Title Payer Plan Product Contracting? Additional Information
Aetna
Aetna


HMO

Aetna Select

Yes

Aetna
Aetna


HMO

HMO

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Open Access Aetna Select

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Open Access Aetna Select Aetna Healthfund

Yes

Aetna
Aetna


HMO/POS/PPO

Heahtl Network Only

Yes

Aetna
Aetna


HMO/POS/PPO

HMO/QPOS

Yes

Aetna
Aetna


HMO/POS/PPO

MHMO

Yes

Aetna
Aetna


HMO/POS/PPO

Open Access AC QPOS

Yes

Aetna
Aetna


HMO/POS/PPO

POS with HMO Select

Yes

Aetna
Aetna


HMO/POS/PPO

Aetna Health Fund Open Access Managed Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aetna Health Fund PPO

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Open Access Elect Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Aetna Select

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Choice POS II

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Managed Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Open Access Elect Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Open Access Managed Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus Open Access Managed Choice

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel Plus PPO

Yes

Aetna
Aetna


HMO/POS/PPO

Aexcel PPO

Yes

Aetna
Aetna


Indemnity

Aetna Affordable Health Choices (Indemnity)

Yes

Aetna
Aetna


PPO

Aetna Health Network Only

Yes

Aetna
Aetna


PPO

Aetna Health Network Option

Yes

Aetna
Aetna


PPO

Aetna Open Access HMO

Yes

Aetna
Aetna


PPO

Open Access Aetna Select

Yes

Aetna
Aetna


PPO

Aetna Affordable Health Choices (PPO)

Yes

Aetna
Aetna


PPO

Aetna Choice POS

Yes

Aetna
Aetna


PPO

Aetna Open Access Elect Choice

Yes

Aetna
Aetna


PPO

Aetna Open Access Managed Choice

Yes

Aetna
Aetna

HMO/POS/PPO

Aetna Health Fund Choice POS II

Yes

Aetna
Aetna

HMO/POS/PPO

Aetna HealthFund Open Access Aetna Select

Yes

Aetna
Aetna

Medicare Replacement

Aetna Medicare (HMO/PPO)

Yes

Aetna
Aetna

PPO

Aetna Choice POS II

Yes

Aetna
Aetna

Indemnity

Aetna Affordable Health Choices (Indemnity)

Yes

  
BCBS

BCBS


Medicare Replacement


Medicare PPO Blue


Yes

   
BCBS
BCBS

HMO

HMO Blue NE Premier Value 

Yes

BCBS
BCBS

HMO

HMO Blue Options
   

Yes

BCBS
BCBS

PPO

Federal Employee Program (FEP) 

Yes

BCBS
BCBS

HMO

HMO Blue NE and Enhanced Value 

Yes

  
BCBS
BCBS

HMO

Access Blue (Basic/Saver)
   

Yes 

BCBS
BCBS

HMO

Access Blue NE Enhanced Value 

Yes 

BCBS
BCBS

HMO

Access Blue NE Saver 

Yes 

BCBS
BCBS

HMO

HMO Blue
   

Yes 

BCBS
BCBS

HMO

HMO Enhanced Value 

Yes 

BCBS
BCBS

HMO

HMO Blue NE Options
   

Yes 

BCBS
BCBS

HMO

HMO Blue Premier Value 

Yes 

BCBS
BCBS

HMO

HMO Blue Premium 

Yes 

BCBS
BCBS

HMO

HMO Blue Value 

Yes 

BCBS
BCBS

HMO

HMO Blue Value Plus 

Yes 

BCBS
BCBS

HMO

HMO Blue Value w/ Blue Value RX

Yes 

BCBS
BCBS

Medicare Supplement 

Medex

Yes 

BCBS
BCBS

POS
   

Blue Choice 

Yes 

BCBS
BCBS

POS
   

Blue Choice Plan 2

Yes 

BCBS
BCBS

POS
   

Blue Choice Plan 2 Value Plus 

Yes 

BCBS
BCBS

POS
   

Blue Choice Value Plus 

Yes 

BCBS
BCBS

POS
   

Blue Choice NE
   

Yes 

BCBS
BCBS

PPO

Blue Care Elect
   

Yes 

BCBS
BCBS

PPO

Blue Care Elect Enhanced Value 

Yes 

BCBS
BCBS

PPO
   

Blue Benefit Administrators 

Yes 

BCBS
BCBS

PPO
   

Preferred Blue PPO
   

Yes 

BCBS
BCBS

HMO

HMO Blue NE Value & Value Plus

Yes 

  
BCBS
BCBS

Indemnity

Indemnity Products 

Yes 

  
BCBS 
BCBS

HMO

HMO Blue Basic Value 

Yes 

Cigna
Cigna 

POS

GWH-Cigna 

Yes

Cigna
Cigna 

PPO

PPO or (EPO)

