Billing and Insurance
No one will be denied access to services at Manet Community Health Center due to inability to pay, according to Federal guidelines. We have reduced fees for those with or without insurance coverage: Sliding Fee Scale 2023 (PDF). Read our Credit and Collection Policy (PDF).
If you do not have insurance:
We can help you apply for health care coverage. There are programs available based on your income, family size, residency and other guidelines.
If you have Commercial Insurance or MassHealth:
If you have a managed health care plan and have chosen someone else as your primary care provider, you will need to call the phone number on your insurance card to change your primary care provider to a Manet physician or provide a referral for the services you receive at Manet.
In order for your Manet provider to provide you with optimal care and to make appropriate referrals, Manet must be listed as your primary care provider with your insurance carrier. It is also important to make sure Manet is “in-network” with your insurance carrier to ensure that you do not receive any unexpected charges and that we are able to make any needed referrals on your behalf. If Manet is not in your insurance carrier’s network, we may be able to assist you with switching plans or you will need to contact your insurance carrier for guidance.
We accept most insurance plans, including:
Commercial: Blue Cross Blue Shield of MA, Aetna, Cigna, United Health Care, Tufts Health Plan, Tufts Public Health Plans (Direct plans only), Harvard Pilgrim Health Care, Fallon Health, AllWays Health Partners (Mass General Brigham Health Plan as of Jan. 1, 2023), WellSense Health Plan (formerly Boston Medical Center Health Net Plan)
Government/State: Medicare, MassHealth/Medicaid (Children’s Medical Security Plan [CMSP], Limited, Non-PCC Plans), Boston Community Care Alliance, Medicare RI, Health Safety Net, Group Insurance Commission (GIC) including Tufts Health Plan, UniCare State Indemnity Plan
Medicare Replacement Plans: Blue Cross Medicare Advantage, Commonwealth Care Alliance, Tufts Senior Care Options, Tufts Medicare Preferred, Fallon Medicare Advantage, NaviCare, Senior Whole Health, United Senior Care Options, EverCare
Vision: EyeMed (Aetna, Fallon, Tufts), Davis Vision, Spectra (United), Harvard Pilgrim Health Care, VSP (Senior Whole Health members only)
But that’s not all! If you do not see your plan listed, please call our billing department at 617-376-3000 to find out if we accept your insurance.
Copayments and Deductibles
We expect you to pay your copayments at the time of your visit. If you are having trouble paying these, please call our billing department (617-376-3000) to discuss your options. Some insurance plans have a deductible, which is the amount you pay for covered health care services before your insurance plan starts to pay. To find out if you have a deductible, call your insurance carrier.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance, who have out of network insurances and patients who choose not to use their insurance an estimate of the bill for medical services.
- You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any non-emergency items of primary services. The GFE is not required to account for unanticipated care that is not reasonably expected or results from unforeseen events.
- You can request a Good Faith Estimate for medical services you receive.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or photo of your Good Faith Estimate.
You are entitled to apply with our navigation team for federal financial assistance (sliding fee program). How much you pay will depend on your income and the number of people in your household. To contact a Navigator, call 857-403-1557 or email: email@example.com.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.