Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
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.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (414) 935-8000.
Health Insurance Information
At Progressive Community Health Centers we accept nearly all types of insurance including BadgerCare Plus (Medicaid), Medicare and private/Marketplace insurance. We also offer a sliding fee program for un/under-insured patients.
What is the Health Insurance Marketplace?
As part of the Affordable Care Act (ACA), the Health Insurance Marketplace was created to make buying health coverage easier and more affordable.The Marketplace is a website and call center where people can compare health insurance options, determine discounts for cost, and enroll in a plan that fits their needs. You can also find out if you qualify for BadgerCare Plus (Medicaid) on the Marketplace website.
When I can apply for health insurance on the Marketplace?
Open Enrollment for the Marketplace has ended for this year. However, if you’ve had a recent life or job change, you may still qualify for coverage under a Special Enrollment Period. Visit HealthCare.gov to learn more about your health insurance options. Have questions or need help applying? Call (414) 935-8000 to speak with one of our financial counselors who can help you review insurance options and complete an application. Our financial counseling services are offered free of charge, even if you are not a current patient.
I already have a Marketplace health insurance plan. Do I need to re-apply?
Yes. Marketplace plans change each year. Even if you already have a Marketplace plan, you must re-apply for coverage annually or you will be auto-enrolled in a plan.
What is BadgerCare Plus?
BadgerCare Plus is a health care coverage program for low-income Wisconsin residents. This Medicaid program provides low-cost insurance coverage for Wisconsin residents who meet certain family size, age and income requirements. There are also special options for the elderly, blind, or disabled and pregnant women. You can apply for BadgerCare Plus at any time throughout the year. Learn more here.
Sliding Fee Program
Our Sliding Fee Program helps people who have limited or no health insurance. Patients will be charged for services based on their income and the number of people in their household. To apply for the Sliding Fee Program, you must meet with a financial counselor and provide proof of income and proper identification.
To apply for the sliding fee program, you must provide the following documentation:
- Proof of income (one of the following)
- Check stub
- Letter from employer verifying wage
- Copy of your most recent federal tax return
- Identification (one of the following)
- Driver’s license
- State identification card