Some states do not allow the limitation or exclusion of liability for incidental or consequential damages, so the above limitations or exclusions may not apply to you. Find a doctor Find a doctor, dentist, or other health care provider Provider search tool last updated on 4/6/2023 In order to redirect resources and staff to care for COVID-19 patients, some provider offices may be temporarily closed, relocating services and/or operating under modified hours. You may also receive a phone call asking you to complete the survey. This means you should: We use cookies and limited processing of your personal information for our We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. Stay Updated By using this site, you agree not to reproduce, retransmit, distribute, disseminate, sell, publish, broadcast, print or circulate any of the information received through this Web Site to anyone without the express prior written consent of Consumers' CHECKBOOK This Web Site, and any of its data, listings or other constituent elements may not be downloaded, scraped, harvested, republished, resold or duplicated, in whole or in part, for commercial purposes or for purposes of compiling mailing lists or any other lists. Mass General Brigham Health Plan has made reasonable efforts to validate that the list of providers is up to date and accurate. Please be aware that certain providers may not participate in all plans. Please read these Terms of Use carefully. Qualify for ConnectorCare and you can: See a doctor who will help coordinate all of your healthcare. for information about your benefits and coverage to make sure that your plan covers services offered by a provider (chiropractic care, for example). Explore fellowships, residencies, internships and other educational opportunities. Find a Doctor, Hospital, or Pharmacy Select your plan. We can help you find a Psychiatrist who accepts MassHealth in your area. Questions? MassHealthOptometrists in Massachusetts listed on Doctor.com have been practicing for an average of: 19 year (s) Average ProfilePoints score for Optometrists in Massachusetts who take MassHealth: 55/80. Any areas of network need are addressed in a prompt and efficient manner. When you use this site, it is important that you are fully aware of our respective legal rights and obligations. View instructions for finding a doctor online. Our Provider and Pharmacy Directory make it easy to find the care you need. Find a Mass General Doctor in the Department of Medicine, Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance. collected, please refer to our Privacy Policy. An indication on the provider list as to whether a practitioner can accept new patients may change at this time. The list of providers is updated on a daily basis. Top 10 MassHealth Provider Specialties in Massachusetts: Dentist (16 providers) Nurse Practitioner (NP) (8 providers) Addiction Medicine Specialist (6 providers) Counselor (4 providers) Chiropractor (2 providers) Internist (2 providers) Optometrist (Eye & Vision Specialist) (2 providers) Psychiatrist (2 providers) Social Worker (2 providers) Do you need health coverage? You can find a PCP by going to . BMC HealthNet Plan is a non-profit managed care organization that has provided health insurance coverage to Massachusetts residents for more than 20 years. MassHealth from Fallon Health serves all cities and towns in Worcester County plus parts of Franklin County, Hampden County, Middlesex County and Norfolk County. If you receive this survey in your mailbox, please tell us what you think. You can also use the filters to search for more specific information. Senior Care Options - Massachusetts. The information in the Directory is provided on an as-is basis. Mass General Brigham Health Plan is not liable for any losses, damages, or uncovered charges as a result of using this provider search tool or as a result of receiving care from a provider listed in the provider search tool. Click on the appropriate health plan. Find a Provider or Pharmacy We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. You should contact the provider directly for the most up to date information and to determine if they are accepting new patients. If you are a Tufts Health Together (MassHealth), Tufts Health RITogether (Rhode Island Medicaid), Tufts Health Unify (Medicare-Medicaid plan), or Tufts Health Plan Senior Care Options (65+ Medicare-Medicaid plan) member: You may need to renew your coverage this year. Please note that you may also file a complaint with the Massachusetts Division of Insurance with respect to the accuracy of this list of providers or the adequacy of this list of providers by calling, Innovations from Mass General Brigham Health Plan, Search for network pharmacies anywhere in the US, Search for a dentist outside of Massachusetts, healthplanCustomerService-Members@mgb.org, www.mass.gov/how-to/filing-an-insurance-complaint. PCPs and some other specialists have patient panels and as such can opt to be closed to new patients when their respective panels are full of other patients. This page states the Terms and Conditions under which you may use this Directory. Furthermore, Mass General Brigham Health Plan contracts only with hospitals that are accredited by the Joint Commission and/or meet specific quality standards as documented during a site visit. To add a provider to our network, we use specific criteria for primary care physicians and commonly used medical specialties such as cardiology, obstetrics and gynecology, general surgery, orthopedics, and urology. 