Find information on billing and payments, including Health Care Center patient billing, Generations Advantage premium payments, US Family Health Plan annual enrollment fees or monthly allotment.
Martin’s Point Health Care accepts most major health insurance plans, including most HMOs and PPOs.
If you do not see your health plan on our list of accepted health insurance plans, please contact your plan directly to ask if Martin’s Point providers are in your health plan’s network. It is possible that your health plan may contract with providers through another insurer on our list.
Contact the Patient Accounts Billing Office: 1-800-499-7875 | Available from 8 am–4:30 pm, Monday through Friday.
If you are a new patient on an insurance plan we accept, be sure to notify your insurance plan of your PCP change in advance of receiving services. You may not have coverage if you see a Martins Point PCP or specialist without the plan’s authorization.
Follow this checklist to help ensure a smooth billing process:
Know the limitations of the referral and obtain an extension or expansion of the scope of the referral if needed. To learn more about referrals, download What is a referral? [PDF]
If you are an established patient and your commercial coverage changes to a plan we do not accept, Martins Point may be considered out-of-network by your plan (call your new plan for confirmation).
For out-of-network HMO plans, this means you will not have coverage if you see a Martin’s Point PCP or specialist without the plan’s authorization. If your new plan is a PPO plan not listed below, we may bill you up to any remaining balance after the plan pays its out-of-network portion.
We are out-of-network, but will bill this insurance as a courtesy:
You may set up a Card on File Agreement to securely pay copays and future patient charges automatically using your credit card.
You set dollar amount limits for authorized automatic charges and receive emails providing advance notice of upcoming charges and payment receipts. Payment amounts are applied to the credit card after your health insurance processes your claim and assigns an amount as your responsibility.
Please note: This option is different from and in addition to the Payment Plan some patients may have in place setting monthly payments for past-due balances.
Q: What are the benefits of creating a Card on File Agreement?
You may:
Q: How does a patient create a Card on File Agreement?
A: Because the Card on File Agreement is a signed contract between you and Martin’s Point Health Care, it must be set up and signed, in person, at your Martin’s Point Health Care Center. A Patient Services Representative can help you do this when you check in or out at one of your health care appointments. These Agreements cannot be set up over the phone or through the MyMartinsPoint® patient portal.
Note: Martin’s Point is not authorized to collect automatic payments using credit card you may have saved in the MyMartinsPoint® patient portal. This saved information only helps you make future one-time payments through the portal.
Q: How long can a Card on File Agreement last?
A: There are three options for the length of time a Card on File Agreement can be in effect:
Q: How does Martin’s Point Health Care determine how much to charge me for each service?
A: If you have health insurance, charges are determined after the insurance plan has processed the claim for the service and determined what amount is considered the “Patient Responsibility.” The insurance plan notifies Martin’s Point of the portion of the cost that is due from you and that amount will be charged to your credit card up to the maximum authorized in your Card on File Agreement.
If you don’t have health insurance, your card will be charged the cost of services received up to the maximum authorized in your Card on File Agreement.
Q: Is there a limit to the payment amount that can be automatically charged per transaction?
A: When setting up the Card on File Agreement, there is a default maximum amount of $1500.00* that can be charged over the duration of the Agreement. You can change this amount by entering your desired amount on the Card on File Agreement.
*IMPORTANT NOTE: This is not a per-transaction maximum amount. This is the maximum amount chargeable for the duration of the Agreement.
Q: Will I be notified prior to an automatic payment transaction being completed?
A: Yes. You are notified of pending charges five calendar days before the charges occur. This allows you time to contact the Billing Office to dispute any of the pending charges if needed.
Q: When is my card charged?
A: Cards that are on file are charged at approximately 6 am, five days after the pending charge notification. (Exception: if you have an unapplied credit on your account, this will be applied first and then the charge notification is sent.)
Q: What can I expect after a charge has been applied to my card on file?
A: You will receive a second email when the card is charged. You will also receive an email receipt with the details of the transaction once the card is charged.
Q: Will any outstanding balances I may have (balances existing BEFORE the effective date of the Card on File Agreement) be automatically applied to the Card on File Agreement?
A: No. A Card on File Agreement only covers balances on claims created AFTER the Card on File Agreement was put in place. Payments for previously existing balances will need to be processed separately.
Q: Who will manage any issues once the Card on File Agreement is in effect?
A: There are times when a card transaction may fail or other issues may arise after a transaction has occurred. When this happens, our Martin’s Point Billing Department will work with you to address these issues.
Q: Can I see the history of my Card on File transactions?
A: Yes. History for all credit card payments made to Martin’s Point through the Card on File Agreement are viewable through the MyMartinsPoint® patient portal.
Q: What if the amount owed exceeds the maximum authorized amount on the Card on File Agreement?
A: The card on file will be automatically charged only up to the maximum amount authorized in the Agreement. You will be sent a statement for the remaining balance that is above the maximum authorized amount.
Q: Is there a difference between the current Payment Plans and the Card on File Agreement?
