Financial Assistance

We make every effort to make our fees and services affordable. No one will be denied access to services due to the inability to pay. Different services may involve different required paperwork and unique financial assistance.

L’esprit agrees not to discriminate in the provision of services to an individual because the individual is unable to pay, because payment for those services would be made under Medicare, Medicaid, or CHIP, or based upon the individual’s race, color, sex, national origin, disability, religion, age, or sexual orientation.

How do I pay for services?

L’esprit accepts Payment for Services from the following agencies:

  • Healthy Montana Kids Plus (HMK Plus, formerly Montana Children’s Medicaid) for treatment portion of services.
  • Healthy Montana Kids (HMK, formerly CHIP) for treatment portion of most services.
  • Blue Cross Blue Shield
  • Allegiance
  • Pacific Source
  • EMBS
  • Medicare
  • Tricare West

L’esprit is a Healthy Montana Kids Enrollment Partner and will assist you in applying for Healthy Montana Kids or Healthy Montana Kids Plus services if your family qualifies. For more information, please visit To apply for HMK or HMK Plus, you please visit

Need additional assistance?

If you need additional assistance with applying for HMK or HMK Plus, please go to the Offices of Public Assistance (OPA) website to find your local office address and phone number or call 1-888-706-1535. 

Alternative Payment Options

L’esprit accepts Medicare, Medicaid, CHIP, and private insurance. L’esprit offers a sliding fee for individuals who do not qualify for public assistance and cannot afford services. Our goal is to provide services to those who need it regardless of their ability to pay. We understand the hardships that result from excessive medical bills and we are here to work with you to ensure that you receive the care you need. A payment agreement can be arranged based on your household income and size of your household to alleviate the financial burden of services provided by L’esprit.

For more information and to determine if you qualify: Sliding Fee Information Sheet

Sliding feel Policy

To apply for the sliding scale: Sliding Fee Application