Plastic Surgery

Below is a listing of contracted insurance plans that are accepted for reconstructive plastic surgery (non-cosmetic) by the Division of Plastic Surgery. Should your plan not be listed or should you have any questions regarding insurance coverage or payment, please contact the Division of Plastic Surgery main telephone number at 617.732.5282 for further assistance.

Should you have a question regarding worker's compensation coverage, please call our worker's compensation coordinator at 617.732.6347.

Aetna U.S. Healthcare  (HMO/QPOS, POS, EPO, PPO) primary and tertiary care (Hospital and Specialists in all products, all PCPs in PPO products; subset of PCPs in HMO/QPOS product)

Beech Street Corporation  (PPO) primary and tertiary care

Blue Cross and Blue Shield of Massachusetts, Inc.
(All Commercial products - HMO, POS, PPO, Indemnity)  (includes Managed Blue for Seniors, an HMO Blue plan offered through employer groups)

Medicare Advantage HMO Blue
(replaced Blue Care 65) (Medicare Advantage HMO) BWPO contracted for tertiary care only

Medicare Advantage PPO Blue
(Medicare Advantage PPO) Effective 1/1/08
BWPO contracted for tertiary care only

BMC HealthNet Plan 5 (Medicaid HMO)
participation limited to BWPO Radiation Oncologists providing services at Caritas St. Anne’s Hospital

Children’s Medical Security Plan primary care-children (BWH only)

CIGNA HealthCare of Massachusetts, Inc.  (HMO, POS & PPO)
primary and tertiary care

Commonwealth Indemnity Plan (administered by UNICARE)
primary and tertiary care (Formerly known as GIC Indemnity/Plus

Comprehensive Benefits Administrator, Inc.  (CBA PPO) tertiary care

Evercare  (Medicare Advantage HMO and Senior Care Options products) Participation limited to BWPO Faulkner PCPs

Fallon Community Health Plan, Inc.   tertiary care and Peace of Mind benefit
BWPO is now participating

First Health  (PPO) primary and tertiary care (part of HealtCare VALUE Management contract)

ForMost, Inc.  tertiary care (now part of the Multiplan PPO)

Great-West Healthcare  (HMO/POS/Open Access & PPO) primary and tertiary care (Formerly known as One Health Plan of Massachusetts, Inc.)

Harvard Pilgrim HealthCare, Inc.
(All Commercial products - HMO, POS, PPO except for Net Option NH) primary and tertiary care

Health Management Center Preferred Provider Organization, Inc.  (HMC PPO) primary and tertiary care (now part of the Multiplan PPO)

HealthCare VALUE Management, Inc.  (PPO) primary and tertiary care

Humana Choice Care  (PPO and National POS-Open Access) primary and tertiary care (National POS-Open Access product contracted as of 7/1/06

Medicaid Managed Care (MMC-PCC Program) (HMO)
primary and tertiary care

MIT Medical Department (HMO)
primary and tertiary care (BWPO participates and is paid through BCBS-claims are submitted to BCBS)

Multiplan PPO primary and tertiary care (contract effective 7/1/07)

Neighborhood Health Plan of Massachusetts, Inc.
(Commercial, Commonwealth Care and Medicaid HMO) primary and tertiary care
Note: PCPs under the Commonwealth Care products are limited to Brookside and SJP Community Health Centers

Network Health 
(Medicaid and Commonwealth Care HMO) (Contract effective 9/1/06)

Partners Occupational Health Network
(Partners employees only)

Private HealthCare Systems, Inc.  (PPO) primary and tertiary care

Tufts Associated Health Plan
(All Commercial products - HMO, POS, PPO except for Tufts HMO Select, a Commonwealth Choice product) primary and tertiary care

Tufts Medicare Preferred HMO
(formerly Secure Horizons) (Medicare Advantage HMO) BWH only tertiary care

Tufts Medicare Preferred PPO primary and tertiary care

UNICARE Life & Health Insurance Company  (PPO) primary and tertiary care

United HealthCare of New England, Inc. 
(PPO, POS, EPO, Direct Access) primary and tertiary care (BWH and BWPO NOT in HMO products)

Center of Excellence Contracts

Aetna Institutes of Excellence
Bone marrow/stem cell, heart, lung, kidney transplants

Best Doctors, Inc.
Tertiary care, including transplants

Cigna LifeSource
Bone marrow/stem cell, heart, lung, kidney transplants

Humana Cancer Centers of Excellence
through the National Comprehensive Cancer Network)(NCCN)

BWH-BWPO Managed Care Contracted Plans

Interlink Health Services, Inc.
Bone marrow/stem cell, heart, lung, kidney transplants

LifeTrac Network
Tertiary care including bone marrow/stem cell, heart, lung, kidney transplants

Protocol Tertiary Networks
heart, lung, kidney transplants

United Resource Networks (National Transplant Network)
Bone marrow/stem cell, heart, lung, kidney transplants

United Resource Networks (Oncology Network)
Oncology services

(Updated 03/4/2008)