Accepted Insurance Plans

Lahey Hospital & Medical Center participates in or accepts most health insurance plans, including Medicare, Massachusetts Medicaid and the managed care plans listed below. Health insurance affiliations may change. Please note: If your plan is not listed, you may still be able to receive care at Lahey by obtaining a qualified referral from your primary care physician.

Some Lahey Hospital & Medical Center locations do not accept every product from the health plans listed below. In addition, some health insurance plans use a separate company to manage their mental health benefits. Please check with your health plan to confirm participation.

Questions? Please call 781.744.8924.

Health Care Plans (for Medicare plans, see chart below)

  • Aetna, Inc.
  • Anthem Blue Cross Blue Shield of New Hampshire
  • Blue Cross Blue Shield of Massachusetts: all plans including Blue Choice PPO, HMO Blue, Federal Employee Plan and all out of state plans administered by the Blue Card Program
  • CIGNA Healthcare of Massachusetts and CIGNA of New Hampshire
  • Commonwealth Care Alliance SCO and One Care plans
  • Coventry Health Care: including First Health and Healthcare Value Management
  • Fallon Community Health Plan, excluding Navicare SCO and Total Care plans
  • First Health
  • Group Insurance Commission (GIC)
  • Great-West Healthcare/CIGNA
  • Harvard Pilgrim Health Care, excluding Elevate Health and New Hampshire Network HMO
  • Health Net Federal Services (TRICARE)
  • Health New England (HNE): for specialty care only. Excludes Medicaid and Medicare plans.
  • Humana - ChoiceCare Network PPO only
  • Mass Health Managed Care program Primary Care Clinician (PCC) plan
  • Minuteman Health (PNA)
  • MultiPlan
  • MVP Health Care, excluding New York Benefit Exchange plan
  • Neighborhood Health Plan (NHP)
  • Network Health, excluding Network Health Unify
  • Northeast Healthcare Alliance, PPO (a MultiPlan company)
  • Private Healthcare Systems (a MultiPlan company)
  • TRICARE (formerly CHAMPUS), Health Net Federal Services
  • Tufts Health Plan, excluding Steward Community Care plan
  • Tufts Health Public Plans, excluding Tufts Unify
  • UniCare - Commonwealth Indemnity Plan (GIC members) and Children's Medical Security Plan
  • US Family Health Plan (USFHP)/Brighton Marine Health Center
  • US Family Health Plan (USFHP)/Martin’s Point (New Hampshire locations only)
  • United Healthcare, excluding Evercare Senior Care Options

Managed Care Senior Plans

Health Insurance Plan  

Names of Product  

Aetna

Aetna Medicare Advantage

Anthem of New Hampshire

Anthem Medicare Advantage HMO & PPO

Blue Cross Blue Shield of Massachusetts

Medicare HMO Blue (formerly Blue Care 65)
Medicare PPO Blue
Medex Supplement Plans, excluding Medex Choice plan
Managed Blue for Seniors

Commonwealth Care Alliance Commonwealth Care Alliance Senior Care Options (SCO)

Fallon Community Health Plan

Fallon Senior Plan
Fallon Medicare Supplement Plan

Harvard Pilgrim Health Care Harvard Pilgrim’s Medicare Supplement Plan
Medicare Enhance
Stride HMO  

Tufts Health Plan

Tufts Medicare Preferred HMO
Tufts Medicare Supplement Plans
Tufts Medicare Complete Plans
Tufts Senior Care Options (SCO)

United Healthcare

AARP Medicare Complete HMO- POS and AARP Medicare Complete PPO
AARP Medicare Supplement
EverCare PPO, EverCare Erikson, excludes Evercare Senior Care Options (SCO)

Medicare Supplement and Medigap plans

Most Medicare Supplement (Medigap) plans including: AARP, Fallon, Harvard Pilgrim, Humana, Medex (excludes Medex Choice plan), and Tufts Medicare

International Health Plans

  • Alberta Health
  • American Life Insurance Company (ALICO)
  • Argus-Somers Isle Insurance Company, Bermuda
  • Bermuda Fire & Marine
  • British American Insurance
  • Canada Life
  • Canadian Medical Network
  • Colonial Medical Insurance
  • Global Excel Management
  • Government Employees Health Insurance Scheme of Bermuda (GEHI)
  • Hygeia Network
  • International SOS
  • Kitson Benefit Services
  • Lady Cupid Compassionate Association, Bermuda (LCCA)
  • Specialty Risk Insurance
  • USA Medical Services/Amedex
  • World Access Benefits
  • WTP Medical Claims

Transplant Services: Liver, Kidney and Autologous Stem Cell

  • Blue Cross Blue Shield of Massachusetts
  • Fallon Community Health Plan through INTERLINK Health Services
  • Harvard Pilgrim Health Care
  • Healthcare Value Management
  • MultiPlan Organ Transplant Network
  • MVP Health Care
  • Private Healthcare Systems
  • Tufts Health Plan
  • UniCare - Commonwealth Indemnity Plan (GIC members)
  • United Resource Networks

Additional Liver Transplant Affiliations

At this time, Lahey Hospital & Medical Center is contracted with the following organizations for liver transplants only. This list may expand to include kidney and autologous stem cell in the future. For up-to-date information, please contact your health plan.

  • Aetna's National Organ Transplant Network
  • CIGNA LIFESOURCE Organ Transplant Network
  • First Health Organ Transplant Network