Accepted Health Insurances

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Boston Children’s Hospital and physicians are participating with the list of insurance plans below. Participation in these plans is not a guarantee of payment or coverage. Many insurance companies require a referral or prior-authorization for coverage of services. If you would like to verify coverage or have questions regarding out of pocket expenses we recommend that you call the member services number on your insurance card or contact your employee benefits program for more information. If you have a question as to whether Boston Children’s Hospital and its physicians participate in your insurance plan please contact 617-355-3397.

YOUR FINANCIAL RESPONSIBILITY: If you are enrolled in a tiered, high deductible or limited network your out of pocket expense will vary based on the provider and/or place of service (i.e. main campus vs. satellites), and provider of service. We recommend that you call your insurance carrier or your benefits office to determine your liability/out of pocket financial responsibility.

BEHAVIORAL HEALTH COVERAGE: Behavioral Health Benefits should always be verified with your health insurance company. Coverage of services can vary based on a variety of factors.

AETNA

  • AETNA CHOICE POINT OF SERVICE (POS)
  • AETNA TRANSPLANT NETWORK
  • AETNA US HEALTHCARE HMO
  • AETNA US HEALTHCARE PPO & INDEMNITY
  • AETNA BETTER HEALTH
  • INTERNATIONAL AETNA GLOBAL BENEFITS
  • INTERNATIONAL AETNA

BLUE CROSS BLUE SHIELD

  • BLUE CROSS MA PPO & INDEMNITY
  • BLUE CROSS MA HMO & BLUE CHOICE (POS)
  • BLUE CROSS MEDEX
  • BLUE CROSS BLUE SHIELD - FEDERAL
  • BLUE OPTIONS-HMO BLUE NEW ENGLAND OPTIONS
  • BLUE OPTIONS-PREFERRED BLUE PPO OPTIONS
  • BLUE BENEFIT ADMINISTRATORS
  • BLUE CROSS OUT-OF-STATE

PLEASE NOTE – Boston Children’s Hospital and physicians DO NOT participate in the following plans:

  • BLUE OPTIONS-HMO BLUE OPTIONS

BEACON HEALTH STRATEGIES

CIGNA

  • CARELINK-CIGNA
  • CIGNA HEALTH PLAN - HMO
  • CIGNA HEALTH PLAN-PPO & INDEMNITY
  • CIGNA MVP
  • CIGNA LIFESOURCE
  • CIGNA BEHAVIORAL HEALTH
  • GREAT WEST LIFE
  • INTL CIGNA

COVENTRY

FALLON

  • SELECT CARE
  • HARRINGTON ADVANTAGE-PPO
  • EMPLOYEE ADVANTAGE-UMASS
  • ADVANTAGE PLAN-WORCHESTER
  • ADVANTAGE PLAN-HANOVER
  • ADVANTAGE PLAN-EMC
  • DIRECT CARE
  • PREFERRED CARE-PPO
  • TIERED CHOICE
  • FLEX CARE-DIRECT
  • FLEX CARE-SELECT
  • SENIOR PLAN

PLEASE NOTE – Boston Children’s Hospital and physicians DO NOT participate in the following plans:

  • DIRECT CARE (CITY OF WORCHESTER-DIRECT)
  • STEWARD COMMUNITY CARE

HARVARD PILGRIM HEALTH CARE (HPHC)

  • HPHC-HMO
  • HPHC-PPO
  • HPHC CHOICE PLUS PASSPORT
  • HARVARD PILGRIM OPTIONS-PPO
  • HPHC STUDENT INSURANCE PL-PPO
  • HEALTH PLANS INC-PPO
  • HPHC NH HEALTHY KIDS
  • HPHC CHOICE NET/BEST BUY-HMO
  • HPHC CHOICE NET/BEST BUY-PPO
  • HPHC PRIMARY CHOICE (GIC)
  • HPHC INDEPENDENCE PLAN (GIC)
  • HPHC FOCUS NETWORK
  • HPHC HOSPITAL PREFER-HMO
  • HPHC HOSPITAL PREFER-PPO
  • HPHC SOUTHCOAST
  • HPHC NH ELEVATE HEALTH

PLEASE NOTE – Boston Children’s Hospital and physicians DO NOT participate in the following plans:

  • HPHC LAWRENCE GENERAL
  • HPHC SIGNATURE HEALTHCARE
  • HPHC DARTMOUTH HITCHCOCK
  • HPHC BIDMC SELECT
  • HPHC BMC SELECT-HMO
  • HPHC BMC TIERED-HMO

HUMANA

  • CHOICE CARE-PPO

LIFETRAC TRANSPLANT NETWORK

MAGELLAN BEHAVIORAL HEALTH

MASSHEALTH – Mass Medicaid

  • MASSHEALTH-LIMITED
  • MASSHEALTH-NON-PCC
  • MASSHEALTH-PCC
  • MASS BEHAVIORAL HEALTH PLAN

MEDICAID – Out of State*

  • New Hampshire
  • Vermont
  • Maine
  • Community Health Network (CT Medicaid)

All Others please refer to 617-355-3397
*The Boston Children’s Hospital Network is enrolled with several out of state Medicaid plans. Please contact your Medicaid member services center to inquire about contractual agreements with BCH.

MEDICARE

MULTIPLAN

NEIGHBORHOOD HEALTH PLAN (NHP)

  • NHP CARE (GIC MEMBERS)
  • NHP COMMERCIAL
         -NHP PRIME HMO
         -NHP CHOICE PLUS
         -NHP CHOICE EXTRA
         -NHP CHOICE OPTIMUM
  • NHP MASSHEALTH
  • NHP COMMONWEALTH CHOICE
  • NHP COMMONWEALTH CARE

PLEASE NOTE – Boston Children’s Hospital and physicians DO NOT participate in the following plans:

  • RHODE ISLAND NHP

NETWORK HEALTH

  • NETWK COMMONWEALTH CARE
  • NETWORK HEALTH

TUFTS

  • TUFTS HEALTH PLAN-HMO
  • TUFTS BENEFIT ADMIN-PPO
  • LIBERTY
  • NAVIGATOR
  • CARELINK-TUFTS
  • TUFTS HEALTH PLAN-POS
  • TUFTS NAVIGATOR (GIC)
  • TUFTS YOUR CHOICE-HMO
  • TUFTS YOUR CHOICE-PPO
  • TUFTS STEWARD-DPO
  • TUFTS UNIFORM SERVICE

PLEASE NOTE – Boston Children’s Hospital and physicians DO NOT participate in the following plans:

  • TUFTS SPIRIT
  • TUFTS SELECT
  • TUFTS STEWARD-EPO
  • TUFTS STEWARD COMMUNITY CHOICE

UNICARE

  • UNICARE – GIC
  • UNICARE – COMMUNITY CHOICE (GIC)
  • UNICARE – INDEMNITY PLANS (GIC)
  • UNICARE – PLUS (GIC
  • UNICARE – CLASSIC (PPO &HMO)

UNITED

  • AMERICHOICE
  • UNITED PASSPORT
  • UNITED HEALTHCARE
  • OXFORD HEALTH PLANS
  • UNITED RES NETWRK
  • UNITED BEHAVIORAL HEALTH
  • UNITED HLTH COMM CARE
  • INTL UNITED HEALTHCARE

Patients may contact their carriers for specific benefit information.

For further information, please call Patient Financial Services at (617) 355-3397.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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