MUST READ – Insurance information:
On January 1, 2021, Governor Baker signed An Act Promoting a Resilient Health Care System that Puts Patients First.
We are required to tell you what insurance products we participate in. Here is the list. If your insurance is not on this list, we do not have a contract with your insurance and you will be charged our usual and customary fee for a consultation which will be $650.
We will submit a claim to your insurance company and you may owe us less than that, if your insurance company provides us with an alternative agreement that they may have negotiated with one of the insurance products. If you find this paragraph confusing, you are not alone as the insurance industry makes it so complicated that it is challenging for small practices like ours to be transparent. This is the best we can do! If your primary care provider is in the MGB network, we are contracted through the same insurances, and you will be in network. If your PCP is outside of the MGB network, we would love to see you, and you don’t see your insurance on this list, you should always call your insurance company to double check and see if we are “in-network”, otherwise you may receive a bill from us for our full consultation fee of $650.
New Patient Registration Forms
Please download and fill out the form below and bring with you to your appointment. It’s important that your forms are filled out prior to your appointment time. If you prefer to fill these out in the office, we will provide the forms for you and you will need about 15 minutes to fill them out in our waiting room prior to your scheduled appointment.
Please review the following forms. When you come in for your appointment you will be required to sign a form agreeing to our policies.
Please plan to arrive 15 minutes prior to your appointment to allow time for any paperwork.
While our office is typically on schedule, on occasion, surgical emergencies or other unanticipated situations may impact your scheduled appointment time. We appreciate your understanding.
Important insurance information for patients from Vermont, Maine, Rhode Island and Connecticut
If you have any questions, please call the phone number on the back of your insurance card and provide the NPI (see below) for our practice to see if your care with us will be covered. As a small private practice, we are unable to call your insurance provider on your behalf. The majority of our patients are from Massachusetts and New Hampshire where we are participating providers for more than 90% of our patients. If you live outside of MA or NH, it is your responsibility check with your insurance company before your appointment.
If we are not in your network, we would be happy to evaluate you for a 30 minute consultation for $650. Costs for surgery can be discussed AFTER the consult, not before. Surgical fees have a large range and will depend on many factors that will be discussed at this appointment.
Here is a list of the insurances that we have contracts with – this is subject to change at any time:
Aetna HMO, PPO, Indemnity, Student Health, Medicare Advantage AllWays Health Partners HMO, PPO, Allies. Blue Cross Blue Shield of Massachusetts HMO, POS, BBA, FEP, Indemnity, PPO, Medicare Advantage (does not include products using the Select Limited Blue Provider Network or Silver/Bronze Pathways). BCBS NH, Anthem, Blue Cross Out of State Medicaid Replacement products are out of network. Cigna HMO, POS, PPO, Indemnity, Carelink and Cigna Affiliates. Fallon Health PPO, Select and Direct Care, Medicare Advantage. Fallon ACO plans, Steward, Tiered, or Community Care not accepted. Harvard Pilgrim Health Care HMO, POS, PPO, HPI, Medicare Advantage, Student Resources Elevate, Focus, HPI Select or Primary Choice products are not accepted. Humana PPO, POS and Medicare Advantage PPO only (does not include Medicare Advantage HMO). MultiPlan. Tufts Health Plan Tufts Public Plans HMO, POS, EPO, PPO, Carelink, Medicare Advantage, SCO. Tufts Select, Spirit or USFHP are not accepted. Tufts Health Atrius Health (OB care only). SCO, Direct and other ACO plans are not accepted. UniCare Indemnity, Community Choice, PPO United HMO, POS, PPO, Indemnity, Medicare Advantage, Senior Care Options (does not include Community Out of State Medicaid products or non-Choice plans).
Boston Hernia & Pilonidal Center NPI – 1407333511
Michael Reinhorn NPI – 1306837356
Nora Fullington NPI – 1306073010