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Insurance and Billing

At the time of your visit, patients need to provide the front desk with the correct insurance information, including your insurance card to be copied. We will perform courtesy billing for you, provided you have given us all pertinent billing information. Patients will be responsible for full payment of any co-payments, co-insurance and deductibles required by their insurance company.

Your insurance coverage is an agreement between you and your insurance company. Financial responsibility rests with the patient for deductibles, co-insurance and non-covered services.

If your insurance requires authorization for an office visit, please contact your referring physician for that authorization prior to calling for an appointment.

If you have any questions or would like to see if we are able to accept your insurance policy, please feel free to contact us at (413) 306-4005.

Our in-network insurances include:

  • BMC Healthnet
  • Blue Cross Blue Shield
  • Carelink (part of Tufts and Cigna)
  • Commonwealth Care Alliance
  • Fallon
  • Harvard Pilgrim
  • Health New England
  • Health New England- BeHealthy
  • MassHealth/Medicaid
  • MassHealth
  • Medicare
  • Medicare Advantage (part of Health New England)
  • Tricare (with precertification to facility)
  • Tufts
  • Tufts Medicare Preferred
  • US Family Health Plan
  • Workers Compensation

Out-of-network insurances:

  • AARP
  • Aetna
  • Aetna US Healthcare
  • BMC Health Connector
  • Cigna
  • Connecticare
  • Evercare
  • Fallon Total Care
  • Neighborhood Health Plan
  • Tufts Network Health
  • United Healthcare

If we are out-of-network with your insurance, we will contact the insurance for benefit information and let you know if the patient can be seen as SINE.

The Cost of Your Procedure

Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.

You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients).  Many health insurance websites also provide information on where to find in-network services.

Planning a Procedure on a HDHP

A High-Deductible Health Plan (HDHP) is a plan with a higher deductible than a traditional health insurance plan.
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Managing Healthcare Cost

A High Deductible Health Plan (HDHP) can be a wise way to save money on health insurance and take a proactive role in your healthcare.
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Understanding Your Insurance

Health insurance is an agreement between you and an insurance company of your choosing.
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