Mclean Hospital

Health Insurance

Information for Patients and Families

Overview

McLean Hospital accepts Medicare, Massachusetts Medicaid (which limits coverage for substance abuse services to outpatient care), Blue Cross, and many other private health insurance plans. The hospital also has working arrangements with many managed care companies. More information on insurance providers accepted by McLean Hospital may be found on the Partners HealthCare website. You may also find it beneficial to review McLean’s financial assistance policy.

Most health insurance policies provide benefits for psychiatric services. However, access to these benefits is sometimes restricted or limited, particularly for certain types of comprehensive care. In general, short-term inpatient, partial hospitalization (day treatment), and outpatient services are usually covered by insurance, while benefits for residential and long-term care may be limited. Most insurance companies also require precertification for inpatient and partial hospitalization (day treatment) services.

We are here to help

We will work with you and your family prior to admission and throughout the course of treatment to determine the most cost-effective treatment that meets clinical needs. If you have any questions about the extent of insurance coverage, we strongly recommend that you contact your insurance carrier to determine potential coverage available for treatment.

When speaking to your insurance carrier, it may be useful to inquire how insurance benefits cover room and care rates, physician or other professional fees, and the amounts of self-pay balances, co-pays, and deductibles.

Some of McLean’s program are self-pay, therefore they do not accept insurance or assist with insurance reimbursement efforts. However, some fees at these programs may be recoverable through insurance.

Please direct questions about insurance benefits or billing to a patient accounts representative in Patient Financial Services at 617.855.3304.