We are excited to incorporate our new brand name on our plan resources and materials, including member ID cards. Designed with your practice in mind Our easy-to-use provider portal puts key information at your fingertips. Mental health & substance use. Contact Us. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company AllWays Health Partners staff is available at 855-444-4647 Monday-Friday (8:00 AM - 5:00 PM EST, closed 12:00 - 12:45 PM). AllWays Health Partners d/b/a Mass General Brigham Health Plan. For Medicare Advantage members:Medicare Advantage Prior Authorization and Notification Guidelines (PDF). AllWays Health Partnersdoes not specifically reward providers or any organization reviewing our coverage decisions. Find Primary Care. Services not yet available in Alabama and Mississippi. You can. Medicare Balance members don't need a referral to see a specialist. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Fitness Reimbursement Important notice: These plans provide access to networks that are smaller than AllWays Health Partners full commercial HMO provider network. We will build on our series of value-based programs, including, Allies, Path to Lifestyle Change, and Down Syndrome Clinic to You. AllWays Health Partners will comply with regulatory guidance to ensure Hospitals are reimbursed for behavioral health crisis evaluations and stabilization services provided in the Emergency Department in response to the ED Boarding crisis. Will you be providing new member ID cards? Then, just emailthe documents along with a copy of your Agency's and/or individual MA Producer's license to brokers@allwayshealth.org or fax 617-526-1975. COVID-19. The fastest way to submit a reimbursement request for your weight loss benefit is on the member portal. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Log in to your secure member portal, allwaysmember.org, toview plan documents, track your cost sharing, search for doctors, and more. Source: Urgent Care Association, "2018 Benchmark Report." How to choose a representative to speak for you in case you cant make your own medical decisions. HMO Plans for Intermediary Small Group (effective 1/1/22). Member Behavioral Health Reimbursement Claim Form. What youre entitled to if you have a mastectomy. The DASH dietEnglish| Espaol Find a My Care Family doctor To request other, medically necessary sites of care, please submit a prior authorization through NovoLogix. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Contact them as often as you need. Learn about AllWays Health Partners (Mass General Brigham Health Plan) AllWays Health Partners (Mass General Brigham Health Plan) Handbook; Find an AllWays Health Partners (Mass General Brigham Health Plan) provider; Transparency In Coverage Files You can learn more about this federal requirement and your rights and protections as an AllWays Health Partners memberhere. See form for instructions. Your behavioral health benefits include counseling and treatment for: You do not need a referral from your PCP to seek outpatient services. Weve made it easy for you to do business with AllWays Health Partners by organizing popular forms and resources on one page. Save up to 85% at MinuteClinic vs. the ER for comparable services. Allies Choice HMO Plans for Intermediary Small Group(effective 1/1/23) Use the Prescription Drug Reimbursement Form to file an eligible prescription drug claim reimbursement. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 1 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 All deductions are pre-tax and extend to you, your family, eligible dependents, and same-sex domestic partners. Check theService Approval Guidelines (PDF). Meet AllWays Health Partners, an innovative health plan offering performance guarantees and a customer loyalty program, in addition to a growing network, easy-to-understand plans, and quick customer service. There will not be any changes to your benefits as a result of our new brand name. Call 1-855-860-4949 to learn more. My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners. On the portal, you and others in your practice can: Mass General Brigham Advantage is a new Medicare Advantage plan being offered by Mass General Brigham Health Plan (formerly AllWays Health Partners). Read our press release, and stay tuned for more details before January 1. Submit claims for AllWays Health Partners members, Authorization request form for Aetna Signature, non-contracted, and PHCS providers, Authorizations request form for Optum providers. If you are a Producer with an agency, please call1-877-853-4160or emailbrokers@allwayshealth.orgto confirm if your agency is already registered. The AllWays Health Partners medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered. Close IMPORTANT UPDATE: Members of AllWays Health Partners will have access to FDA approved at-home COVID-19 tests at no cost in accordance