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Insurance
Massachusetts Ear, Nose, and Throat Associates accepts all major
insurances as listed below.
If you have any questions, please feel free to contact our billing department at
978-256-5557. Depending on your insurance, you may require a referral. Please
contact your primary care doctor or insurance company if you are unsure
regarding this requirement.*
| Blue
Cross/Blue Shield |
Medicare |
Fallon |
Harvard
Pilgrim |
Prudential |
| HealthCare
Value Management |
Mass.
Health/Unisys /Welfare |
U.S.
Healthcare/
Aetna |
New England |
Tufts |
| Teamsters |
Guardian |
United
Healthcare |
Neighborhood Health Plan |
Cost Care |
|
Healthsource |
Private
Health Care Systems |
Secure
Horizons |
State John
Hancock |
Great West |
| Matthew
Thornton |
Med-Tac |
Network
Health |
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*If you require a referral and
do not have one, we will ask that you sign a waiver that states that you are
responsible for any charges should your insurance carrier not cover or allow for
the services rendered.
We do accept personal checks,
Master Card, and Visa for fees not covered by insurance. Payment of such fees is
generally expected at the time of arrival to the office, prior to seeing the
physician. Our billing department is available for any questions regarding
payment, our payment policies, and any payment issues that may arise specific to
your particular case. The fees and payment issues regarding elective procedures
not covered by insurance (e.g. rhinoplasty, uvuloplasty for snoring) will be
discussed with the patient and finalized prior to the performance of the
procedure.
Uninsured patients
We agree that the health of our
patients is preeminent. Treatment of conditions which appear to be a medical
emergency will always be cared for immediately without regard to cost. The
choice of treatment of non-emergency ("elective") conditions is always up to the
patient; patients may consider many factors in their treatment decisions,
including cost. Patients may be uninsured for a variety of reasons; some
patients are indigent, and some are not. We have a responsibility to serve the
community by caring for the health of the indigent.
In treating uninsured patients,
we have a set of guidelines which we feel represent a fair and ethical approach
to the treatment of our patients. At the time the patient contacts our office
for an appointment, we will inform the patient of possible charges that may be
incurred. The day of the visit, upon checking in, the patient will be given a
financial form explaining our charges and the patient's responsibilities. The
patient will be directed to meet with our billing staff for explanation of these
policies if necessary. For new uninsured "cash-only" patients, payment is
expected at the time of service. In the case of the indigent, the patient will
still be seen by the doctor, and a payment plan will be arranged on a
case-by-case basis. Follow-up patients, patients with emergencies, and emergency
room referral patients will always be seen regardless of ability to pay. As part
of our commitment to the care of the indigent, we will attempt to mitigate
charges which are under our control and which charges may otherwise adversely
affect the health care decisions made by the indigent uninsured patient. The
physician may advise the patient to apply for Medicaid or Free Care (through one
of the affiliated hospitals) as a way to mitigate those hospital-related costs
outside of the physician's control.
Automobile
Accidents/Workman's Compensation
Care for such cases as injuries
sustained at work or in an accident, especially if involving potential
settlement or litigation, may not be covered by your health insurance. Please
contact our office in advance regarding your financial responsibilities for
services rendered by our doctors.
Please contact our billing
department for any questions: 978-256-5557.
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