Insurance and Financial Assistance Information

South Shore Hospital's mission as a not-for-profit charity is to provide care to those in medical need, regardless of their ability to pay.

South Shore Hospital accepts nearly every major health insurance plan, as do the individual members of our medical staff. Because plan names and benefits change frequently, it is best to call your insurer to learn the details of your plan's benefits before you select a physician.

For your convenience, we've listed phone numbers and websites for the region's leading health insurance providers. 

Aetna

1-860-273-0123

Blue Cross Blue Shield of Massachusetts

1-800-253-5210

Cigna Health Care of Massachusetts

1-800-345-9458

Harvard Pilgrim Health Care

1-888-888-4742

Health Care Value Management

1-800-922-4286

Medicaid (Mass Health)

1-800-841-2900

Medicare

1-800-MEDICARE
1-800-633-4227

Private Health Care Systems

1-800-225-5548

Tufts Associated Health Plan

1-800-462-0224
1-800-843-1008
1-800-423-8080

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Notice of Hospital Financial Assistance

Availability

Patients may apply for financial assistance for medically necessary service. Non-medically necessary services, such as elective cosmetic surgery and the private room differential, are excluded from consideration for financial assistance.

Financial Criteria

You may be eligible for financial assistance through a public assistance program, including Commonwealth Care, MassHealth, and Health Safety Net.

Eligibility for these programs is determined by comparing your family size and family
income with the MassHealth Income Standards and Federal Poverty Guidelines — download PDF or see the table below:

 Family
Size

MassHealth

100%

120%

133%

135%

1

$6,264

$10,836

$12,996

$14,412

$14,628

2

$7,800

$14,580

$17,484

$19,380

$19,680

3

$9,300

$18,312

 

$24,360

 

4

$10,692

$22,056

 

$29,328

 

5

$12,192

$25,800

 

$34,308

 

6

$13,692

$29,532

 

$39,276

 

7

$15,192

$33,276

 

$44,256

 

8

$16,596

$37,020

 

$49,224

 

Each additional person:

$1,596

$3,744

 

$4,980

 

 

 Family
Size

150%

200%

250%

300%

400%

1

$16,248

$21,660

$27,084

$32,496

$43,320

2

$21,864

$29,148

$36,432

$43,716

$58,284

3

$27,468

$36,624

$45,780

$54,936

$73,248

4

$33,084

$44,100

$55,128

$66,156

$88,200

5

$38,688

$51,588

$64,476

$77,376

$103,164

6

$44,304

$59,064

$73,836

$88,596

$118,128

7

$49,908

$66,540

$83,184

$99,816

$133,080

8

$55,524

$74,028

$92,532

$111,036

$148,044

Each additional person:

$5,616

$7,488

$9,348

$11,220

$14,964
           

 

Financial Assistance

You may apply for financial assistance by requesting assistance from the Financial Counselor’s office located in Patient Access in the Main Lobby or by contacting
781-624-4329. Other programs include MassHealth and Medical Hardship.
Please call 781-624-4329 for eligibility information and verification of requirements.

This financial assistance program does not include physicians’ fees. Physicians will bill you separately for their services. Along with your private physician, services may be provided to you and billed by anesthesiologists, pathologists, radiologists, and other specialists.

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