Northampton Area Pediatrics participates in most insurance plans. Please bring your insurance card with you to each visit.
- Blue Benefit’s Administrators
- Blue Cross Blue Shield **
- Boston Medical Center HealthNet Plan (BMC HealthNet)
- Children’s Medical Security Plan (CMSP)
- Coventry (HCVM)
- Fallon Community Health Plan **
- Harvard Pilgrim Health Care
- Health New England
- Health New England Be Healthy
- Health Plans Inc.
- Humana **
- Multiplan (PHCS)
- Neighborhood Health Plan
- Tricare Standard
- Tufts Health Plan **
- Tufts Health Public Health (Formally Network Health) **
- Three Rivers
- Unicare (GIC)
- United Healthcare **
- US Family Health Plan
** We do not accept and are NON-Participating with the following insurances:
- Blue Cross Medicaid
- Fallon Direct Care
- Fallon Commonwealth Care
- Health New England Alliance
- Health Safety Net (Masshealth)
- Humana – All non-Choice Care PPO products
- Minuteman Health (Masshealth)
- Tricare Prime
- Tufts Health Plan Select
- Tufts Health Plan Spirit
- Tufts Health Plan Stewart
- Tufts Health Unify
- United Healthcare Medicaid
If you have any questions as to our participation with other plans, please contact our billing office at 413-584-8700, Option 6 , during our regular billing office hours, Monday thru Friday 8-5 pm. We are closed for lunch from 12-1.
Families without insurance coverage, or families that anticipate losing their insurance coverage, may be eligible for medical coverage through either the Massachusetts Health Connector or MassHealth. Northampton Area Pediatrics has dedicated Certified Application Counselors on staff that can assist you in the application process. Applications can be processed at either our Northampton or Amherst office, so please call to schedule an appointment. When applying, you will need to bring a photo id, social security numbers for each family member, 2 most recent paystubs or last years tax return.
We accept cash, check or credit cards (Mastercard, Visa, Amercian Express, Discover). We also offer a flexible payment plan. Please speak with our billing department at 413-584-8700, Option 6, for details.
Know Your Insurance Plan
In this ever changing world of healthcare, it is important to know what your health insurance covers.
Some insurance plans may not cover routine childhood screening tests, such as hearing, vision, or behavioral health screening, Some insurance plans may charge higher amounts for laboratory services based on the laboratory facility used.
Some insurance plans regularly apply some of our services or the services we order to your deductible. Examples include blood work, urinalysis, throat cultures, viral swabs, wart removals, updrafts, PFT's, x-rays, stitches, and other in-office procedures. This is directly linked to the insurance plan you have and the amount of premium paid. It is not a decision made by Northampton Area Pediatrics.
The staff at Northampton Area Pediatrics can provide general guidance in this area but insurance plan rules change without us always being notified. It is your responsibility to know what the coverage policies are for your health insurance plan.
What you need to know about high deductible health plans
Parent's Guide to Health Insurance
A Young Adult's Guide to Health Insurance
The State requires MassHealth enrollees to submit new applications for coverage
The Affordable Care Act requires states to review Medicaid eligibility every 12 months. MassHealth has resumed its annual Medicaid renewal process. Those who fail to respond to a renewal notice, will lose their coverage. The fastest way to reapply for coverage is online through MAhealthconnector.org. You may also reapply utilizing a paper applications which is available at MAhealthconnector.org, or simply call the MassHealth Customer Service Center at 800-841-2900 (800-497-4648 for the hearing impaired) for information and direction.
Reminder to our Masshealth patients:
It is important to keep your address up to date with Masshealth. Masshealth utilizes your address as a means to communicate with you. Communications from Masshealth may include eligibility review forms, requests for absent parent forms or verification of income, to name a few.
If mail is returned to Masshealth as “undeliverable” for an incorrect address, you will likely lose your Masshealth benefits due to failure to provide requested information.
To avoid disruption in Masshealth services, be sure to always update Masshealth with any changes in your address.