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Health Care Plans

At Lahey Hospital & Medical Center, we accept most health insurance plans. This includes Medicare, Massachusetts Medicaid and the managed care plans listed below. However, our health insurance affiliations may change. If your plan does not appear below, you may still be able to receive care at Lahey by obtaining a qualified referral from your primary care physician.

Some Lahey Health sites do not accept every product from the health plans 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.

If you have questions, please call the Contracting department at 781-744-8924.

Accepted insurance 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
  • Boston Medical Center (BMC) Health Net, Mass Health/Medicaid only
  • CIGNA Healthcare of Massachusetts and CIGNA of New Hampshire
  • Commonwealth Care Alliance One Care Plan
  • Commonwealth Care Alliance SCO Plan, specialty services only
  • 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 New England (HNE): for specialty care only. Excludes Medicaid and Medicare plans.
  • Humana – ChoiceCare Network PPO only
  • Humana Military (TRICARE)
  • 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), Humana Military
  • Tufts Health Plan, excluding Steward Community Care plan
  • Tufts Health Public Plans, excluding Tufts Unify
  • Tufts Together Plan
  • 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, except Evercare Senior Care Options (SCO), specialty care only

Managed Care Senior Plans

Health Insurance Plan Names of Products
Aetna Aetna Medicare Advantage
Anthem of New Hampshire Anthem Medicare Advantage HMO & PPO
Anthem Medicare Advantage PPO (specialty care only)
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), specialty care only
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
Senior Care Options (SCO), specialty care only
Medicare Supplement and Medigap plans Most Medicare Supplement (Medigap) plans including:
AARP, Fallon, Harvard Pilgrim, Humana, Medex (excludes Medex Choice plan), and Tufts Medicare

Accepted 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

We accept:

  • 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

Lahey Hospital & Medical Center has a contract with the following organizations for liver transplants only:

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

For the most up-to-date information, please contact your health plan.