Brigham and Women's Hospital: Insurance Plans Accepted Updated

Brigham and Women’s Hospital: Insurance Plans Accepted

Updated July 2024

Important information about insurance accepted:

• Always check with your own health insurance provider. You should always check with your

own health insurance plan before getting care to make sure you understand your covered

benefits and costs.

• The insurance plans listed are accepted by Brigham and Women's Hospital and the physicians

who work for that hospital. There are also physicians who are affiliated with but do not work

for Brigham and Women's Hospital. These doctors may accept different insurances than our

hospitals. To make sure your physician accepts your insurance, please check with their office

before you schedule an appointment.

• Many insurance plans are now considered “tiered” plans and have different levels of costs

depending on where you go for care. The information below should be used as a reference, but

it is important that you check with your own health insurance plan to see what level of

coverage you will receive. Even if you see your insurance plan listed, additional referrals or

authorizations may be required. Some services may not be covered by your insurance coverage

at every location. The level of coverage provided to you is determined by your insurer.

• Also, many health insurance plans may use other companies to cover certain services such as

behavioral health (mental health) or transplant related services. Please contact your health

insurance plan or employer for your specific questions.

• If your health insurance plan or product is not listed below, please contact your insurance plan

to find out for sure what coverage may be available to you.

Insurer

Plan Type Accepted

Aetna

Accepted - HMO, POS, PPO, Indemnity, Student Health/Chickering,

Aetna Signature Administrators, Medicare Advantage. Participation

does not include Aetna Premier Care Network or Medicaid

Replacement products.

Blue Cross Blue Shield

Accepted - HMO, POS, BBA, FEP, Indemnity, PPO, ConnectorCare.

Participation does not include products using the Select Limited Blue

Provider Network, High Performance Network or Anthem Pathway

products. Medicare Advantage for specialty/referral care only, no

primary care. Blue Cross Out of State Medicaid Replacement products

are out of network.

Cigna

Accepted - HMO, POS, PPO, Indemnity, CareLink, Medicare Advantage

PPO, Laborers Health and Welfare Fund and Cigna Affiliates.

Participation does not include Cigna Local Plus IN or Medicare

Advantage HMO products.

Commonwealth Care Alliance

Accepted – SCO and One Care for specialty/referral care only, no

primary care. Limited benefits for Medicare Preferred and Medicare

Value plan.

Coventry/First Health

Accepted - PPO

Fallon Health

Accepted - Fallon Navicare SCO and Medicare Advantage for

specialty/referral care only, no primary care. Participation does not

include Fallon ACO plans or Community Care.

Harvard Pilgrim Health Care

Accepted - HMO, POS, PPO, Health Plans Inc., ConnectorCare and

Student Resources. Participation does not include Elevate, Focus,

Quality Limited Network, BILH Domestic Community HMO, NH Local or

HPI Select products. Stride Medicare Replacement for

specialty/referral care only, no primary care.

Health New England

Accepted - PPO only, no other products accepted.

Humana

Accepted - PPO, POS, and Medicare Advantage PPO only. Participation

does not include Medicare Advantage HMO or other products.

Mass General Brigham Health Plan

Accepted - HMO, ConnectorCare, PPO, Medicare Advantage Plans and

MGBHP ACO. MGBHP Allies for specialty/referral care only, no

primary care.

MassHealth

Accepted – MassHealth, CMSP and Limited. C3 ACO, PCC Plan and

Steward ACO for specialty/referral care only, no primary care.

Medicare

Accepted – Medicare A & B

Multiplan / Private HealthCare Systems

Accepted - PPO

Senior Whole Health

Accepted - Medicare SCO, Medicaid SCO for specialty/referral care

only, no primary care. Participation does not include Choice Care

Medicare Replacement.

Transplant Centers of Excellence Networks

Accepted - Aetna Cofinity, Aetna Institutes of Excellence, Cigna

Lifesource, Coventry, Humana dba National Transplant Network,

Interlink, LifeTrac, OptumHealth

TriCare

Accepted - East and Tricare for Life. West with plan authorization.

Tufts Health Plan

Tufts Public Plan

Accepted - HMO, POS, EPO, PPO, Carelink, Medicare Advantage PPO.

Medicare Advantage HMO and SCO for specialty/referral care only, no

primary care. Participation does not include Tufts Select or USFHP.

Accepted – Tufts Together MCO for Select specialty/referral care only,

no primary care. Participation does not include One Care SCO,

ConnectorCare, Direct, CHA or Umass Mem Health ACO plans.

United

Accepted - POS, PPO, HMO, Student Resources, Indemnity, most

Choice Plus PPO, Medicare Advantage, Senior Care Options.

Participation does not include Community Out of State Medicaid

products or non-Choice plans. VA Community Care Network with plan

authorization.

Wellpoint

Accepted -GIC Indemnity, PPO, limited benefits for Community Care.

Wellsense

Accepted - MassHealth MCO Plan: specialty/referral care only, no

include primary care.

MassHealth ACO Plans: Boston Children’s ACO, Community Alliance

ACO and E.Boston Neighborhood ACO for specialty/referral care only,

no primary care.

Participation does not include all other ACO plans, ConnectorCare, SCO

or Commercial products.