Billing & Financial Services
Billing, Insurance & Payment Resources
At Lahey Clinic, we understand that paying your medical bills can be a complicated, challenging process. Guided by our principles of respect, caring, teamwork, excellence and commitment to personal best, we are dedicated to making the payment process as simple and easy as possible.
Our financial services include helping you understand your health plan and copayment amounts and, if needed, access programs that support you in making your payments.
Ways to Pay Your Bill
We strive to create simplified billing processes so you can focus on your recovery.
Our financial advisors will work with you to understand your health plan coverage to help you determine your out-of-pocket responsibility.
For those who are uninsured or have large balances after insurance, we create interest-free payment plans that let you pay in installments. We have several financial assistance options available to those who may struggle to pay their medical bills.
If you have a MyBILH Chart account, you can easily view and pay your bills online.
Navigating Insurance Coverage
Lahey accepts many forms of health insurance, including several of the most popular plans on the market.
Prior to sending you your bill, we will bill your health plan, automobile or workers’ compensation provider for covered services.
We will also make all reasonable efforts to obtain referrals, authorizations and pre-certifications to help streamline the payment process.
If you need help paying for coverage, we will assist you in applying for relevant MassHealth, Commonwealth Care and Health Safety Net (Free Care) programs.
Your Responsibilities as a Patient
Planning ahead can help you stay on top of your coverage benefits and care costs. As a patient at Lahey, we ask you to:
- Know your insurance coverage and out-of-pocket expenses.
- Keep us up-to-date with your personal information, including home address, employer information and telephone numbers.
- Provide us with your health plan information.
- Tell us when a party other than your health plan will cover a service, such as your automobile insurance or workers’ compensation.
- Keep us, and your insurer, up-to-date with your choice of primary care doctor.
- Be sure your health plan or primary care doctor has provided the necessary referrals and authorizations for your care.
If you need help receiving or managing referrals, please visit our Contact page.
Patient Financial Rights & Policies
At Lahey, we comply with all federal laws requiring clear and helpful price information be made available. As our patient, you are also protected from balance billing, or surprise billing. Learn about our policies below:
As a Medicare beneficiary (or a patient with certain commercial health plans), federal regulations require us to notify you of your responsibility to pay for health care services received at our outpatient hospital departments. This is to ensure you understand the services you receive are being provided in a hospital outpatient department and may result in you paying a higher co-insurance amount.
Outpatient hospital services provided at the following locations will, in most cases, result in both a Lahey hospital facility charge and a charge from your doctor:
- 41 Mall Road, Burlington
- 31 Mall Road, Burlington
- 67 South Bedford Street, Burlington
- 50 Mall Road, Burlington
- One Essex Center Drive, Peabody
- MRI at 16 Hayden Avenue, Lexington
For example, a Medicare beneficiary who does not have supplemental Medicare insurance would incur an additional co-insurance amount of $13 for a level three* visit provided in the outpatient hospital department, compared to the same level three visit provided in a doctor’s office setting.
Please check with your health plan if you have questions about your coverage.
*Please note: For more information on these levels, visit the CMS.gov website and search CPT99213.