A: Yes. Payment Plans can be set up to pay for past-due balances and involve charging your credit card an agreed-upon monthly amount (based on Martin’s Point guidelines) until the previously owed balance is paid in full. The Card on File Agreement is used to pay for current and future charges and involves preauthorized payments for the full patient balance (up to the authorized maximum) at the time of the transaction.
Q: Can I have a Payment Plan and a Card on File Agreement at the same time?
A: Yes. Since the Payment Plan is for previous, past-due balances and the Card on File Agreement is for current and future charges, you can have both and can use the same credit card for both. They are set up differently.
Martin’s Point Health Care is committed to providing quality care to our patients regardless of their financial status. Through our financial assistance program—available for medically necessary services—you may qualify for free care or a reduced cost after insurance processing.
Application for Financial Assistance for Patients [PDF]
Submit this form to request support for your healthcare costs, applicable to medically necessary services provided by Martin’s Point.
Formal payment plans can be set up at one of our Health Care Centers or by calling Patient Accounts–Billing directly. The goal of all payment plans is to have balances paid in full within six months, however, we recognize this is not always possible.
If you feel you are unable to meet our minimum monthly payment requirement, please contact Patient Accounts–Billing to discuss our financial expectations and to gain a better understanding of how we can best partner with you to pay your balance.
Exceptions will be based on demonstrating financial need or special circumstances.
Payment Method for Payment Plans—The preferred method of setting up payment plans is to keep your credit or debit card on file and auto-debit the payment each month. Please note that, when a payment plan is set up, only balances already on your account are included.
Any additional balances that you wish to add to the plan will require you to call Patient Accounts–Billing (1-800-499-7875) and may require an increase in the monthly payment amount.
In addition to auto-debit, we can also set you up to receive statements on a monthly basis, at which time you can mail in a check, pay online via the patient portal, or make a call to Patient Accounts–Billing to pay with a credit card over the phone. If you happen to be at a Health Care Center for an appointment and want to pay, we can also take your payment in cash.
Martin’s Point estimated prices for procedures listed by Current Procedural Technology (CPT) code are available in the Price Disclosure List [PDF] These are estimates and prices are subject to change. Final cost will be determined after service is provided and insurance is processed.
Access price transparency tools and information from the Maine Health Data Organization.
You may also call the Martin’s Point Patient Accounts–Billing Office:
1-800-499-7875
8 am–4:30 pm, Monday through Friday
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers must provide an advance estimate of the bill for medical items and services to patients who don’t have insurance or who are not using insurance. This is called a Good Faith Estimate.
When do you have the right to receive a Good Faith Estimate from your provider for the total expected cost of any non-emergency services?
Martin’s Point Health Care will send the estimate to you by mail or through the MyMartinsPoint® patient portal if you have a portal account. Make sure to save a copy of your written Good Faith Estimate to compare with bills you receive from Martin’s Point for this item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Call Martin’s Point Patient Accounts, Billing Office: 1-800-499-7875, 8 am–4:30 pm, Monday through Friday.
For more details about your right to a good faith estimate, visit CMS.gov/NoSurprises
Choose the payment method that works best for you.
If you already have a payment method set up, no action is needed. Monthly premium payments are processed within the first week of the month.
Automatic payments are processed using the payment method on file. If you need to make a change to your automatic payment setup, you can complete the automatic payment form.
Set it and forget it—your premium will be automatically withdrawn on the 1st week of every month.
You'll need your:
Set up automatic payment in one of the following ways:
You can also Download the Automatic Payment Form and submit the completed form via mail
Make a secure, one-time payment online using a credit or debit card—available 24/7.
You will need your:
If you don’t have your invoice, call 1-866-544-7504 (TTY: 711) to get your account number.
(You will be redirected to our secure payment vendor site)
Your account number, also referred to as your ARAC number, is a unique identifier required for making payments and managing your account. It is located in the top-left corner of your premium bill next to the label 'Account # / ARAC#'. Refer to the example below to easily locate it.
If paying for multiple people, make sure to include the payment coupon for each member.
Mail your monthly premium payment directly to our plan with a check or money order along with the bottom portion of your invoice. If paying for multiple people, make sure to include the payment coupon for each member.
Mail to:
Martin’s Point Generations Advantage
Client ID# 300100
PO Box 16019
Lewiston, ME 04243-9903
Find out what your premium payment is for your state/county of residence by logging into your Member Portal or visiting Plans and Benefits.
Important nuances
Set it and forget it—your plan fees will be automatically withdrawn on the 1st of every month.
You'll need:
Set up automatic payment in one of the following ways:
Download the
Enrollment Fee Allotment Authorization Form
and submit the completed form via mail.
For retirees who want fees deducted directly from military retirement pay.
Download the
Electronic Payment Authorization Form
and submit the completed form via mail.
For members who want to pay by EFT or credit/debit card on an annual, quarterly, or monthly schedule.
Make a secure, one-time payment online using a credit or debit card—available 24/7.
You’ll need your:
If you have questions or need assistance, call Member Services at 1-888-674-8734 (TTY: 711).
(You will be redirected to our secure payment vendor site)