with new federal guidelines. You can browse the medical policies to see the coverage criteria for a specific condition. See form for details and instructions. Examples include easier dosing, variety of dosage forms, better taste, ability to crush or divide doses and more flexible storage requirements. Homemade Adobo recipe / Adobo casero sin sal Sign in to the AllWays Broker Portal or reach out to your Account Executive. Also, Medicare Balance pays the entire balance on member deductibles and coinsurance costs for services charged at the Medicare-allowed amount. Not a member yet? Use this form to request your member record from AllWays Health Partners. All Ways Caring HomeCare provides affordable expert home care services from caregivers you can trust. Many AllWays Health Partners plans include fitness and weight-loss benefits that reimburse members for subscriptions, programs, or activities at qualifying fitness facilities, and up to six months of membership fees at a qualified weight-loss program. Weve made it easy for you to do business with AllWays Health Partners by organizing popular forms and resources on one page. This policy begins January 15, 2022 and remains in effect for the duration of the federal public health emergency. If you have questions or need help with any of the resources on this page, we are here to help. Discover healthcare payor and insurer cloud solutions to deliver trusted member experiences, optimize care management and health outcomes, accelerate workplace modernization and protect health information. There are no changes to our provider network as a result of our new name. To help you deliver the very best patient care, here are some resources where you can find practice guidelines for chronic or complex conditions. AllWays Health Partners is not liable for any losses, damages, or uncovered charges as a result of using this provider search tool or as a result of receiving care from a provider listed in the provider search tool. AllWays Health Partners d/b/a Mass General Brigham Health Plan. Non-contracted providers outside of Massachusetts should submit claims to UnitedHealthcare Shared Services. COVID-19 information Get answers to frequently asked questions about COVID-19: COVID-19 Commercial FAQ; My Care Family COVID-19 FAQ; Thenclick on "Register" and fill out the form with your information, including your My Care Family Member ID. A list of care management programs offered by your plan. > About Us; Classes & Events; Give; MyChart; Careers; Get Care Today. Requires that patient cost-sharing (copayments, co-insurance, or a deductibles) for the services outlined above cannot be higher than if such services were provided by an in-network provider. Non-Emergency Medically Necessary Ground Transportation Form, Psychological and Neuropsychological Assessment Supplemental Form, Prior authorization form Specialty and Non-Specialty (PDF), Hepatitis C Medications Prior Authorization Form (PDF), MassHealth Notification of Birth Form (NOB-1), Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents, Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts, HIV/AIDS Treatment Information Service Guidelines, Offering Information on HIV/AIDS Treatment, Prevention, and Research, Perinatal Care Guidelines - Massachusetts Health Quality Partners, Adult Preventive Care Guidelines - Massachusetts Health Quality Partners, Pediatric Preventive Care Guidelines - Massachusetts Health Quality Partners, Information for Aetna Signature, PHCS, non-contracted, and Optum providers, uthorization request form for Aetna Signature, non-contracted, and PHCS providers, Information for out-of-network providers: the 2021 No Surprises Act, more information from Clear Health Strategies here, 270/271 Eligibility Benefit Inquiry & Response, 278 Heath Care Services Review Request for Review and Response. When you should have preventive care and whats covered. We are available Monday through Friday, 8:00 AM to 6:00 PM, Thursdays 8:00 AM to 8:00 PM. A summary of information included in your Member Handbook and details on how to use the Provider Directory. Clinical criteria do not certify coverage availability. Clinical criteria do not certify coverage availability. Browse a curated collection of vaccine information for your patients on our COVID-19 vaccine resources page. Our Nurse Advice Line is open 24/7. AllWays Health Partners is proud to provide MassHealth insurance coverage to members of My Care FamilySM. This form is intended for: UnitedHealthCare Options PPO providers; MultiPlan PHCS network providers; Providers who are non-contracted with AllWays Health Partners; This form is NOT intended for: Browse by Category Browse by Category: Find results using these care categories To contact Optum, call the number on the back of your member ID card. Read more on our COVID-19 resource center. Call 1-855-860-4949. Consuming less saltEnglish | Espaol