Lahey Clinic 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 sites 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.
Managed Care Plans
- Aetna, Inc.
- Anthem Blue Cross Blue Shield of New Hampshire
- Blue Cross Blue Shield of Massachusetts
- CIGNA Healthcare of Massachusetts
- Fallon Community Health Plan
- First Health
- Great-West Healthcare (formerly One Health Plan)
- Harvard Pilgrim Health Care
- Healthcare Value Management
- Humana/ChoiceCare Network PPO
- MultiPlan
- MVP Health Care (specialty services only, with PCP referral and health plan authorization)
- Neighborhood Health Plan
- Northeast Healthcare Alliance, LLC (a MultiPlan company)
- Private Healthcare Systems
- TriCare (formerly CHAMPUS)
- Tufts Health Plan
- UniCare - Children's Medical Security Plan
- UniCare - Commonwealth Indemnity Plan (GIC members)
- US Family Health Plan (USFHP)/Brighton Marine Health Center
- United Healthcare
- United Insurance Company - Student Insurance Division
Managed Care Senior Plans
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Health Insurance Plan
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Names of Product
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Comments
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Blue Cross Blue Shield of MA
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Medicare HMO Blue
Medicare PPO Blue
Blue Medicare Private Fee for Service (PFFS) Plan
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Formerly Blue Care 65
Begins 1/08
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Harvard Pilgrim Health Care
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First Seniority Freedom Plan
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Medicare Private Fee for Service ( PFFS) Plan
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Tufts Health Plan
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Tufts Medicare Preferred HMO
Tufts Medicare Preferred PPO
Tufts Health Plan Medicare Preferred Private Fee for Service (PFFS) Plan
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Begins 1/08
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United Healthcare/
SecureHorizons
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MedicareComplete Plan (HMO)
MedicareComplete Choice Plan (PPO)
EverCare
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Begins 1/08
Begins 1/08
Excluding Senior Care Option (SCO) plan
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Fallon Community Health Plan
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Fallon Senior Plan
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Tertiary/specialty
services only, with PCP referral and authorization from Fallon
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Additional
Medicare Private Fee for Service (PFFS) Plans
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Including, but not
limited to, the products offered by: Aetna, Coventry, Humana, and HealthNet
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Currently
Lahey Clinic accepts all PFFS plans
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Various
Medicare Supplement/Medigap plans
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Including, but not
limited to, the following: AARP, Medex, Bankers Life and Casualty Company
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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 Clinic 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
