Insurance and Financial Assistance Information
South Shore Hospital's mission as a not-for-profit community resource is to provide medical care to those in need, regardless of their ability to pay.
In the last 13 fiscal years (1994-2006), South Shore Hospital has provided $88.4 million in uncompensated care to the people of the South Shore — without any assistance from local, state, federal, or other funding sources. This amount is growing annually.
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)
1-800-682-1062
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
Need assistance paying for medical expenses?
You may be eligible for
free or low-cost health care. Visit
gethealthcoverage.net
for more information.
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 — see the table below:
Family |
MassHealth |
100% |
120% |
133% |
135% |
1 |
$6,264 |
$10,212 |
$12,252 |
$13,584 |
$13,788 |
2 |
$7,800 |
$13,692 |
$16,428 |
$18,216 |
$18,492 |
3 |
$9,300 |
$17,172 |
|
$22,848 |
|
4 |
$10,692 |
$20,652 |
|
$27,468 |
|
5 |
$12,192 |
$24,132 |
|
$32,100 |
|
6 |
$13,692 |
$27,612 |
|
$36,732 |
|
7 |
$15,192 |
$31,092 |
|
$41,352 |
|
8 |
$16,596 |
$34,572 |
|
$45,984 |
|
Each additional person: |
$1,596 |
$3,480 |
|
$4,632 |
|
Family |
150% |
200% |
250% |
300% |
400% |
1 |
$15,324 |
$20,424 |
$25,536 |
$30,636 |
$40,848 |
2 |
$20,544 |
$27,384 |
$34,236 |
$41,076 |
$54,768 |
3 |
$25,764 |
$34,344 |
$42,936 |
$51,516 |
$68,688 |
4 |
$30,984 |
$41,304 |
$51,636 |
$61,956 |
$82,608 |
5 |
$36,204 |
$48,264 |
$60,336 |
$72,396 |
$96,528 |
6 |
$41,424 |
$55,224 |
$69,036 |
$82,836 |
$110,448 |
7 |
$46,644 |
$62,184 |
$77,736 |
$93,276 |
$124,368 |
8 |
$51,864 |
$69,144 |
$86,436 |
$103,716 |
$138,288 |
Each additional person: |
$5,220 |
$6,960 |
$10,200 |
$11,904 |
$13,920 |
Financial Assistance
You may apply for financial assistance by requesting assistance from the Financial Counselor’s office (adjacent to the
emergency department lobby) or by contacting
781-340-4329. Other programs include MassHealth and Medical Hardship.
Please call 781-340-4329 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.