Paul Sanchez
Boston Medical Center is a 511-bed academic medical center that delivers a model of healthcare with innovative and equitable care for all patients. Boston Medical Center is a founding partner of the Boston Medical Center Health System, which strives to provide a coordinated, equitable, and value-based continuum of care for patients and health plan members. Boston Medical Center works with various insurance providers and is committed to providing care to all patients, regardless of their ability to pay. For instance, WellSense works closely with providers at Boston Medical Center to ensure that patients with WellSense insurance coverage receive seamless and coordinated care. Additionally, Boston Medical Center – Brighton, a 291-bed academic hospital, offers top-rated physicians and advanced treatments in specialty care.
| Characteristics | Values |
|---|---|
| Number of beds | 511 |
| Type | Academic medical center |
| Specialty | Cardiac surgery, robotic surgery, NICU, stroke center |
| Insurance | WellSense |
| Location | Boston, Brighton |
| Affiliated institutions | Boston University, Boston University Chobanian & Avedisian School of Medicine, 12 community health centers |
| Services | Emergency, specialty healthcare, comprehensive care in more than 70 specialties and subspecialties |
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What You'll Learn
WellSense insurance coverage
WellSense is a non-profit health insurance plan that serves over 680,000 members across Massachusetts and New Hampshire. The insurance plan covers Medicaid, Medicare, and Individual and Family plans.
WellSense works closely with providers at Boston Medical Center (BMC) and other healthcare organizations to ensure that patients with WellSense insurance coverage receive seamless and coordinated care. All members with WellSense insurance coverage receive comprehensive coverage for hospital, primary, specialty, and behavioral healthcare.
In addition to the comprehensive coverage provided by WellSense, members on certain plans are also eligible for additional benefits. These benefits include free car safety seats, bicycle helmets, and manual breast pumps for children, as well as access to a 24/7 nurse advice line and reimbursements for qualified gym memberships.
WellSense also offers MassHealth Standard plus Medicare benefits, including prescription drug coverage and member extras, at no additional cost. This means that members can access the benefits of both MassHealth and Medicare, ensuring they receive comprehensive healthcare coverage.
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Boston Accountable Care Organization (BACO)
Boston Medical Center (BMC) is a founding partner of the Boston Medical Center Health System, which aims to provide a coordinated, equitable, and value-based continuum of care for patients and health plan members. BMC is committed to delivering world-class healthcare and ensuring health equity for all patients. With over 500 beds, it is the largest essential hospital in New England, offering comprehensive care across more than 70 specialties and subspecialties.
The Boston Accountable Care Organization (BACO) is one of eight ACOs operated by WellSense in Massachusetts. BACO manages a large patient population across Medicaid, Medicare, and commercial partnerships. It consists of five hospitals, 12 community health centres, and other healthcare providers, working together to provide coordinated and personalised care.
As an accountable care organisation, BACO facilitates collaboration between doctors, hospitals, and other healthcare providers. This model improves communication between specialists, primary care providers, and insurance companies, resulting in tailored care that meets individual needs and preferences.
BACO's partner, WellSense, offers comprehensive insurance coverage for hospital, primary, specialty, and behavioural healthcare. WellSense members also benefit from additional services, such as free safety equipment for children, access to a nurse advice line, and reimbursements for weight management programs and qualified gym memberships.
Boston Medical Center demonstrates its commitment to patient care by accepting various insurance plans and offering financial assistance to those in need. This approach ensures that all individuals, regardless of their financial situation, have access to the healthcare services provided by BMC and its affiliated organisations, including BACO.
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Medicaid, Medicare
Boston Medical Center is a partner of WellSense, which offers insurance coverage for hospital, primary, specialty, and behavioral healthcare, among other benefits. WellSense operates the Boston Accountable Care Organization (BACO), which manages patients across Medicaid, Medicare, and commercial partnerships.
