Financial & Billing Matters | Accepted Insurance Plans

Health plan participation

Boston Children’s and its affiliated providers are participating providers with the health plans listed below. Participation in these plans is not a guarantee of payment or coverage. Many health plans require a referral or prior-authorization for coverage of services and not all services are covered depending on your health plan. You should verify coverage and out of pocket expense responsibilities, by contacting the member services number on your health plan card. You may also contact Boston Children’s at 617-355-0500, if you have a question regarding Boston Children’s or its providers’ participation status with your health plan.

YOUR FINANCIAL RESPONSIBILITY: If you are enrolled in a tiered, high deductible or limited network, your coverage and/or out of pocket expenses may vary based on the provider and/or place of service. We recommend that you contact your health plan to determine your liability/out of pocket financial responsibility.

BEHAVIORAL HEALTH COVERAGE: Behavioral Health benefits should always be verified with your health plan.

NON-PARTICIPATION: If you do not see your health plan listed below, please contact member services at your health plan to inquire about coverage for care provided at Boston Children’s or you may contact Boston Children’s with questions at 617-355-0500.

Participating plans

AETNA

AETNA CHOICE POS/PPO
AETNA MANAGED CHOICE
AETNA OPEN ACCESS MANAGED CARE
AETNA HEALTH NETWORK
AETNA NETWORK OPTION PLANS
AETNA INDEMNITY PLANS
AETNA US HEALTHCARE HMO
AETNA US HEALTHCARE PPO & INDEMNITY
INTERNATIONAL AETNA GLOBAL BENEFITS
INTERNATIONAL AETNA

BLUE CROSS BLUE SHIELD

BLUE CROSS BLUE SHIELD OF MA PPO & INDEMNITY
BLUE CROSS BLUE SHIELD OF MA SELECT BLUE
BLUE CROSS BLUE SHIELD HIGH PERFORMANCE NETWORK
BLUE CROSS BLUE SHIELD OF MA HMO & BLUE CHOICE (POS)
BLUE CROSS BLUE SHIELD MEDEX
BLUE CROSS BLUE SHIELD - FEDERAL
BLUE OPTIONS - HMO BLUE NEW ENGLAND OPTIONS
BLUE OPTIONS - PREFERRED BLUE PPO OPTIONS
BLUE BENEFIT ADMINISTRATORS
BLUE SELECT OPTIONS HMO & PPO
BLUE CROSS BLUE SHIELD/ANTHEM OUT-OF-STATE HMO, PPO & INDEMNITY*
BLUE CROSS BLUE SHIELD CONNECTORCARE

* — The BlueCard program is a national program that enables members of Blue Cross Blue Shield and Anthem plans to receive health care service benefits while traveling or living in another plan’s service area. Benefits vary from plan to plan and state to state. We recommend that you contact your health plan to confirm your coverage and determine your liability/out of pocket financial responsibility. BlueCard members have a suitcase logo on their ID card.

CARELON BEHAVIORAL HEALTH STRATEGIES (formerly known as Beacon Health Strategies)