Below is a listing of contracted insurance plans that are accepted in the Division of Otolaryngology. Should your plan not be listed or should you have any questions regarding insurance coverage, please contact 617-525-6500 for further assistance.
BWPO Managed Care Contracted Plans
(Updated 06/16/2009)
1. Aetna U.S. Healthcare (HMO/QPOS, POS, EPO, PPO) primary and tertiary care
2. Beech Street Corporation (PPO) primary and tertiary care
3. Blue Cross and Blue Shield of Massachusetts, Inc. (All Commercial products – HMO, POS, PPO, Indemnity) (includes Managed Blue for Seniors) primary and tertiary care
4. Medicare Advantage HMO Blue tertiary care only
5. Medicare Advantage PPO Blue (Medicare Advantage PPO) - tertiary care only
6. CIGNA HealthCare of Massachusetts, Inc. (HMO, POS & PPO) primary and tertiary care
7. Commonwealth Indemnity Plan (administered by UNICARE) primary and tertiary care [Formerly known as GIC Indemnity/PLUS]
8. Comprehensive Benefits Administrator, Inc. (CBA PPO) tertiary care
9. Coventry Healthcare (PPO) primary and tertiary care [Purchased First Health and HCVM]
10. Fallon Community Health Plan, Inc. - tertiary care. [BWH and BWPO are contracted as Tertiary Providers and Peace of Mind Providers (member initiates authorization for Peace of Mind benefit)].
*Authorizations are required for all physician and hospital services (referrals do not suffice)
11. First Health (PPO) primary and tertiary care [Part of HealthCare VALUE Management contract; purchased by Coventry Healthcare]
12. ForMost, Inc. tertiary care [Now part of the Multiplan PPO]
13. Great-West Healthcare (HMO/POS/Open Access & PPO) primary and tertiary care [Formerly known as One Health Plan of Massachusetts, Inc.; purchased by Cigna Healthcare]
14. Harvard Pilgrim HealthCare, Inc. (All Commercial products – HMO, POS, PPO except for Net Option NH) primary and tertiary care
15. Health Management Center Preferred Provider Organization, Inc. (HMC PPO) primary and tertiary care [Now part of the Multiplan PPO]
16. HealthCare VALUE Management, Inc. (PPO) primary and tertiary care [Purchased by Coventry Healthcare]
17. Humana Choice Care (PPO and National POS-Open Access) primary and tertiary care
18. Medicaid Managed Care (MMC-PCC Program) (HMO) primary and tertiary care
19. MIT Medical Department (HMO) primary and tertiary care [BWPO participates and is paid through BCBS-claims are submitted to BCBS
20. Multiplan PPO primary and tertiary care
21. Neighborhood Health Plan of Massachusetts, Inc. (Commercial, Commonwealth Care and Medicaid HMO) primary and tertiary care
22. Network Health (Medicaid and Commonwealth Care HMO) primary and tertiary care
23. Partners Occupational Health Network [Partners employees only]
24. Private HealthCare Systems, Inc. (PPO) primary and tertiary care
25. Tufts Associated Health Plan (All Commercial products – HMO, POS, PPO except for Tufts HMO Select, a Commonwealth Choice product) primary and tertiary care
26. Tufts Medicare Preferred HMO tertiary care only
27. Tufts Medicare Preferred PPO primary and tertiary care
28. UniCare Life & Health Insurance Company (PPO) primary and tertiary care
29. United HealthCare of New England, Inc. (PPO, POS, EPO, Direct Access) primary and tertiary care (BWH and BWPO NOT in HMO products)
International Contracts
1. Canadian Medical Network (BWH ONLY)
2. The Fondo Integrativo Sanitario Dirigenti Gruppo ENI (F.I.S.D.E.) (BWH ONLY)
3. Global Excel (on behalf of BF&M only) (BWH ONLY)
4. Pinnacle Care International (P.C.I.)
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