Gynecology Program Insurance info

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Copayments

Copayments are due at the time of your visit per insurance company policies. A copayment is required for each scheduled appointment. Please check your insurance card for amount due. We accept cash, personal checks, VISA, MasterCard, American Express and Discover.

A Bank of America ATM machine is conveniently located on the first floor of our building. There is another Bank of America ATM and also a Citizens Bank ATM located in Children's across the street.

Referrals

A referral is a form and/or code number from your child's primary care physician or insurance company and is required for office visits with most HMO insurance plans. Referrals can vary in the number of visits they cover, the length of time that visits can be used and the services covered.

If your insurance company requires referrals, you will need to obtain them. Please note that referrals do not guarantee coverage, so please check directly with your insurance carrier.

Provider numbers

Below is a list of insurance provider numbers for our attending physicians. Please reference these provider numbers when contacting your primary care physician's office or insurance company to obtain referrals.

Insurance Co. S. Emans R. Gardner M. Laufer M. Lynch T. Walzer M. Weitzel
AETNA 2110687   2074253 2114475 2068545 2177547
BCBS M09036 J10702 J09244 E05319 B11726 J17405
BMC 9399     8930    
Cigna 4147297   B20242001 4307422    
Harvard
Pilgrim
201020   602545 602545   604162
Mass
Health
2037260   3063640 111937    
Medicare EM M09036   J09244 LY E05319 B11726  
Neighbor
Health Plan
0001365 0000324 0003943 0007052 007052 0006609
Network
Health
99338602          
Tufts 035510 070650 731198 043680 723400 772139
United 1201935   1068159 1201975    


Waiver fee

If you do not have a valid referral from your primary care provider (PCP), Children's policy requires a guarantor to sign a waiver assuming all responsibility for payment of the visit. Additionally, you will be asked to pay a $50 deposit for each scheduled appointment. Deposits are not required for Medicare or Medicaid (including MassHealth, BMC and NHP) subscribers.

If you are able to obtain the referral from your physician before leaving your appointments that day, we will refund your waiver deposit. After that time, Children's will refund your waiver deposit once payment for the visit is received from your insurance company.

Insurance card

Please remember to bring your child's insurance card to the office for each visit so we can verify that we have the correct information. If you change insurance companies or if your policy number has changed, please notify the office immediately so we can update our records.

Uninsured/non-covered services

Uninsured patients or services not covered by insurance companies may be eligible for a 40 percent discount at the time of service. Please contact our office to discuss this option.

Additionally, if you are uninsured or have a limited income, you may qualify for public assistance or free care. Depending on your income level, all or part of your medical costs may be covered by the medical center under the free care provision of state Medicaid Law. For more information, contact Financial Counseling at 617-355-7201.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO
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