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Insurance and Referrals

Welcome to the Managed Care Department at DotHouse Health. Managed Care schedules your appointments for outside specialty care and makes sure that your referrals are in place prior to your appointment. Our team advocates for DotHouse Health patients in issues with insurers and hospitals and can help patients navigate around challenges within healthcare system.

Insurance

DotHouse Health accepts all major insurance plans. This includes all federal and state insurance programs.It is our goal to provide healthcare regardless of ability to pay. If you do not have insurance, one of our Financial Counselors can work with you to enroll you in a program,

If you have any questions about your insurance coverage, please call our Managed Care Department, 617-288-3230 and follow the instructions. The department also manages a secure voicemail system and if you choose to leave a message your call will be returned within one business day.

FREQUENTLY ASKED QUESTIONS

How do I acquire a referral for specialty care outside of DotHouse Health?

Your primary care physician can refer you for specialty care at many Boston-area hospitals. Below is a step-by-step process for referrals:

• Set up an appointment with your primary care provider. When scheduling your appointment, please inform the staff that you are interested in a referral.
• At your appointment, please discuss your need for specialty care with your primary care provider.
• If specialty care is approved, your primary care provider will write a referral for a specialty care visit at a specific hospital. If you would like to select a specific hospital for a specialty visit, please call our Managed Care Department after you have received a referral.
• The referral will be sent to our Managed Care Department who will schedule the actual appointment and send your information to the specialty care provider.
• Our Managed Care Department will send you an appointment notification. Depending on the date of your appointment, they will notify you wither by phone or by mail.
•  If you choose to schedule the appointment yourself, your primary care provider will give you with a copy of the referral.

As a DotHouse Health patient, which hospitals can I be referred to for specialty care?

Depending on your insurance provider, you may have access to many different hospitals. If you would like information about your access to a specific hospital, please call the Managed Care Department.

I do not have or I am having problems with insurance. How can I contact the DotHouse Health Financial Counselor?

Our Financial Counselors will work with you to connect you to a healthcare program or other community resources. Please click here for more information about our Financial Counseling services.

Why have I not yet received a notification for my specialty care appointment?

The referral appointment process can take up to 2 weeks to complete. Please contact the Managed Care Department with any questions.

What insurance information should I bring to an appointment?

Please bring your insurance card and photo ID to appointments.

Do I need a referral before I receive specialty care services?

Yes. You must make sure that all referral information is completed before your appointment for specialty care. If not, you may be charged for the cost of specialty care. Please note that insurance carriers generally do not cover costs retroactively if your referral is received after the appointment.