100%. Specialty. You can find specialists by going to the MassHealth Provider Directory. professionals best suited to meet their unique needs. Doctors Find a Mass General Doctor Narrow your search for a Mass General doctor by using the search box and/or filters. You canclick here for a list of definitions of some important words that you will see in the provider descriptions. You should contact the provider directly for the most up to date information and to determine if they are accepting new patients. Select your plan below to find a doctor, hospital, or pharmacy. In light of these purposes, please note that you must accept cookies in order to use the Consumers' CHECKBOOK website. You are now being transferred to the CCA corporate website. BMC HealthNet Plan is a non-profit managed care organization that has provided health insurance coverage to Massachusetts residents for more than 20 years. A Reset font size. Providers are not limited to seeing patients in certain settings unless designated in this Provider Directory. Health & Social Services MassHealth In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. Were working with SPH Analytics to send the Consumer Assessment of Healthcare and Provider Systems (CAHPS) survey. You are now leaving the WellSense website, and are being connected to a third party web site. You can find doctors and hospitals in our network here see ourprivacy practices, and learn how we make sure you get the right care at the right time with ourUtilization Management policy. Get immediate health advice from a trained nurse. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Mass General Brigham Health Plan has made reasonable efforts to validate that the list of providers is up to date and accurate. Same-day appointments are often available, you can search for real-time availability of Naturopathic Doctors who accept MassHealth insurance and make an appointment online. While we have attempted to make the Directory as thorough as possible, under the best of circumstances, it will not be complete, may change during the plan year, and may contain errors or omissions. A provider listing in the provider search tool is not an indication that the providers services are eligible for coverage. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Copyright by Center for the Study of Services / Consumers' CHECKBOOK. Not a member yet? By accessing the noted link you will be leaving our website and entering a website hosted by another party. Find a list of providers by city in a downloadable PDF format. Learn about the many ways you can get involved and support Mass General. The call is free. Please consult your plan materials at Member.MassGeneralBrighamHealthPlan.org. 2023 Mass General Brigham Health Plan, Inc. All Rights Reserved.Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.and Mass General Brigham Health Insurance Company, Find a provider without logging in to your member portal account using the. On average, patients who use Zocdoc can search for a Naturopathic Doctor who takes MassHealth insurance, book an appointment, and see the Naturopathic Doctor within 24 hours. Exclusively for BMC HealthNet Members: Great Extra Benefits*, doctors and hospitals in our network here, Nondiscrimination (Qualified Health Plan), See a doctor who will help coordinate all of your healthcare, See specialists (doctors who have extra training in an area of medicine, such as cardiology, dermatology, or pediatrics), Speak with a nurse about your health questions 24/7, Fill a prescription at your local pharmacy, Get access to mental health and substance use services, Get extra help for special conditions like asthma and diabetes, Money back for participating in WW (formerly Weight Watchers), Partial reimbursement for either gym membership fees or a fitness tracker purchase. Learn about career opportunities, search for positions and apply for a job. By accessing or using this Directory, you agree to be bound by these Terms and Conditions: The content contained within the Massachusetts Health Connector Provider Directory website and its associated web pages are presented by Consumers' CHECKBOOK , a division of the Center for the Study of Services, with the intent of providing public service information on consumer products, service provider quality and prices, and consumer health and health-related topics. Please refer to your plan materials on Member.MassGeneralBrighamHealthPlan.org for information about your benefits and coverage to make sure that your plan covers services offered by a provider (chiropractic care, for example). This information is not an endorsement of a particular physician or health care professionals suitability for your needs. By registering on this site or using this site you will be deemed to have irrevocably agreed to these Terms and Conditions. However, these protections have ended, and MassHealth has restarted its standard renewal process. MassHealth has an online directory that lists demographic information for Behavioral Health providers, specialists, and providers in the Primary Care Clinician Plan and Primary Care Accountable Care Organizations. For accurate results, be sure to select the network of the plan you're considering. This Directory is provided as an informational guide only to help you make informed choices when selecting your health care provider(s) and insurance plan. Tools and resources to help you find the path to your best health. