral Health (BLH Neurobehavioral Health Unit)
  • TriCare / Health Net
  • United Healthcare (Golden Rule, PPO, ChoicePlus, Core, Compass, Navigate)
  • United Healthcare Community Healthy MI

Non-Participating Health Plans and Networks

Please Note: The following list represents plans that are non-participating with Bronson Healthcare. There may be other non-participating plans that we are not aware of. This list should be used as a reference and is not a guarantee that your service will or will not be covered. To confirm coverage, contact your insurance carrier/network prior to obtaining services.

Medicare Advantage plans:

  • Aetna Better Health Premier (Dual eligible program)
  • Blue Cross Blue Shield Medicare Plus Blue Advantage Plan (MAPPO)
  • Blue Care Network Advantage HealthySaver (narrow network excludes Bronson)
  • Blue Care Network Advantage Connected Care (narrow network excludes Bronson)
  • United Healthcare Medicare Advantage Plans with the exception of the Dual Eligible Plan (DSNP)
  • Humana Medicare Advantage
  • Aetna Medicare Advantage
  • Molina Medicare Advantage

Managed Medicaid plans:

  • Blue Cross Complete of Michigan Medicaid HMO
  • Molina Medicaid HMO

Commercial plans:

  • Coventry/First Health
  • ASR (May utilize a rental network such as HealthScope to access Bronson as participating provider)
  • HealthSmart
  • HAP/Alliance Health and Life (May utilize a rental network such as Cofinity to access Bronson as a participating provider)
  • SmartHealth
  • Total Healthcare USA
  • McLaren Health Advantage (PPO) (BMH,BLH,BBC)
  • McLaren Community (HMO) (BMH,BLH,BBC)

Insurance Questions