华人医生数据库 Chinese Medical School Graduates Gathering in North American

其他信息

专业认证： Board-Certified in Pediatrics

接受保险
Aetna
All Commercial Plans
Medicare Advantage PPO
Medicare Supplemental (i.e. Medex) -- (if patient has Medicare as primary)

Anthem Blue Cross Blue Shield

HMO- only with referral/prior auth.
PPO

Blue Cross Blue Shield of Massachusetts


Most Massachusetts Plans
Medicare Advantage

Blue Cross Blue Shield of Rhode Island

PPO (large employer groups)

RI ConnectorCare:
Blue Solutions HAS
Basic Blue Direct
Vantage Group Direct

Blue Cross Blue Shield -- Out of State




PPO

BCBSMA has a reciprocal relationship with other states' BCBS PPO Plans. Verify details of
benefit plan for patients with out-of-state BCBS HMO/POS to determine if Tufts MC and PO are in
network.

BMC HealthNet


Medicaid MCO (specialty care only)
QHP Silver (Connect Care) (specialty care only)
Senior Care Option (SCO)

ACO Plans:
Community Alliance (Boston)
Mercy Alliance (Springfield)
Signature Alliance (Brockton)
SouthCoast Alliance

Cigna


All Commercial Plans
Medicare Supplemental (i.e. Medex) -- (patient has Medicare as primary)

Commonwealth Care Alliance


One Care Plan (specialty care only for ages 18-64)

Community Health Options- ME and NH

Commercial- subsidized plans for individuals and families

Coventry

PPO (See Aetna)

Fallon Health


Direct
Flex Care
Preferred Care PPO
Select
Senior Plans (specialty care only)

ACO Plans:
Berkshire Fallon Health- Collaborative
Fallon 365 Care- Reliant Medical Group
Fallon 365 Care- Southboro Medical Group
Wellforce Care Plan

First Health


PPO (see Aetna)

Harvard Pilgrim Health Care


HMO
POS
PPO
Medicare Supplemental
National Plans
Stride Medicare Advantage (specialty care only)
Maine's Choice HMO


Health New England

PPO (for out-of-network benefits for specialty care only)

Health Plans, Inc.

HMO
PPO
EPO (administered through HPHC)

Humana Military- Tricare East Region

Tricare Select

MaineCare


Maine Medicaid (when referred directly from MaineCare)

MassHealth

CarePlus
Standard

Primary Care ACO Plans:
Community Care Collaborative (C3)- (includes 15 federally qualified health centers across Mass.)
Partners Healthcare Choice
Steward Healthcare Choice

Medicare


For specific Medicare plans accepted, refer under each Insurance Payer¡¯s Plans Accepted.

MultiPlan, Inc./PHCS


PPO

NCE Health Plans (The National Congress of Employeers)

All Plans

Neighborhood Health Plan - MA


All Commercial Plans (Massachusetts Connector Products)

ACO Plans:
My Care Family - (Lawrence Family Health Center, Lowell General Hospital, Neighborhood Health
Plan)

New Hampshire Healthy Families (NHHF)


NH Medicaid Product

Oxford Health Plans

Choice Plus

Senior Whole Health


Senior Whole Health

Tricare


See Humana Military- Tricare Region East

Tufts Health Plan

Note: While we work very closely with Tufts Health Plan and most other major insurers, we are not
affiliated with Tufts Health Plan in any way. While we accept the majority of their plans, we do not
accept Tufts Medicare Preferred for Primary Care services.




CareLink Plan Design
Lifespan Premier Choice (HMO and PPO tiered products for RI employer groups)
Most Commercial Plans
Medicare Supplemental
Tufts Medicare Preferred (specialty care only)
Senior Care Option (SCO)
Unify (dual eligibility 18-64)

Tufts Health Public Plans



Tufts Together (for specialty care only)
Tufts Unify (dual eligibility 21-64 yrs old)

ACO Plans:
Tufts Together with Atrius Health
Tufts Together with Beth Israel- Deaconess Care Organization
Tufts Together with Boston Children's Hospital ACO
Tufts Together with Cambridge Health Alliance

Unicare


GIC

United Healthcare


Choice Plus
Erickson Advantage POS
Erickson Advantage Champion/Guardian HMO-POS-SNP
Group Medicare Advantage PPO
Medicare Supplemental (Plan Core & Plan Supplement 1)
Passport Plan
PPO
UnitedHealthcare Senior Care Options (SCO)

U.S. Family Health Plan Brighton Marine

Specialty Care only with approved referral prior to scheduling.


Veterans Health Administration (VHA)

Veterans Choice Program