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Directorio de Proveedores. In no event will Consumers' CHECKBOOK/Center for the Study of Services or HBX be liable to you or anyone else for any decision made or action taken by you in reliance on such information or views or for any incidental, consequential, special, or similar damages even if advised of the possibility of such damages. By using our site, you agree to our use of cookies and our. Choose "Massachusetts" as your state, and "Fallon Health" as your plan. Not sure whether to see a doctor? The Patient Gateway provides secure online access to your health information whenever you need it. After you finish searching for your doctor, hospital or pharmacy, please take this brief survey about your experience. to analyze our web traffic. Copyright 2007-2023. In 1997, Boston Medical Center founded WellSense Health Plan, Inc., now one of the top ranked Medicaid MCOs in the country, as a non-profit managed care organization. Please contact the provider directly prior to scheduling an appointment to verify that the provider continues to be a member of your plans network. You can get these documents for free in other formats, such as large print, braille, or audio. Learn about how to use your plan, explore benefits, find a provider and more. Browse topics below. We do evaluate site usage by analyzing user information in the aggregate, only in a way that does not identify any individual user. By choosing "OP Clinic/MH Center," you will include the following provider types in your search: Outpatient Clinics and Mental Health Centers. Llame al 866-610-2273 (TTY 711). MassHealthChoices.com Click on Compare Click on Find a Provider Search for a Primary Care Provider by your home zip code, address, or city/town. Boston,
At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. The Plan does not use quality measures, member experience measures, patient safety measures or cost related measures to select hospitals and/or practitioners. Furthermore, Mass General Brigham Health Plan contracts only with hospitals that are accredited by the Joint Commission and/or meet specific quality standards as documented during a site visit. Please note that WellSense is not responsible for the information, content or product(s) found on third party web sites. All providers must abide by Mass General Brigham Health Plan policies and accept the reasonable rates as outlined within their provider contract. Newton. Although we use a host of criteria to ensure we meet members' needs, Mass General Brigham Health Plan does not use quality measures, member experience measures or cost-related measures to select practitioners for our Health Connector plans. What can you do if your doctor is not available? MassHealth Psychiatrists listed on Doctor.com have been practicing for an average of: 13 year (s) Average ProfilePoints score for Psychiatrists who take MassHealth: 57/80. Please select the county where you live. The information listed in the MassHealth Network Provider Directory is based on MassHealth Provider file information. Policies & Forms; Member Handbook; Provider Directory; MassHealth The Find a Doctor tool/DoctorSmart directory lists all in-network providers. Please refer to your plan materials on. Additional notes on contact lens coverage: MassHealth pays for hard, soft, or gas-permeable contact lenses if one or more of the following conditions exists: (a) postoperative cataract extraction; or (b) keratoconus; or (c) anisometropia of more than 3.00D; or (d) more than 7.00D of myopia or hyperopia. Consumers' CHECKBOOK uses "cookies" to maintain your access privileges during an online session. Get the latest news, explore events and connect with Mass General. You may also need to check if the provider is accepting new patients. For a faster response, please call us directly at 888-666-8135. . Please be aware that certain providers may not participate in all plans. If you have any questions or concerns about these Terms of Conditions and Use, you may write to us at: Privacy Office Checkbook/CSS 1625 K Street, NW, Eighth Floor Washington, DC 20006. Mass General Brigham Health Plan has availability standards to ensure that we have enough of each type of specialist to meet the needs of our members and that providers are located within a reasonable distance of members homes. Please note that you may also file a complaint with the Massachusetts Division of Insurance with respect to the accuracy of this list of providers or the adequacy of this list of providers by calling617-521-7794, or going online atwww.mass.gov/how-to/filing-an-insurance-complaint. MassHealth - East Boston Neighborhood Health WellSense Alliance MassHealth - WellSense BILH Performance Network ACO MassHealth - WellSense Boston Children's ACO MassHealth - WellSense Care Alliance An official website of the Commonwealth of Massachusetts Here's how you know. Contact us MassHealth Boston, MA 02108 (800) 841-2900 Our customer service