Credit, debit, health savings accounts (HSA) and some insurance accepted. Member Behavioral Health Reimbursement Claim Form, Use the Member Reimbursement Claim form to file an eligible behavioral health reimbursement. Theres no limit on calls or emails. We are available to help on Monday through Friday from 8:00 AM to 6:00 PM and Thursday from 8:00 AM to 8:00 PM. When you buy safety helmets for toddlers, children, and adults, AllWays Health Partners will reimburse 50% of the purchase price of one new helmet, per member, per calendar year up to a $15.00 reimbursement. Childbirth education classes, plus parenting and infant CPR classes, are available to you and your partner or support person free of charge at many primary care sites and hospitals. Resources on topics like mental health, caregiving and parenting, and more. Together with Mass General Brigham, AllWays Health Partners is creating a truly different health care experiencewith products and programs that put our customers at the center of everything we do. The AllWays Health Partners medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Explore our health plans and get started finding an option that works for your client. The list includes, but is not limited to the following: Need to know if a service or treatment requires a prior authorization or referral? Will this have any impact to your plan premiums? Build your knowledge of health care with articles on important health topics, the benefits of an AllWays Health Partners plan, and more. Lower or control high blood pressure Learn about perks that come with your plan like a fitness benefit, discounts on child safety products, and more. Do you have questions about your health plan? We're putting your clients' needs first with our innovative programs, huge network of doctors and hospitals, and exceptional customer service. Be ready to give your name, member ID number, and symptoms. How to appeal a denial or submit a formal complaint. Virtual visits with a therapist who can evaluate and treat general mental health conditions. AllWays Health Partners network providers in all states and non-contracted providers in Massachusetts should submit claims directly to AllWays Health Partners. Members with pharmacy benefits through AllWays Health Partners plans and My Care Family are entitled to fill a 12-month supply of prescription contraceptives under Chapter 120 of the Acts of 2017, An Act Relative to Advancing Contraceptive Coverage and Economic Security in AllWays Health Partners (Mass General Brigham Health Plan) HMO. By signing up for an account atliveandworkwell.com, youll have access to: To create an account, clickhereto go to theLive and Work Well website. Onallwaysprovider.org you can check eligibility, add or remove providers from your practice, and more. Mental health and substance use services offered in partnership with Optum. Any cost-sharing obligation must be based on median in-network provider rates. Our policy for protecting your health information. Breastfeeding support classes are also available free of charge at many primary care sites and hospitals. Amendment One to Covered Services and Handbook effectiveJuly 1, 2020, Amendment Two to Covered Services and Handbook effective September 1, 2022, Select or change your primary care provider, Submit eligible expenses (like fitness reimbursement). For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. Greater Lawrence Family Health Center For over 30 years, AllWays has delivered value to members and innovation to the health care system. See form for details and instructions. You can check claims and eligibility 24/7 on our secure provider portal. Behavioral health support is a part of your health plan. Learn how we can help plan your transition and create a welcoming experience for new members. Helpful forms Learn more about this change and how it reflects our goal to improve health outcomes, reduce costs, and transform the healthcare experience. Providers who are outside of AllWays Health Partners provider network can now submit medical authorization requests online. How will this impact your current and upcoming product offerings in the market? There you can: For questions about your coverage, call Customer Service at800-462-5449(TTY users: 711). We are available Monday through Friday, 8:00 AM to 6:00 PM and 8:00 AM to 8:00 PM on Thursdays. AllWays Advisor Forum is an exclusive opportunity to be part of a special advisory team for AllWays Health Partners. Payer ID numbers and addresses for submitting medical and behavioral health claims. On January 1, 2023, we'll continue to advance our goal of transforming the patient and provider experience by becoming Mass General Brigham Health Plan. Assisted Reproductive Services/Infertility Services, Assisted Reproductive Services/Infertility Services (Effective Date: January 1, 2023), Autologous Chondrocyte Implantation in the