Medicaid is a joint federal and state program that helps cover medical costs for certain low-income individuals, families, and children, pregnant women, the elderly, and people with disabilities. Each state has its own Medicaid program, with its own eligibility requirements and benefits. Generally, eligibility is determined by income, resources, and residency. Medicaid offers benefits not typically covered by Medicare, including nursing home care and personal care services.
Medicare consists of several parts, including Part A, Part B, Part C, Part D, and Medigap. Part A covers inpatient hospital care, skilled nursing facility care, hospice care, and home health care. Part B is medical insurance. Part D helps cover the cost of prescription drugs, vaccines, and some shots. Medicare Advantage, also known as Part C, is an alternative to Original Medicare, offering bundled health and drug coverage. It is provided by private companies and typically includes Parts A, B, and D. Medicare Advantage plans may have different out-of-pocket costs and offer additional benefits not included in Original Medicare.
If an individual has both Medicare and full Medicaid coverage, they are considered "dually eligible." In such cases, Medicare pays first for covered services, and Medicaid pays last, covering any remaining costs. Medicaid may also cover some drugs that Medicare does not.
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Boston University Chobanian & Avedisian School of Medicine
Boston Medical Center is committed to providing care to all patients, regardless of their ability to pay. It is a founding partner of the Boston Medical Center Health System, which aims to deliver coordinated, equitable, and value-based care to patients and health plan members across New England. As a 511-bed academic medical centre, Boston Medical Center delivers innovative and equitable care across more than 70 specialties and subspecialties.
Boston Medical Center – Brighton, a 291-bed academic hospital, is a teaching hospital of Boston University. It is recognised for its advanced treatments and top-rated physicians in specialty care. The hospital provides comprehensive and compassionate care to a diverse population, including college students, young professionals, and multigenerational families in the local community.
Boston Medical Center works closely with WellSense insurance, ensuring seamless and coordinated care for patients with WellSense coverage. WellSense operates eight accountable care organisations (ACOs) statewide, including the Boston Accountable Care Organisation (BACO), which manages over 200,000 patients across Medicaid, Medicare, and commercial partnerships.
Boston Medical Center is also a founder of Boston HealthNet, an integrated healthcare delivery system established in 1995. Boston HealthNet includes partnerships with the Boston University Chobanian & Avedisian School of Medicine and 12 community health centres. This network affiliation enhances the coordination and accessibility of healthcare services, contributing to the overall well-being of the community.
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Health Plans Inc
Boston Medical Center is a founding partner of the Boston Medical Center Health System, which aims to provide a coordinated, equitable, and value-based continuum of care for patients and health plan members. As a premier academic medical centre in Boston, Boston Medical Center delivers comprehensive care in over 70 specialties and subspecialties.
Boston Medical Center Health Plan, doing business as BMC HealthNet Plan, is a non-profit organisation that provides managed care services and coverage plans for children and adults.
WellSense is another insurance option that works closely with providers at Boston Medical Center and its partner healthcare organisations. WellSense insurance coverage includes comprehensive coverage for hospital, primary, specialty, and behavioural healthcare. In addition, certain WellSense plans include extras such as free car safety seats, bicycle helmets for kids, manual breast pumps, dental kits, access to a 24/7 nurse advice line, and reimbursements for qualified gym memberships.
Boston Medical Center – Brighton is a 291-bed academic hospital recognised for its top-rated physicians and advanced treatments in specialty care. As a teaching hospital of Boston University, it offers high-quality emergency and specialty healthcare, including a nationally ranked advanced centre for cardiac surgery, a cutting-edge robotic surgery program, a Level III NICU, and a nationally recognised Stroke Center.
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Frequently asked questions
Boston Medical Center works with WellSense insurance coverage. This insurance covers hospital, primary, specialty, and behavioral healthcare.
Members of WellSense insurance receive extras such as free car safety seats for children, access to a 24/7 nurse advice line, and reimbursements for qualified gym memberships.
Yes, Boston Medical Center is committed to providing care to all patients, regardless of ability to pay. If you cannot pay your bill, you can contact Patient Financial Assistance for support.
Boston Medical Center is a 511-bed academic medical center that delivers innovative and equitable care to its patients.
