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Health Insurance Plans Accepted by Harvard Vanguard

Harvard Vanguard accepts most health insurance plans and most indemnity and Medigap plans. (For Behavioral Health services, please verify with your health insurance company that Harvard Vanguard is in your network before scheduling an appointment.)

Please note that the insurance plans listed below are independent of Harvard Vanguard. If you have questions on your individual insurance plan (what it covers, what your benefits are, etc.) please contact your insurance company at the member services number on your health insurance card.

If you have questions about whether or not your insurance plan is accepted by Harvard Vanguard Medical Associates, call 1-800-249-1767. We may not accept every product from these insurance plans listed below. Please check with us to confirm participation.


Aetna

  • HMO
  • EPO
  • POS
  • PPO

Please note: We do not accept Aetna Medicare Open Medicare Private Fee-for-Service Plan and are out-of-network for Aetna Golden Choice Medicare PPO.


Blue Cross Blue Shield of Massachusetts

  • HMO
  • EPO
  • POS
  • PPO 

Please note: We do not accept Medicare HMO Blue and are out-of-network for Medicare PPO Blue.


CIGNA

  • HMO
  • EPO
  • POS
  • PPO

CareLink


 Commonwealth Care Alliance (CCA) - OneCare 

  • Accepting CCA for OneCare only (dually eligible, Medicare & MassHealth, for patients ages 21 - 64 years)

Please note: We do not accept Commonwealth Care Alliance Senior Care Options (SCO).


Community Care Network (now part of Coventry Health Care)


Coventry Health Care

Please note: We do not accept Coventry Advantra Freedom (Medicare PFFS plan).


Fallon Community Health Plan

  • HMO
  • EPO
  • POS
  • PPO
  • Indemnity 

Please note: We do not accept FCHP Direct Care (through the Health Connector, ConnectorCare or Medicaid) or Fallon Senior Plans.


FirstHealth (now part of Coventry Health Care)


Harvard Pilgrim Health Care

  • HMO
  • EPO
  • POS
  • PPO
  • Choice Plus PPO
  • Options PPO
  • Focus Plans (HMO and PPO)
  • Primary Choice HMO 
  • Harvard Pilgrim/United Healthcare Passport Connect
  • Medicare Enhance

Please note: We do not accept HPHC Stride (Medicare Advantage HMO).  Also, while Harvard Vanguard participates in HPHC Primary Choice HMO (GIC) and HPHC Focus Plans, not all non-Harvard Vanguard preferred specialists or hospitals are in these networks.


Harvard University Group Health Plan


HealthCare Value Management (now part of Coventry Health Care)


Medicare


Neighborhood Health Plan

  • NHP Care
  • NHP Choice
  • NHP through the Health Connector
  • GIC
  • NHP MassHealth
  • NHP Connector Care

Passport Connect (United Health Care/Harvard Pilgrim Health Care)


Private Healthcare Systems

Please note: We are out-of-network for MultiPlan that is not part of PHCS.


Tufts Health Plan

  • CareLink plans
  • HMO
  • EPO
  • POS
  • PPO
  • Tufts Total Health Plan
  • Tufts Medicare Complement
  • Tufts Medicare Preferred HMO (1-800-867-2000)
  • Tufts Health Plan Select Network
  • Tufts Health Plan Senior Care Options (SCO).

Please note: Harvard Vanguard does not participate in Tufts Health Plan Spirit EPO (GIC) product. Also, while Harvard Vanguard participates in Tufts Health Plan Select Network, not all non-Harvard Vanguard preferred specialists or hospitals are in this network.


UniCare State Indemnity Plan (GIC)

  • Basic (with and without CIC)
  • Community Choice
  • PLUS
  • Medicare Extension/OME


Additional Insurance Information:

  • We are out-of-network for the following MassHealth Managed Care Plans:
    • Boston Medical Center (BMC) HealthNet
    • CeltiCare
    • Fallon Community Health Plan MassHealth
    • MassHealth Primary Care Clinician Plan (specialty visits with a valid referral from your non-Harvard Vanguard PCP only)
    • Minuteman Health
    • Network Health
  • We are out-of-network for ALL out-of-state Medicaid plans
  • We are out-of-network for United/Secure Horizons Medicare Advantage HMO, POS and PPO plans and do not accept United/Secure Horizons PFFS (Private Fee-for-Service) plans
  • We are out-of-network for all Fallon Senior Plans
  • We do not accept Coventry Advantra Freedom