Knee, Enteral Nutrition Formulas and Supplements, Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea, Intravenous Ketamine for Treatment-Resistant Depression, Neuromodulation for Overactive Bladder and Fecal Incontinence, Non-Emergency Medically Necessary Transportation, Oral and Maxillofacial Surgery and Procedures, Phototherapy & Photo Chemotherapy for Dermatologic Conditions, Pylarify and Gallium Ga-68 PSMA-11 Imaging for Patients with Prostate Cancer, Radiofrequency Ablation to Treat Uterine Fibroids, Specialty Medication Administration Site of Care, UVB Home Phototherapy Units for Skin Disease, Vitamin D Screening and Testing in Adults. You can search our. However, the medical policies will not tell you whether a service or technology is covered under your plan. Prohibits balance billing for qualifying items or services provided by an out-of-network provider at an in-network facility unless a patient provides consent via the process required by CMS. Ban balance billing for emergency services, air ambulance, and certain professional services provided by an out-of-network provider at an in-network facility. With over 30 years of experience, AllWays Health Partners comes from a tradition of innovation, value, and customer service created from the combined strengths of Optum behavioral health may develop Clinical Criteria that describe the generally accepted standards of practice evidence, prevailing standards and guidance supporting determinations made regarding specific services. AllWays Health Partners works with the experts at Optum to provide comprehensive mental health and substance use services. As a forum member, well ask you to participate in both surveys and discussions to help AllWays Health Partners build better products, programs, communications and services for you and your clients. We plan to reissue member ID cards later this year for an effective date of January 1, 2023, and will provide more information on this transition in the coming months. Look up a covered medication AllWays Health Partners d/b/a Mass General Brigham Health Plan. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 You can also email us atcustomerservice@allwayshealth.orgor go toallwaysmember.orgto start a live chat with a Customer Service Professional. Home; Join the Networks; Emphasis on products essential to health. The fastest way to submit a reimbursement request for your fitness benefit is on the member portal, Find free community resources and social services, Get help finding healthy living resources in Massachusetts, Prescription Drug Reimbursement Form (PDF), Member Behavioral Health Reimbursement Claim Form, Childbirth Education Reimbursement Form (PDF), Continuity of care at cancer and pediatric facilities notification form, Continuity of Care at Cancer and Pediatric Facilities Notification Form (PDF), Weight Loss Program Benefit Form and Instructions (PDF), Fitness Benefit Coverage Form and Instructions (PDF), Medicare Advantage Prior Authorization and Notification Guidelines. AllWays Health Partners Broker Agreement Form, Allies Choice HMO Plans for Merged Market, Choice Easy Tier HMO and PPO Plus Plans for Merged Market, Complete PPO Plus Plans for Merged Market, Allies Choice HMO Plans for Intermediary Small Group, Complete and Choice Easy Tier Plans for Large Employers (effective 1/1/22), Allies Choice HMO Plans for Merged Market(effective 11/1/22), Allies Choice HMO Plans for Merged Market (effective 6/1/22), Choice Easy Tier HMO and PPO Plus Plans for Merged Market (effective 1/1/22), Complete HMO Plans for Merged Market (effective 1/1/22), Complete PPO Plus Plans for Merged Market (effective 1/1/22), Allies Choice HMO Plans for Intermediary Small Group (effective 6/1/22), HMO Plans for Intermediary Small Group (effective 1/1/22), Complete and Choice Easy Tier Plans for Large Employers (effective 1/1/21), Choice Easy Tier HMO and PPO Plus Plans for Merged Market (effective 1/1/21), Complete HMO Plans for Merged Market (effective 4/1/21), Complete PPO Plus Plans for Merged Market (effective 4/1/21), HMO Plans for Intermediary Small Group(effective 4/1/21). Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. My Care Family Partners Main Line 781-624-8800; Patient Relations 781-624-8888; Home Healthcare. Its easy to register. South Shore VNA; Request a Call; AllWays Health Partners network providers in all states and non-contracted providers in Massachusetts should submit claims directly to AllWays Health Partners. We are pleased to offer comprehensive medical and behavioral health benefits that support our members overall health and well-being. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Allies Choice HMO Plans for Intermediary Small Group (effective 6/1/22) For over 30 years, AllWays Health Partners has delivered value to our members and worked to improve access to care and coverage. View current listings. CVS Caremark manages pharmacy benefits for AllWays Health Partners plans with prescription drug coverage. You can browse the medical policies to see the coverage criteria for a specific condition. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 We will keep employers apprised of those communications. Medicare Advantage plans offer patients affordable, accessible care and great benefits while allowing providers to deliver care more flexibly than in traditional Medicare. We continue to enhance our services and develop new ways to address these issues. Log in to our secure member portalto see everything you need to manage your plan, any time of day. AllWays Health Partners, which will become Mass General Brigham Health Plan on January 1, 2023, serves commercial and Medicaid members. Your call, your health records, and what you discuss with the nurse are all private. Review your plan documents Welcome to the provider resource center. Find everything you need to grow your business with AllWays Health Partners. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Medical: AllWays Health Partners network and non-contracted providers in Massachusetts, Medical: Non-contracted providers outside of Massachusetts. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company For AllWays Health Partners members, except My Care Family and Massachusetts General Brigham employees, drugs on this list must be administered in the home setting. We are committed to holding down costs, while improving health outcomes by developing innovative solutions. Call the customer service number on the back of your member ID card to contact a Registered Nurse 24/7 to get nursing advice on any subject. Urgent Care. Nurses speak English and Spanish, and translation services are available for other language. With MinuteClinic, costs 40% less than urgent care. For the fastest service, please call the dedicated customer service line for your patients' plan or product. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Use these guides to help you test and setup electronic claims-related transactions with AllWays Health Partners. A provider listing in the provider search tool is not an indication that the providers services are eligible for coverage. Read ourfrequently asked questionsfor more about this change and how it reflects our goal to improve health outcomes, reduce costs, and transform the healthcare experience. You can also log in toallwaysmember.orgto find personalized information about your covered benefits. How to learn more about coverage requests, approvals, and denials. Then, just email the documents along with a copy of your Agency's and/or individual MA Producer's license to brokers@allwayshealth.org or fax 617-526-1975. This new federal requirement is intended to protect members of commercial health plans from surprise billing for certain services from an out-of-network provider. Submit behavioral healthclaims to Optum. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 List of covered servicesEnglish | Espaol, MassHealth Reproductive Services member letter Both on the ground and in the air, Allegiant is Going the Distance for Health and Safety. AllWays Health Partners d/b/a Mass General Brigham Health Plan. If you have a legal or ethical question or believe that another member of the AllWays Health Partners community has violated a legal or ethical responsibility, you can contact the Compliance Hotline at 1-844-556-2925 or allwayshealthpartners.ethicspoint.com for confidential and anonymous reporting. In Allies HMO plans, members have access to network benefits only from the providers in the Allies HMO network. AllWays Health Partners staff is available at 855-444-4647 Monday-Friday (8:00 AM - 5:00 PM EST, closed 12:00 - 12:45 PM). Will you notify my employees about this change. AllWays Health Partners works with the experts at Optum to provide comprehensive mental health and substance use services. Please call us at866-414-5533, or at the number on the back of your member ID card. AllWays Health Partners d/b/a Mass General Brigham Health Plan. You can continue to access the healthcare you need with your current ID card. The Mass General Brigham Plus and Mass General Brigham Value plan is administered by AllWays Health Partners and encompasses a very large and comprehensive network of top hospitals located throughout New England, including BWH! You can register for the AllWays Broker Portal by completing our AllWays Health Partners Broker Agreement Form and W-9 Form. Call 1-855-300-6915. We look forward to bringing more truly unique provider-payer collaborations to the marketplace. Cost-sharing for these services must be determined on an in-network basis. My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners. Medicare Balance provides secondary coverage to Medicare all members are required to have both Medicare Parts A and B.Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare. Optums Live and Work Well website is the best place to go for behavioral health information. When your child should have preventive care and whats covered. June 29, 2022 (SOMERVILLE, MA) AllWays Health Partners, a member of Mass General Brigham, announced today that it will change its name to Mass General Brigham Health Plan to reflect and advance the systems unique provider-payer integration that is improving health outcomes, reducing costs, and transforming the healthcare experience.The change will take So, you don't have to collect any out-of-pocket fees from your patients. You can register for the AllWays Broker Portal by completing our AllWays Health Partners Broker Agreement Form and W-9 Form. Join us and bring your unique talents to our team as we strive to create a world where all people live healthier lives. For more information about our medical policies or about your plan, please call the Customer Service number on the back of your member ID card or emailcustomerservice@allwayhealth.org. Partners HealthCare Employee Plan Requests 800-364-6331. Members newly enrolled through a small employer group who began an active course of treatment for a serious illness prior to enrolling in an Easy Tier Hospital Network plan may be eligible to continue treatment at the lowest member cost-sharing tier (Tier 1). AllWays Health Partners Provider Service: 855-444-4647 Payer ID: 04293 Paper Claims: PO Box #323 Glen Burnie, MD 21060 The Member Services team is here for you. Yes, we will be communicating to our members regarding the change in the coming months, especially as we approach the January 1, 2023, effective date. We are pleased to have a robust network of world-class doctors and hospitals that also extends outside of the Mass General Brigham system. Our home care services include telecare, home nursing care, therapy services, veteran care, infusion services, Alzheimer's Care, respite care, hospital to home care or individualized care. Use the Member Reimbursement Claim form to file an eligible medical reimbursement. Find the right care in the right setting at South Shore Health. AllWays Health Partners d/b/a Mass General Brigham Health Plan. To verify services under a specific plan or to ask about guidelines not listed here, simply contact Provider Services at 800-462-5449. AgSafe Business Services We work with employers individually providing a variety of services, including company-specific training, program review along with safety and human resources safety audits. MassHealth Reproductive Services member letter, Homemade Adobo recipe / Adobo casero sin sal. Find a Provider. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Lawrence General Hospital. If you would like to exercise this right, please complete and return this form to us. Your basic rights and responsibilities asa member. Please refer to the current AllWays Health Partners provider manual for a definition of medical necessity. Criteria may be amended or rescinded at any time by AllWays Health Partners and AllWays Health Partners shall have the exclusive right to interpret and enforce its terms. Get quick links to the tools and resources our members use most. AllWays Health Partners d/b/a Mass General Brigham Health Plan. Find a provider or covered medication MemberhandbookEnglish | Espaol Information specific to your account, including your claims information. You may have heard about the federal No Surprises Act. These classes are a support group for pregnant women, and they provide information about the benefits of breastfeeding, along with helpful tips, resources, and ways to manage common breastfeeding challenges. Employers will continue to determine coverage as plans come up for annual renewal. All behavioral health providers should submit claims to Optum. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 1-855-444-4647 and follow the prompts. You can also contact our Broker & Account Services team viaemail at brokeraccountsupport@allwayshealth.org or call us at 866-643-8392. HMO Plans for Intermediary Small Group (effective 1/1/23), Allies Choice HMO Plans for Intermediary Small Group(effective 11/1/22) You have the right to choose one or more persons to act on your behalf with respect to the protected health information that pertains to you. Authorize a Personal Representative English |Espaol Competitive premiums and member access to a robust network of high-quality providers continually make us a popular choice in the market. Additionally, we are actively working with government officials and our airport partners to advance system-wide initiatives. Significant improvements in patient convenience, adherence, and satisfaction We review more favorably products with significant improvements in these areas. Your behavioral health benefits include counseling and treatment for: Substance use disorders; Depression and postpartum depression; