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

BOSTON MEDICAL CENTER (BMC)

  • BMC COMMONWEALTH CARE
  • BMC MASSHEALTH
  • BMC CONNECTOR CARE
  • BMC QUALIFIED HEALTH PLAN-SILVER ONLY
  • BMC WELLSENSE (NH MEDICAID)

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

  • BMC EMPLOYER CHOICE / COMM CHOICE
  • QUALIFIED HEALTH PLAN Bronze
  • QUALIFIED HEALTH PLAN Gold A
  • QUALIFIED HEALTH PLAN Gold B
  • QUALIFIED HEALTH PLAN Gold C
  • QUALIFIED HEALTH PLAN Platinum B
  • QUALIFIED HEALTH PLAN Platinum A.

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

MASSHEALTH – Mass Medicaid

  • MASSHEALTH-LIMITED
  • MASSHEALTH-NON-PCC
  • MASSHEALTH-PCC

MEDICAID – Out of State*

  • New Hampshire
  • Healthy Families
  • BMC Wellsense
  • Vermont
  • Maine

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.

MULTIPLAN

NEIGHBORHOOD HEALTH PLAN (NHP)

  • NHP CARE (GIC MEMBERS0
  • 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

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

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

UNICARE

  • STATE INDEMNITY PLAN

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.

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If this is a medical emergency, please dial 9-1-1. This form should not be used in an emergency.

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Send RequestIf you do not see the specialty you are looking for, please call us at: 617-355-6000.International visitors should call International Health Services at +1-617-355-5209.
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This department is currently not accepting appointment requests online. Please call us at: 617-355-6000. International +1-617-355-6000.

This department is currently not accepting appointment requests online. Please call us at: 617-355-6000. International +1-617-355-6000.

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If you have questions or would like more information, please call:

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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.”
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