Yes

Cigna
Cigna 

PPO

Great-West Healthcare PPO

Yes

Cigna
Cigna 

HMO

HMO

Yes 

Cigna
Cigna 

HMO

HMO Open Access 

Yes 

Cigna
Cigna 

Indemnity 

Indemnity Plans

Yes 

Cigna
Cigna 

POS

Open Access Plus 

Yes 

Cigna
Cigna 

POS

POS

Yes 

Cigna
Cigna 

POS

Great-West Healthcare Open Access Plus

Yes 

Cigna
Cigna

PPO

Cigna Choice Fund Plan 

Yes 

Cigna
Cigna 

PPO

Fundamental Care 

Yes 

Cigna
Cigna 

PPO

Starbridge 

Yes 

Cigna 
Cigna 

HMO

Network 

Yes 

Cigna 
Cigna 

POS 

POS Open Access 

Yes 

Fallon



 Fallon





HMO

FCHP Select Care (Premium Saver, Value and Basic)
 
   
 





Yes




         
Fallon
Fallon​


PPO​


PHCS​


Yes​

This network is managed by PHCS.  MGH/MGPO participated with PHCS.​
Fallon
Fallon

PPO

Harrington Advantage

Yes
 
Fallon


Fallon



PPO

Fallon Preferred Care Premium Saver

Yes 

  
Fallon


Fallon



Medicare Replacement PPO



Fallon Senior Plan Premier Preferred PPO

Yes​

   
Fallon
Fallon​

The City of Worcester Advantage - Advantage Plan​

Yes​

Tier 2 provider​
Fallon
Fallon​

The Advantage Plan​

Yes​

Tier 2 provider​
Fallon
Fallon​

The Employee Advantage​

Yes​

Tier 2 provider.  Umass plan based on Select Care Network.​
Health New England
Health New England

PPO

HNE PPO Complete


Health New England
Health New England

PPO

HNE PPO Focus 


Health New England 
Health New England

PPO

HNE PPO Essential 


Health New England 
Health New England 

PPO

HNE Wise PPO

 

HPHC
HPHC

​Medicare Replacement​

​Stride


​Yes
HPHC
HPHC

HMO


Harvard Pilgrim Bronze 250 HMO Plan (MA)

Yes

HPHC
HPHC

HMO


Harvard Pilgrim HMO Plan 

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Maine Difference Tiered Copay HMO

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Pulse 250 HMO Plan (MA)

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Pulse HMO Plan (MA)

Yes 

HPHC
HPHC

POS


Harvard Pilgrim POS Plan

Yes 

HPHC
HPHC

PPO


DirigoChoice PPO (ME)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim Best Buy HAS PPO (MA/ME/NH)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim Best Buy PPO Plan (MA)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim Best Buy PPO Plan (NH)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim Core Coverage PPO Plan (ME)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim Independence Plan Tiered Copayment PPO Plan (MA)

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Tiered Copay HMO (MA and NH)

Yes 

  
HPHC
HPHC

POS

Harvard Pilgrim Independence GIC Plan

Yes 

  
HPHC
HPHC

Medicare Supplement Plan

HPHC Medicare Enhance 

Yes 


Medicare is always primary.  Referrals are not required. 
HPHC
HPHC

HMO

Harvard Pilgrim Best Buy HMO Plan (MA, NH, ME)

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Core Coverage HMO (MA and NH)

Yes 

HPHC
HPHC

HMO


Harvard Pilgrim Non-Group HMO Plan (MA, ME)

Yes 

HPHC
HPHC

POS


Harvard Pilgrim Best Buy POS Plan (ME, NH)

Yes 

HPHC
HPHC

PPO


Harvard Pilgrim PPO Plan (MA, ME, NH)

Yes 

HPHC
HPHC

Medicare Supplement Plan

Harvard Pilgrim Medicare Supplement

Yes 

Medicare is always primary.  Referrals are not required. 
HPHC
HPHC

PPO

HPHC Health Plans Inc.

Yes 

This is a joint venture between HPHC and Health Plans Inc. The FSC in IDX is CO1. 
HPHC
HPHC

PPO

Access America

Yes 

This is a joint venture plan with United Health Care
HPHC
HPHC

PPO


Choice and Choice Plus for "Passport Connect"

Yes 

This is a joint venture plan with United Health Care 
HPHC
HPHC

PPO

Student Insurance Plan administered by
United Healthcare Student Resources (PPO)

Yes 

This is a joint venture plan with United Healthcare. It is sometimes referred to as Chickering.
Humana
Humana  

POS  

Humana ChoiceCare National POS - Open Access  
Humana
Humana  

PPO  

Humana Choice Care PPO  
Neighborhood Health Plan
NHP

HMO

NHP MassHealth CarePlus

Yes
 
Neighborhood Health Plan
NHP

PPO

NHP Commercial

Yes
 
Neighborhood Health Plan
NHP

PPO

NHP Comonwealth Choice

Yes
 
Neighborhood Health Plan
NHP​

Prime HMO

Prime HMO (various deductibes)

Yes​

Plans available on the Connector.  There are many variations of deductibles and co-insurance.​
Neighborhood Health Plan
NHP​
HMO
ConnectorCare​

Yes​
Oxford

Oxford


POS


Liberty Plan Access


Yes 

  
Oxford
Oxford

POS

Freedom Plan Access

Yes

Tricare
Tricare​
HMO
Tricare Prime​

Yes​

Referral and/or Auth required for patients with US Family Health Plan (USFHP)​
Tricare
Tricare​

PPO​

Tricare Reserve Select​

Yes​

Referral and/or auth required for patients with US Family Health Plan (USFHP)​
Tufts


Tufts



HMO



Advantage EPO (Exclusive Provider Option) Saver



Yes



The plan is administered by Tufts Total/POS plan, however it works like an HMO.  Plan authorization is required for pt to come here or pt would be responsible large part of bill
Tufts
Tufts

​PPO

​Freedom

​Yes
Tufts
Tufts

HMO

Tufts Your Choice

Yes

Tufts
Tufts

POS

Tufts Total Health Plan

Yes

Tufts
Tufts

PPO

Advantage PPO

Yes

Tufts
Tufts

PPO


Choice Copay

Yes

Tufts
Tufts

PPO


Tufts PPO

Yes

Tufts
Tufts

PPO

Carelink - Shared Administration

Yes

Tufts
Tufts

HMO

Basic Platinum, Value Platinum and Advantage HMO

Yes

   
Tufts
Tufts

POS


Navigator by Tufts Health Plan

Yes

  
Tufts
Tufts

Medicare Supplement

Tufts Medicare Complement (TMC)

Yes

Medicare is always primary, but plan acts like an HMO and patient needs a PCP and referrals for coverage.
Tufts
Tufts

Medicare Supplement

Tufts Medicare Preferred Supplement

Yes

Medicare is always primary, referrals are not required.
Tufts
Tufts

Medicare Supplement

Medicare Complement Plan (MCP)

Yes

Medicare is always primary, referrals are not required.
Tufts
Tufts

PPO

Steward Employee DPO

Yes

Referral/Authorization is required for lower cost sharing. 
Tufts
Tufts

HMO

Commonwealth Advantage HMO

Yes

These plans are offered through the Connector. They are not to be confused with the Tufts Advantage HMO Select plans which we do not take at MGH.
Tufts
Tufts

PPO

CareLink

Yes

This is a joint venture with Cigna and the FSC in IDX is CL1.
Tufts
Tufts

HMO

Commonwealth HMO

Yes

This plan is offered through the Connector. Do not confuse it with the Tufts Commonwealth Select plan with we do not take. 
Tufts
Tufts

HMO

EPO (Exclusive Provider Option)

Yes
   
   

Tufts EPO is administered by Tufts Total Health Plan/POS but operates like an HMO.
Unicare
Unicare​

PPO​

Unicare State Indemnity Plan/Plus​

Yes​

Contracted for GIC only​
Unicare
Unicare​

PPO​

Unicare State Indemnity Plan/Medicare Extension OME​

YES​

Contracted for GIC only​
Unicare
Unicare​

Indemnity​

Unicare State Indemnity Plan/Basic (GIC)​

Yes​

Contracted for GIC Product only​
Unicare
Unicare​

PPO​

Unicare State Indemnity Plan/Community Choice​

Yes​

Limited network plan. We are not a "community choice" hospital so patient responsibility (e.g. co-pays) will be higher.  Contracted for GIC only.​
United
United

United Affiliated Networks

PacifiCare:
Signature Value (HMO/MCO)
Signature POS
Signature Elite (PPO)
Signature Independence (Indemnity)
Signature Freedom



Must verify benefits with plan by calling phone number on the card.
United
United

United Affiliated Networks

AmeriChoice (Medicaid and/or Medicare/Medicaid plans):United Healthcare hawk-I (Iowa S-CHIP)AmeriChoice TennCare (Tennessee residents eligible for Medicaid)AmeriChoice Secure Plus Complete (Medicare Special Needs Plan offered in certain parts of Tennessee)Arizona Physicians IPAAmeriChoiceUnison Health PlanUnison Health PlanUnited HealthcareAmeriChoice



Must verify benefits with plan by calling phone number on the card.
United
United

United Affiliated Networks

American Medical Security:
MedOne Security
MedOne HSAvings

 

Must verify benefits with plan by calling phone number on the card.
United
United

United Affilated Networks

United Healthcare of the River Valley:Heritage Select HMO, POSHeritage Choice PPO, POSHeritage Premier PPO, POSRiver Valley Choice Plus PPOHeritage Plus PPOHeritage Select AdvantageHeritage Options HRAHeritage Options HSA
 

  


Must verify benefits with plan by calling phone number on the card.
United
United

United Affiliated Networks

United Health One/Golden:
Copay Select
Copay Saver
HSA 100, 70
High Deductible Plan 100, 80
High Deductible Saver 80
Mid-Atlantic Regional Plans

  


Must verify benefits with plan by calling phone number on the card.
United

United​


 AARP Medicare Complete HMO​


HMO​


Yes​
United
United

POS

United Healthcare Choice

Yes

United
United

POS

United Healthcare Choice Plus 

Yes

United
United

POS

United Healthcare CORE Choice Plus

Yes

United
United

PPO

United Healthcare Options PPO

Yes

United
United

Medicare Replacement

AARP Medicare Complete Plus POS

Yes


Card may say either United Healthcare Direct by Secure Horizon or Secure Horizon by United Healthcare.
United
United

Medicare Replacement 

Secure Horizons Medicare Complete Plus PPO

Yes


Card may say either United Healthcare Direct by Secure Horizon or Secure Horizon by United Healthcare.
United
United

PPO

AARP Medicare Complete Choice/Medicare Complete Choice Essential

Yes


Card may say either United Healthcare Direct by Secure Horizon or Secure Horizon by United Healthcare.
United
United

PPO

Secure Horizon Medicare Complete Choice/Secure Horizon Medicare Complete Choice Essential

Yes


Card may say either United Healthcare Direct by Secure Horizon or Secure Horizon by United Healthcare.
United
United

PPO

Choice/Choice Plus for Passport Connect

Yes

Affliated with HPHC.
United
United

Medicare Replacement 


Secure Horizons Medicare Complete Essential HMO

Yes

Card may say either United Healthcare Direct by Secure Horizon or Secure Horizon by United Healthcare.
United
United

Medicare Replacement

AARP MedicareComplete Essential HMO

Yes

Card may say either United Healthcare Direct by Secure Horizons or Secure Horizons by United Healthcare.
United
United

Medicare Replacement

Senior Care Options

Yes

Formerly called "Evercare"
 
This plan is insured by United Healthcare and administered by Evercare. Patients are residents of Evercare skilled nursing facilities or have multiple long-term cronic illnesses.
 
If the patient has both Medicare and Medicaid, Evercare acts as a replacment for BOTH plans.
United
United

PPO

Definity

Yes

This is a Consumer Driven Health plan. Patients have a Health Reimbursement Account (HRA) or Health Savings Account (HSA).
United
United​

HMO​

United Healthcare Silver Compass Plan​

Yes​
BCBS
BCBS

Medicare Replacement

Medicare HMO Blue 

Yes but
Primary Care and existing pts only; Others MGH/MGPO specialty Care Only etc

   
BCBS
BCBS Out of State

Varies

Varies

Yes, with exceptions


MGH Participates in the Blue Card Program. The program is identified by a suitcase on the member ID card. or
BMC HealthNet

BMC HealthNet​
HMO

ConnectorCare​
Yes but
Accepted only at NSMC/NSPG ​



    
BMC HealthNet

BMC HealthNet​
HMO

BMC Masshealth CarePlus​
Yes but
Accepted only at NSMC/NSPG and for Island Patients​

  
Celticare
Celticare​
HMO
ConnectorCare​
No
 Accepted only at Spaulding Rehab hospitals and SNFs​


​Patients may switch to plan that we accept if they would like to receive services with us.  This can take place only during open enrollment (November 15, 2014- February 15, 2015) or during a special enrollment period.  ​
Celticare
 Celticare​
HMO
MassHealth CarePlus​
No
Accepted only at Spaulding rehab hospitals and SNFs​

Patients may switch to a plan that we accept if they would like to receive services with us.  Patients can call MassHealth Customer Service 800-841-2900.  Changes take effect 1st day of the next month.​
Cigna
Cigna

Medicare Replacement

Cigna Medicare Access (PFFS)
No
Existing Patients Only 

Commonwealth Care Alliance


Commonwealth Care Alliance​



One Care​


No
Specialty Care Only​



Contracted for Specialty Care Only​
Commonwealth Care Alliance
Commonwealth Care Alliance
HMO
Senior Care Options Program
No
Specialty Care Only

Specialty Care Only
Fallon
Fallon​

One Care "Total Care"​ - NO LONGER AN ACTIVE PLAN

 
N/A
Fallon 
Fallon 
HMO
FCHP Direct Care
   
 

No

Visit requires prior authorization
 
 
HPHC
HPHC​


​HMO


​Harvard Pilgrim Select

No
MGH is only participating  for Psych for the Crisis Stabilization Unit
Senior Whole Health


Senior Whole Health​




HMO




Special Needs Plan (SNP)​


No

Specialty Care Only ​




Senior Whole Health


Senior Whole Health​

 SCO​

 Senior Care Options​
No
Specialty Care Only​

Tufts
Tufts

Medicare Replacment

Tufts Medicare Preferred HMO
No

Speciality Only.  (exception: NWH/NWAS)


This plan is not contracted for Primary Care except at NWH/NWAS.  Patients can be seen for Specialty Care only at all other facilities
Tufts
Tufts
HMO
Tufts Steward Community Choice

No (with exceptions)

Adult members are limited to the Steward network except for certaintertiary level services. Children covered by the plan can see pediatricians affiliated with Partners.
United

United​


Medicare Replacement​


Dual Complete Medicare Replacement​


Specialty Care Only​



Specialty Care Only​
United
United

Medicare Replacement

United Healthcare Medicare Direct by Secure Horizons PFFS

Existing Patients Only

United
United

Medicare Replacment

Secure Horizon Medicare Direct by United Healthcare PFFS 

Existing Patients Only

United
United

Medicare Replacment - POS

Erickson Advantage

Specialty Care Only

This plan is for residents of Erickson Retirement Communities.
Aetna
Aetna​

Medicare Replacement (HMO/PPO)​

Prime​
No
Not contracted.  Out of Network cost sharing applies to PPO.​
BCBS
BCBS​

PPO/EPO​

Select Blue 
No
Currently no significant enrollment in this product​
Celticare
Celticare 
HMO
Celticare Direct
No
Cigna
​Cigna

​PPO

​LocalPlus
No
​MGH/MGPO is not in network.  Patients will pay higher rates.
Fallon
 Fallon
 

 FCHP Steward Community Care 

 No
 


Visit requires prior authorization
Fallon
 Fallon​
HMO
 ConnectorCare​

 No
 

​Patients may switch to plan that we accept if they would like to receive services with us.  This can take place only during open enrollment (November 15, 2014- February 15, 2015) or during a special enrollment period.  ​
Fallon

Fallon


FCHP Tiered Choice


No

 Visit required prior authorization
 
Fallon

Fallon


Medicare Replacement HMO

Fallon Senior Plan HMO (Saver, Standard, Premier)
 
 
 


No



Specialty care only.  Patient will need to contact Fallon for plan authorization. 
Fallon
Fallon​

The City of Worcester Advantage - Direct Plan​
No
Visit requires prior authorization​
Fallon
 Fallon​

 HMO​

MassHealth CarePlus​
No
Health New England
 Health New England​
HMO
ConnectorCare​

 No
 

​Patients may switch to plan that we accept if they would like to receive services with us.  This can take place only during open (or special) enrollmentperiod.  ​
Health New England 
Health New England 
HMO
Commercial HMO Products 
No
Health New England 
Health New England 
HMO
MassHealth and MassHealth CarePlus
No
   
HPHC
HPHC
HMO

Harvard Pilgrim FOCUS Network HMO
No
HPHC
HPHC
HMO
Harvard Pilgrim Primary Choice Plan HMO
No
This plan is only offered to GIC members and has a limited network. 
HPHC

HPHC​


HMO - Limited Network Plan​


Elevate Health NH​
No
Humana
 Humana

​Medicare Replacement (HMO/PPO)

​Medicare Replacement (HMO/PPO)
No
Minuteman Health 
Minuteman ​


HMO/PPO​

 MyDoc - Commercial ​
No
Network Health
Network Health​
HMO
Tufts Health Unify (formerly Network Health Unify)​


No

This is a One Care Product.  Plan auth required.​
Network Health
Network Health
HMO
Tufts Health Extend (formerly Network Health)
No

Discontinued 5/1/15    
Network Health
Network Health​

Network Health

 Tufts Health Direct (formerly Network Health Direct)​
No
Network Health 

Network Health 
HMO

Tufts Health Together (formerly Network Health Together) 
No
 This is a MassHealth Plan. Notcontracted as of 1/1/14. ​
Network Health 
Network Health 
HMO
Tufts Health Forward (formerly Network Health Forward) 
No
NH Medicaid
​NH Healthy Families

Medicaid Managed Care

​NH Healthy Families
No
NH Medicaid
Wellsense

Medicaid Managed Care

Wellsense
No
Oxford



Oxford




HMO




Oxford Health Plans New York Freedom Plan

 No
 

   
Oxford

Oxford
HMO

Oxford Health Plans Freedom Plan Select 


No

  
Oxford

Oxford
HMO

Freedom Plan Access


No

  
Oxford
Oxford
HMO

Oxford Health Plans New York Liberty Plan
No
Oxford
Oxford
HMO

Oxford Health Plans HMO/Freedom Network
No
Oxford
Oxford
HMO
Oxford Health Plans Liberty Plan Select
No
Oxford
Oxford
HMO
Oxford Health Plans HMO Select/Liberty Network
No
Oxford
Oxford

Medicare Replacement

Oxford Health Plans New York Medicare Essential
No
Oxford
Oxford

Medicare Supplement

Oxford Health Plans New York Medicare Balance
Oxford Health Plans New York Medicare Signature
Oxford health Plans New York Medicare Mosaic
Oxford Medicare Advantage Select
 
 
No
Tufts
Tufts​
HMO
Tufts Health Together​

 
No​

 This is a rebranded Network Health product.  Mass Health Plan.​
Tufts
 Tufts​
HMO
 Tufts Health Unify​

 No
 

 Rebranded Network Health product.  This is a One Care product.  Plan auth required.​
Tufts

Tufts


EPO


Steward Employee EPO


No


This is a high-deductible plan with high-coinsurance. 
 
Partners is tier 1 for pediatrics.  Patients can seen for pediatric services.
Tufts
Tufts
HMO
Select Network Plans (10 HMO Plans)
No  
Tufts
 Tufts​
HMO
Tufts Health Direct
No
Qualified Health Plan - Includes Platinum, Gold, Siver Bronze
Tufts
 Tufts​

 HMO​

Tufts Health Extend​
No
This is a rebranded Network Health product​
Tufts
Tufts

PPO/EPO

Spirit
No
This plan is only offered to GIC members and has a limited network. MGH is NOT part of the network.  There are no out of network benefits.
Tufts
 Tufts​


Tufts US Family Health Plan​
No
Tufts is the third party administrator for US Family Health Plan. ​
Tufts 
 Tufts​

 HMO​

 Tufts Health Forward​
No
This is a rebranded Network Health product​
United
United
HMO
United Healthcare Select
No
United
United
HMO
United Healthcare Select Plus
No
United
United​
PPO
Empire Plan​
No
 
Empire PPO is a closed network within the state of NY.  Patients would pay out of network rates.​
United
United​

 HMO​

Choice Plus HMO​
No

 ​Tufts
 

 
 

 Tufts Uniformed Services Family Health Plan
 

 
No