Accepted Insurance at Baystate Health (2024)

Insurance Accepted at Baystate Health

We participate in most insurance programs offered in our area. You can find a complete list of insurance plans accepted at the top of this page.

Information about your insurance coverage was taken when you were admitted. In order to submit an insurance claim for you, we need proof of your insurance identification card or claim form from your insurance company. If you did not present this information when you were admitted, please have a friend or family member bring it to the Access Services Department when they visit you. Please remember that insurance plans do not necessarily cover the entire hospital bill. We understand that insurance coverage can be complicated, so if you need any assistance, please call our Financial Counselors.

Physician's Fees

If you receive services in the hospital from your primary care physician or from other specialists such as anesthesiologists, surgeons, or consultants, you will be billed separately by them. If you have any question about these bills, please contact the physician's office directly. For BMP Physician services, contact the Customer Service Department of the Physician Billing Office at 413-794-5700 or toll free at 800-436-6865.

Deductibles, Coinsurance, and Co-Payments

Most insurance policies today require you to pay certain out-of-pocket costs in addition to your monthly premium. These costs include deductibles, coinsurance and co-payments. A deductible is how much you have to pay for covered health services before your insurance company pays anything. Co-payments and coinsurance are payments you make each time you get a medical service after you have reached your deductible. You will be notified about any amounts not covered by your insurance that you are responsible to pay. Payments may be made by cash, personal check, VISA, MasterCard, or Discover Card when you are discharged.

High Deductible Health Plans and Health Savings Accounts

Over the past several years, many employers, as well as the state and federal marketplaces, have been offering high deductible health plans (HDHPs) in order to lower monthly premiums. These HDHPs have deductibles (in 2015) that exceed $1,300 for single coverage or $2,600 for family coverage. Employers can offer a Health Savings Account (HSA) with these HDHPs. HSAs allow you to pay for certain medical expenses (including your deductible, coinsurance and co-payments) with untaxed dollars.

If you are a patient in one of these plans, here are some things to consider:

• Prepare & Save: Lower premium plans will often have higher out-of-pocket expenses over the course of the year. Consider using savings from lower premiums to accumulate funds for when care is needed. Saving in an HSA or other healthcare reimbursem*nt account can help 'ease the financial burden' of the expense while also having tax advantages.
• Know Your Plan: The details of your insurance coverage are not always easy to memorize or access. Each insurance plan can be different. Often deductibles are waived for preventive care, but deductibles will apply to treatment for acute and chronic conditions, you should know the basic structure of your plan and know how to contact the member services department of your insurance company for more information on coverage.
• Prioritize Your Care: Don't avoid necessary care, routine wellness care or chronic care management. These mistakes can be costly to your health and finances over the longer term.
• Plan: Planning and anticipating your and your family's healthcare needs can go a long way to smoothing the ups and down of paying deductibles that reset each year. Many deductibles reset on January 1 or July 1. If a major illness requires frequent visits at the end of a plan year, please remember that the claims early in the new plan year will again reflect a "new deductible" that must be met.
• Ask for Information: If you need an estimate of how much your care will cost, need details of a visit for claim submission or would like to know your options for paying a deductible amount owed over time, we're here to help. Call Patient Billing Services at 413-794-9999 or 877-461-1931.