Insurance & Claims
Knowing your insurance's rules can help you plan accordingly.
In Network Insurance Status
We continuously evaluate our contracts with insurance carriers to provide you with the best in-network options and we participate with most major insurance plans including but not limited to:
- Blue Cross Blue Shield
- Health New England
- Medicare
- Most Medicaid (Mass Health) products (but not all)
- Tufts
- Cigna
- Aetna
- United Healthcare
- Connecticare
- Harvard Pilgrim
We recommend checking with your insurance carrier regarding in-network providers. (For your convenience it is common for a phone number to be listed on the back of the insurance card.)
Get to Know your Coverage
Knowing your coverage will help you avoid unanticipated bills and frustration. Some things you should verify include:
- Copayment (this amount can be different based on the service you are seeking.)
- Patient deductible
- Coverage for well-woman exams (how often they will be covered, etc.)
- Requirements for referrals
- Pre-existing clauses (ie, coverage rules for a pre-existing condition)
- Prescription benefits
- Laboratory coverage (for example, some insurance companies will pay for services performed only at certain laboratories). We’ll need to know this at your visit so we can arrange to send your specimens to the correct facility.
- Covered and non-covered services
Claim processing
One of our billing specialists will handle your claim from start to finish. Among them, they have decades of experience in ob/gyn billing and are highly effective in their communications with insurance companies to insure proper payment of your claim.
Shortly after you receive a service from our practice, we will send a medical claim to your insurance carrier. Once your claim has been processed, we receive an explanation of benefits (EOB) from your carrier that reports the payment made as well as any balance due from you. We review the EOB for accuracy and process the claim appropriately in our system. If your insurance company reports that a patient balance is due and you have not already paid that balance, we will send you a statement.
In this section
COVID-19 Helpful Links and Resources:
- CDC COVID-19 Information Center
- Massachusetts Department of Public Health COVID-19 Information Center
- Baystate Health’s Resource Center for COVID-19 including updates, guidance, and hospital initiatives and policies
- The American College of Obstetrics and Gynecology resource page for pregnant and breastfeeding women
- Resources for parents during the COVID-19 outbreak from the American Academy of Pediatrics
- Resources from the CDC related to mental health, stress, and coping during the COVID-19 pandemic
- Guidance for the general public from the CDC regarding the use of cloth face coverings to help slow the spread of COVID-19
- COVID-19 Vaccine: Pregnancy and Breastfeeding