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CHC of the Blacks Hills accepts most insurance plans. For uninsured patients and non-covered services, an income based sliding fee scale will be used to determine the flat rate you will be charged.
Flat rate charge for patients on sliding fee scales:
Medical flat charge per visit Dental Hygienist flat charge per visit
0% $15.00 0% $15.00
20% $30.00 20% $30.00
40% $45.00 40% $45.00
60% $60.00 60% $60.00
80% $75.00 80% $75.00
Dentist flat charge per visit Oral Surgery/ Endodontic flat charge per visit
0% $30.00 0% $60.00
20% $60.00 20% $120.00
40% $90.00 40% $180.00
60% $120.00 60% $240.00
80% $150.00 80% $300.00
Download the patient financial responsibilities form: Patient financial policy.doc
Download the 2009 Sliding Fee Scale Sliding scale app.doc
Download the 2009 Family Planning Sliding Fee Scale sliding fee scale 2010 fp.xls
Insurance Plans Accepted:
Advantage Care
Advanta Freedom
Aetna
American National Insurance Company
ARAZ
Assurant Health – Time Ins. – Fortis
Avera Health Plans
Blue Cross/Blue Shield
Boilermakers National Health and Welfare
CIGNA
CAN Mailhandlers Benefit Plan
Continental General Insurance Company
DakotaCare
Definity Health
Employee Benefit Mgmt Corp -- EBMC
First Administrators
First Choice of the Midwest (PPO)
Heart Line Plus
Humana
Liberty Mutual Insurance Company
Medica-United Healthcare
Medicare
Medicaid
Midlands Choice, Inc.
National Health Insurance Company
Principal Life Insurances
Sloans Lake Managed Care
Sioux Valley Health Plan
Star HRG
TriCare North Region (PGBA)
TriCare West Region (WPS)
United Healthcare
Unicare
Western Health
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