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Health Insurance Plans Accepted by Atrius Health

The Atrius Health practices (Granite Medical Group, Dedham Medical Associates and Harvard Vanguard Medical Associates) accept most health insurance plans and most indemnity and Medigap plans.

Please note that the insurance plans listed below are independent of Atrius Health. If you have questions on your individual insurance plan (what it covers, what your benefits are, etc.) please contact your insurance company at the member services number on your health insurance card.

If you have questions about whether or not your insurance plan is accepted by Atrius Health, call 1-800-249-1767. We may not accept every product from these insurance plans listed below. Please check with us to confirm participation.


Aetna

  • HMO
  • EPO
  • POS
  • PPO

Please note: We do not accept Aetna Medicare Open Medicare Private Fee-for-Service Plan and are out-of-network for Aetna Golden Choice Medicare PPO.


Blue Cross Blue Shield of Massachusetts

  • HMO
  • EPO
  • POS
  • PPO 

Please note: We do not accept Medicare HMO Blue and are out-of-network for Medicare PPO Blue.


CIGNA

  • HMO
  • EPO
  • POS
  • PPO
  • Carelink

CareLink


 Commonwealth Care Alliance (CCA) - OneCare 

  • OneCare only (people who have both Medicare & MassHealth and are between the ages of 21 - 64 years) - For current Atrius Health patients only.

Please note: We do not accept Commonwealth Care Alliance Senior Care Options (SCO).


Community Care Network (part of Coventry Health Care)


Coventry Health Care

Please note: We do not accept Coventry Advantra Freedom (Medicare PFFS plan).


Fallon Health Plan

  • HMO
  • EPO
  • POS
  • PPO
  • Indemnity

Please note: We do not accept Fallon Direct Care, Fallon CarePlus or Fallon Senior Plans.


FirstHealth (part of Coventry Health Care)


Harvard Pilgrim Health Care

  • HMO
  • EPO
  • POS
  • PPO
  • Choice Plus PPO
  • Options PPO
  • Focus Plans (HMO and PPO)
  • Primary Choice HMO 
  • Harvard Pilgrim/United Healthcare Passport Connect
  • Medicare Enhance

Please note: We do not accept HPHC Stride (Medicare Advantage HMO) or HPHC Elevate (limited New Hampshire network product).  Also, while Atrius Health participates in HPHC Primary Choice HMO (GIC) and HPHC Focus Plans, not all Atrius Health preferred specialists or hospitals are in these networks.


Harvard University Group Health Plan


HealthCare Value Management (part of Coventry Health Care)


Medicare

Please visit medicare.gov or contact the plan directly for more information about the costs and benefits covered for a specific Medicare plan.

  • Original Medicare
  • Medicare Advantage:
    • The only Medicare Advantage HMO plan we accept is Tufts Medicare Preferred HMO (1-888-974-0122)
  • Medicare Supplement Plans:
    • AARP/United Health Care
    • Aetna Individual Medicare Supplement Plan
    • Blue Cross Blue Shield of MA Managed Blue for Seniors
    • GIC Commonwealth Indemnity Medicare Plan Extension (OME)
    • Harvard Pilgrim Medicare Enhance
    • Harvard Pilgrim Medicare Supplement Plan
    • Medex (all plans)
    • Tricare for Life
    • Tufts Medicare Complement
    • Tufts Medicare Preferred Supplement Plan (Core and One)
    • United Health Care/AARP
The above list highlights some of the Medicare Supplement Plans we accept at Atrius Health, but it is not a complete list of plans accepted at the practice.   If your Medicare Supplement is not listed above, please call 1-800-249-1767 to check if we accept your specific plan.

Please note: We do not accept Blue Cross Blue Shield of Massachusetts - Medicare HMO Blue; Harvard Pilgrim Stride and Fallon Senior Plans. We are out-of-network for Aetna Medicare PPO, Blue Cross Blue Shield of Massachusetts - Medicare PPO Blue and United Medicare Complete.



MultiPlan


Neighborhood Health Plan

Member ID cards will include one of the following product names:

  • NHP Connect (MassHealth)
  • NHP Prime HMO (Commercial)
  • NHP Prime HMO (Health Connector)
  • NHPCare (GIC)
  • NHP Prime PPO (cobranded with PHCS)

Passport Connect (United Health Care/Harvard Pilgrim Health Care)


Private Healthcare Systems (Part of MultiPlan)


Tufts Health Plan

  • CareLink plans
  • HMO
  • EPO
  • POS
  • PPO
  • Tufts Total Health Plan
  • Tufts Medicare Complement
  • Tufts Medicare Preferred HMO (1-800-867-2000)
  • Tufts Health Plan Select Network
  • Tufts Health Plan Senior Care Options (SCO).

Please note: Atrius Health does not participate in Tufts Health Plan Spirit EPO (GIC) product or any Tufts Health Plan Public Plans (formerly known as Tufts Health Plan - Network Health, and includes the following products: Together, Direct, Unity and Forward). Also, while Atrius Health participates in Tufts Health Plan Select Network, not all non-Atrius Health preferred specialists or hospitals are in this network.


United Health Care

  • HMO
  • EPO
  • POS
  • PPO

Please note: We do not accept AARP/United Health Care/Secure Horizons Medicare Advantage HMO or PFFS (Private Fee-for-Service) plans and we do not accept United Health Care Special Needs Plans (PPO SNP). We are out-of-network for AARP/United Health Care/Secure Horizons Medicare Advantage PPO and POS plans.


Additional Insurance Information:

  • We are out-of-network for the following MassHealth Managed Care Plans:
    • Boston Medical Center (BMC) HealthNet
    • CeltiCare
    • MassHealth Primary Care Clinician Plan (specialty visits require a valid referral from your non-Atrius Health or Dedham Medical Associates PCP only).
    • Minuteman Health
    • Tufts Health Plan/Network Health (formally Network Health)
  • We do not accept ANY out-of-state Medicaid plans