Use Your Insurance Or Self-Pay?

The insurance climate changes frequently and as you are no doubt already aware, very few health professionals take every insurance. Basically, that’s because insurance companies either make it difficult for the health care provider to do business with them and the professional eventually decides not to accept that insurance company’s plans or the insurance company just doesn’t want to add any more health care professionals to their “panel” of providers because it doesn’t suit their business plan.

The person paying the price for such insurance company shenanigans, of course, is the consumer.

At our office, like every other office, payment is expected at the time of service. We are plan providers for Massachusetts Blue Cross Blue Shield Products, Tufts Health Plan and Medicare. Recently, we have become Out-Of-Network providers approved for the new hybrid Harvard Pilgrim-United Healthcare program as well as for SOME programs managed by Beacon Health Strategies. That means we can generally bill them directly and accept payment from them with any left-over balance being owed by the patient. BUT PLEASE NOTE: if your insurance card has two different insurance company names on it, you may NOT exactly have the insurance coverage you think you have, especially if you have a Tufts plan. Nearly every insurance company “carves out” behavioral health benefits to be administered by ANOTHER insurance company and it is that OTHER insurance company that determines if a particular health care professional is on “their panel.” If in doubt, call us or please call your insurance company and ask – usually there is a toll-free phone number on your insurance card to call with questions.

We are not HMO/network providers for Cigna, Aetna or other insurance plans, but if you have a PPO plan or have Out-Of-Network benefits with these or any insurance plan, you may be able to get insurance reimbursement for our services. Please call our office at 508 775 6766.

We also offer a private pay option for individuals not covered by insurance or not wishing to utilize their insurance benefit for reasons of confidentiality, privacy or personal preference. We offer payment plans and credit card payments through Paypal.

If you plan on utilizing any insurance benefit, you should contact our billing office in advance to ensure that insurance usage for the intended service request is permitted.

Office Hours, Appointments and Accessibility:

Appointments may be made by calling our main office at: 508 775 6766.

New patients must confirm appointments 72 hours in advance by calling our main office or the appointment will be canceled.