Accepted Insurance Plans
Insurance Plans Accepted at UMass Memorial Health Care
UMass Memorial Medical Center, UMass Memorial HealthAlliance-Clinton Hospital and UMass Memorial - Marlborough Hospital accept plans from many insurance companies. There are many different types of plans and each is unique. it is very important that you understand what your plan offers and ask your health plan or employer what care and services they will cover and you will be expected to pay for. The best way to do this is to reach out to your insurer directly. Also review the Frequently Asked Questions document below.
View of the list of accepted insurance plans at UMass Memorial Health Care.
All contracts are subject to change. Before scheduling an appointment or seeking treatment, please check with your health insurance plan to verify full coverage.
Please be advised that there may be certain services provided in our facility which are not covered by your plan. Patients are responsible to in-quire with their health insurance plan to verify coverage prior to receiving services.
Most health plans require members to obtain a referral from a primary care provider before seeing a specialist.
Please note UMass Memorial is participating for Medicare but not contracted for some Medicare Advantage Plans, we currently participate in BCBSMA Medicare HMO and PPO Blue, Fallon Senior Plan and Harvard Pilgrim Health Care Medicare Advantage Stride, Tufts Medicare Preferred (TMP)*.
Certain plans may limit the geographic area in which patients can receive care, even for routine services. Your plan may refer to this as a "LIMITED NETWORK". UMass Memorial Health Care may not be part of the Limited Network used by your plan.
Please note: Latex Balloons No Longer Allowed at Medical Center
Due to allergic reactions to latex and the possible choking hazard for our pediatric patients, these balloons are no longer allowed. Mylar balloons are acceptable to bring into the hospital.