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Paying for Services Paying for Genetic Services

Government Sponsored Programs

Shodair Children’s Hospital participates in most State and Federal insurance programs including Medicare, Medicaid, and Healthy Montana Kids (HMK).

Typically these programs have co-pays and deductibles that apply to the services provided.

Shodair Childrenís Hospital realizes the cost of medical genetic services care can create a financial hardship; we have developed a financial assistance program offering discounts on charges based on a familyís or individualís income and asset level.

Commercial Insurance

Shodair Children’s Hospital contracts with most commercial insurance companies in Montana, including Blue Cross and Blue Shield of Montana, Federal Blue Cross, New West, Allegiance, TriCare and United Healthcare. Shodair also participates in many health care networks through which insurance companies outside of Montana contract for services.

Typically, commercial health plans have co-pays and deductibles that apply to the services provided.

Some insurance companies may consider certain types of genetic testing as experimental or investigative and exclude these tests from coverage. It is important to contact your health plan to determine the coverage of genetic testing and any requirements for prior authorization.

Paying Personally

If you are not covered or eligible for government-sponsored programs or not covered by commercial insurance, the charges for services become your responsibility.

Shodair Children’s Hospital realizes the cost of medical genetic services care can create a financial hardship; we have developed a financial assistance program offering discounts on charges based on a family’s or individual’s income and asset level.

The program is called ShoCare and is designed to assist families or individuals without health insurance or with high deductible health insurance plans. Discounts range from 20% to 100% based on the family or individual’s income and asset level. To talk to a financial counselor at Shodair, call (406) 444-7507 or toll-free (800) 447-6614. To see if you may be eligible for a discount, click on Income Guideline Table.

To complete a financial assistance request, click on ShoCare Application, complete the application, print it, and attach the requested documentation before mailing to:

Shodair Children’s Hospital
Attn: Financial Counselor
P.O. Box 5539
Helena, MT 59604

Pay my bill online

If you wish to pay all or a portion of the balance due online, you may do so by clicking on Pay My Bill.

Contracted Lab Testing Services

Shodair Children’s Hospital offers contracted lab testing services to other health care and research providers including hospitals, universities and physician practices.

The provider (client) will receive a monthly statement with patient details for each test ordered during the month. Terms are net 30 days from the date of invoice.

To review and/or print a lab testing service contract, click on Contract. If you’re interested in contracting with Shodair Children’s Hospital, call us at (406) 444-7523 or toll-free (800) 447-6614.