Reporting Period: October 1, 2019 to December 31, 2019

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Check Your Health Plan Coverage Before Your Appointment

Health plan coverage may change, so before scheduling an appointment or seeking treatment, please check with your health insurance provider to confirm full coverage. This will ensure that your physician and hospital are included in your specific health plan.
 

Last updated: January 10, 2025

Health insurance terms and requirements can affect how and when your care is covered — and what you may need to pay. Understanding referrals, copayments, deductibles, coinsurance, and whether your care is in-network can help you avoid unexpected costs and plan ahead for your visit.

Learn what you need to know before scheduling an appointment.

Confirm Your Insurance Coverage 

• Check the UMass Memorial Health insurance plans accepted list and contact your insurance provider to verify coverage.
• Ensure UMass Memorial is considered "in-network" for your specific plan. 

Understand Your Insurance Benefits

• Contact your ins

Understanding Health Plan Referrals, Networks, and Medicare Coverage

Many health plans require members to obtain a referral from a primary care provider before seeing a specialist.