Patient Resources

Find information on appointments, health insurance, and billing. Access documents and other forms to help manage your care.

Requesting an Appointment

Patients can request appointments by phone or online through the MyMartinsPoint® patient portal.

Cancellations and Missed Appointments

We request at least a 24-hour notice to reschedule or cancel an appointment. This allows us to promptly reschedule your appointment and to schedule another patient into your missed time slot.

Patients who repeatedly miss or cancel appointments on short notice (within two hours of the appointment time) may be disengaged from the practice.

If you need medical assistance outside of your Martin’s Point Health Care Center’s office hours, please call your provider’s office and leave a message with the answering service. Our on-call physician will respond to calls in order of medical priority. If you do not receive a call back within 20 minutes of placing your call to our answering service, please call again and let the answering service know you have not yet received a call back.

A referral is a request from your primary care provider (PCP) for specialty care that they recommend for you. Examples include: a specialist visit, physical therapy, or diagnostic imaging. 

We strongly recommend that you contact your insurance company to confirm coverage and understand your costs for referred services. Out-of-network services may cost more or require additional insurance approval. Check your coverage with your insurance provider before you receive referred care to avoid unexpected charges.

What is a referral? (PDF)

Ongoing Refills

Please contact your pharmacy first to fill all ongoing prescriptions.

Requests for a New Prescription If Refills Have Been Used

Please contact your provider’s office by phone or online through the MyMartinsPoint® patient portal. 


Please provide the following information: Your name, medication name, dosage, frequency taken, quantity, and pharmacy name and location.

Please allow up to 48 hours to fulfill your prescription requests. If we have any questions, we will contact you, otherwise, please assume the pharmacy has received your refill request.

Learn about Martin’s Point retail pharmacies.

We make every effort to report test results as soon as they are available. We recommend that you ask your provider the time frame in which you can expect to receive your results. We will notify you of your results by mail, phone, or the MyMartinsPoint® patient portal.  Please note that any sensitive test results will not be published to the portal. If you have not received communication regarding test results after two weeks, please contact your provider’s office.

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.

Established Patients

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.

New Patients

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:

  1. Contact your insurance company to make sure you understand your benefits and your health plan’s requirements.
  2. Confirm that Martin’s Point Health Care is a contracted provider of services for your plan.
  3. Obtain a referral, if required by your insurance company. Discuss this with your primary care provider prior to scheduling an appointment with one of our specialists

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)

Have questions? We’re here to help.
Patient Accounts, Billing Office: 1-800-499-7875  
8 am–4:30 pm, Monday through Friday.

 
  • Aetna
  • Ambetter (Existing patients only)
  • Anthem Blue Cross and Blue Shield
  • Carepartners
  • ChampVA
  • Christian Ministries Fund PHCS (We are out-of-network but will bill this insurance.)
  • Cigna
  • Geisinger (Beacon Health)
  • Great West (Cigna)
  • Harvard Pilgrim (New Hampshire patients need to contact the insurance carrier to see if we are in network as we are not in network with all Harvard Pilgrim policies.)
  • Humana Military - Tricare Prime (We are out-of-network, but will bill this insurance. Services may be covered under the Point-of-Service benefit with increased out-of-pocket costs to the member.)
  • Humana Military - Tricare Select/Tricare For Life (We are out-of-network, but will bill this insurance.)
  • Maine Community Health Options
  • MultiPlan – PHCS
  • MVP (Cigna)
  • United Healthcare
  • US Family Health Plan

Medicaid

  • State of Maine: Mainecare (Medicaid program) (select providers)
  • State of New Hampshire: NH Medicaid
  • WellSense/NH Healthy Family

Medicare

  • Aetna Medicare Advantage
  • Federal (Original) Medicare and Medicare supplements
  • Martin’s Point Generations Advantage

Out-of-Network Medicare Advantage Plans

  • Anthem – Medicare
  • United Healthcare (AARP) – Medicare

Insurance Plans We Do Not Bill: Patients will be responsible for payment.

  • Ambetter (New patients only)
  • Humana (For Humana plans other than Humana Military)
  • Minuteman
  • Wellcare

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.

Total Account Balance Payoff Time Frame Payment Needed
to Meet Guidelines
 
$0-$100 3 months $10-$34 per month
$100-$250 6 months $17-$42 per month
 $251-$1000  12 months  $21-$84 per month
 $1001+  18 months  $56+ per month
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.

Financial application instructions and worksheet (PDF) 
Application for financial assistance (PDF) 
 

Have your records sent from another provider TO Martin’s Point. 

Download and complete the Authorization to Release Protected Health Information to MPHC form (PDF) and mail or fax it to your other health care provider’s office.

Have your records sent to another provider FROM Martin’s Point.

Download and complete the Authorization to Release Protected Health Information From MPHC form (PDF) and send it to us:

Martin’s Point Health Care
ATTN:  HIM
P.O. Box 9746
Portland, ME 04104

Please be aware that e-mail communication can be intercepted in transmission or misdirected. Please consider communicating any sensitive information by fax or mail.

Please allow 30 days for us to complete the records transfer process. For questions about transferring your medical records, please contact our Health Information Management department at 207-791-3728.

 
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
At Martin’s Point Health Care, we are committed to providing the highest-quality health care experience for our patients. Part of that commitment involves giving our patients frequent opportunities to let us know how well we are delivering on that commitment. Patient satisfaction surveys are one tool we use to get that timely feedback, and our choice to partner with the independent patient satisfaction survey company, Press Ganey, holds us to the highest standard.

Learn more.