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HIV and Enteropathy
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Massachusetts State Insurance Exchange
Exchange:
The Massachusetts Insurance Exchange (Marketplace) is called Massachusetts Health Connector. Massachusetts Health Connector is administered by the State of Massachusetts.
General information about the Massachusetts Health Connector can be found at: https://www.mahealthconnector.org/.
Learn more: Background
Patients:
Massachusetts Health Connector is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they have insurance from another source (such as employment, retirement benefits, or spousal benefits), they do not need to obtain it from the Marketplace.
HIV Providers:
Providers must contract with each of the plans in the marketplace individually in order to fully participate in Massachusetts Health Connector.
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
As an HIV provider, you may qualify for the designation, of an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
 
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
 
 
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Massachusetts Health Connector.
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
Blue Cross Blue Shield of Massachusetts
 
Boston Medical Center HealthNet Plan
 
Celticare Health Plan of Massachusetts- Ambetter
Plan Website: http://www.celticarehealthplan.com/for-members/benefits/commonwealth-care/
Provider Enrollment: http://www.celticarehealthplan.com/for-providers/become-a-provider/
 
Fallon Community Health Plan
Plan Website: http://www.fchp.org/
 
Harvard Pilgrim HealthCare
 
Health New England
 
Minuteman Health
Plan Website: http://minutemanhealth.org/
Provider Enrollment: http://minutemanhealth.org/health-professionals
 
Neighborhood Health Plan
 
Tufts Health Plan
 
 
 
 
 
 
 
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