representatives are available Monday through Friday from 8 a.m. till 5 p.m. TDD/TTY 711 For people who are deaf, hard of hearing, or speech disabled. Always read health insurance plan brochures and contracts thoroughly before enrolling. Office Provider Language Gender Patient Age Range Phone Number Additional Needs Special Needs Handicap Accessible Uses Sedation MassHealth Primary Care Clinician (PCC) Plan for MassHealth Members Learn about the MassHealth PCC Plan The Primary Care Clinician (PCC) Plan is a managed care health plan for MassHealth members. For that reason, we have created these Terms of Use as the legally binding terms to govern your use of the Consumers' CHECKBOOK website and your obligations when you provide information for the website. If you need to see someone face-to-face, urgent care may offer the services you need without the long wait times of the Emergency Room. If you do not agree with any of these Terms of Use, do not use this site. Learn More About Us Contact Us Login Find a Doctor or Hospital Member Broker Select your plan below to find a provider. With your member portal, you can manage your health care 24/7 and do things like: Check if your PCP needs to get prior authorization (permission) for you to get a service. Connector AND Consumers' CHECKBOOK EXPRESSLY DISCLAIM ALL WARRANTIES, INCLUDING ANY WARRANTY OF MERCHANTIBILITY, OR FITNESS FOR PARTICULAR PURPOSE AND SHALL NOT BE LIABLE FOR ANY DAMAGES WHATSOEVER (including without limitation incidental, consequential, punitive damages, lost profits, cost of procuring substitute service or lost opportunity) resulting or arising from your use of or inability to use this Directory, or the care you receive or fail to receive from a provider listed on this website, whether based on warranty contract, tort or any other legal theory, and even if we are made aware of the possibility of such damages. Learn what health plan options are available or find a provider or hospital here. In Massachusetts it provides comprehensive managed care coverage to more than 325,000 individuals through its MassHealth (Medicaid), ConnectorCare, Qualified Health Plans, and . MassHealth Medicaid - Massachusetts. For questions or to learn more, call MassHealth Customer Service at 1-800-841-2900 (TTY: 711). Find a doctor or specialist Search for doctors by address, language spoken, specialty and more. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. MassHealth Find a PCC Plan provider The MassHealth Provider Directory lists primary care providers, called primary care clinicians (PCCs), specialists, and hospitals. Locations:
Then, choose your location. A provider listing in the provider search tool is not an indication that the providers services are eligible for coverage. The MBHP directory lists behavioral health providers (mental health and addiction). Use this tool to find out which providers, such as providers and facilities, are in the network of different plans offered through the Health Connector. Make sure they will continue to be during the upcoming coverage year, if applicable. by providers with Doctor.com accounts when editing their profile on Doctor.com. Show subnavigation for MassHealth Medicaid, Show subnavigation for Qualified Health Plans, Show subnavigation for Senior Care Options, Show subnavigation for Medicare Advantage. Pharmacy Find primary care physicians and specialists. The online Find a Doctor section is also available in Spanish. MassHealth Provider Directory You can find behavioral health MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services. ProfilePoints measure the overall completeness of a We encourage you to read and evaluate the privacy and security policies of the site you are entering, which may be different than ours. Medicare Advantage - New Hampshire. Mass General Brigham Health Plan has availability standards to ensure that we have enough of each type of specialist to meet the needs of our members and that providers are located within a reasonable distance of members homes. Mental health and/or substance use crisis (or call our hotline, 24/7 at 888-217-3501). Consumers' CHECKBOOK/Center for the Study of Services and HBX shall not be liable to you or anyone else for any loss or injury caused in whole or in part by its negligence or contingencies beyond its control in procuring, compiling, interpreting, reporting or delivering this web site and any information through this web site. MassHealth ACO - Community Alliance MassHealth ACO - Mercy Alliance MassHealth ACO - Signature Alliance MassHealth ACO - Southcoast Alliance MassHealth MCO ConnectorCare If you become aware of any errors contained in this list of providers or if your otherwise need assistance, please contact Mass General Brigham Health Plan Customer Service at, . Search the provider directory to see if your doctor is part of our network. You can search for MassHealth Doctors by symptom or visit reason. Find a Dentist Select Plan Select Plan Location Zip Code Within OR City Provider Criteria (optional) Specialty Not sure what dental care provider is right for you? Our MassHealth plan Our Tufts Health Together plan provides high-quality MassHealth coverage for individuals and is free or low cost to low-income families enrolled in the state's Medicaid plan.
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