Members

plans

From managed care plans to high deductible health plans and everything in between, Health New England offers a range of plans to meet the needs of individuals and employer groups.

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We offer a number of plans that meet creditable coverage requirements through the Health Connector. We’re here to help you to choose the plan that’s right for you.

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When you become eligible for Medicare, you have some important choices to make. See why many seniors in Western Massachusetts choose Health New England's Medicare Advantage. 

The BeHealthy PartnershipSM is a MassHealth plan for the Medicaid population in and around Holyoke, Northampton, Springfield and Westfield.

HNE

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MemberMatters Newsletter

MemberMatters is our news site for members on HNEtalk.com. Here, you’ll find the most current news and information as it relates to your relationship with Health New England. Whether it’s updated plan information and guidelines, health-related news or community events – you’ll find it all on HNEtalk!


Announcements

Periodically, we post important member updates and information. Stay informed and check the announcements page often.

Covered Preventive Care Services

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Health New England covers the following preventive care services at no cost to our members when they seek care from in-network providers. Some of these services are also covered as part of routine physical exams, well visits and annual gynecological exams. For a comprehensive listing of Health New England covered preventive care services:


Member Resources

We are proud to be your neighbors! You get your coverage here, your claims paid here, and your questions answered here – by members of your own community. We’ll help you really understand your plan and get the most out of your benefits.

Health New England offers a network of high-caliber physicians, hospitals, medical centers and specialists throughout Western and Central Massachusetts, and in parts of Connecticut. Whether you are getting a routine checkup, filling a prescription, or in need of emergency services – at Health New England, we make it easy for you to get the quality care you are looking for.

We are also committed to keeping health care information simple and easy to access. If you are looking for Medical Policies or other resources, you'll find them here.


Balance Billing by Out-of-Plan Providers: Effective January 1, 2022

The federal “No Surprises Act” creates a process that providers must follow in order to balance bill. Balance billing is when the provider bills for the difference between the provider’s charge and the allowed amount. The allowed amount is the maximum amount on which payment is based for covered services.

This process is the “notice and consent” process. An Out-of-Plan provider must notify a patient of its Out-of-Plan status and get written consent from the patient to receive the Out-of-Plan services. Before obtaining written consent, the provider must first advise the patient of the right not to be balance billed.

The “notice and consent” process is not available for the following:

  • Emergency services
  • Certain ancillary services (emergency medicine, anesthesiology, pathology, radiology, neonatology, and diagnostic services including radiology and lab services)
  • Items and services due to unforeseen urgent medical need during a procedure for which notice and consent has previously been obtained
  • Any situation where there is no In-Plan provider available at the In-Plan facility to provide the service

Violations of this balance billing protection can be reported to the Massachusetts Division of Insurance (DOI). You can submit a complaint at this website: https://www.mass.gov/how-to/filing-an-insurance-complaint or you may call (617) 521-7794.

(Does not apply to Medicare or Medicaid.)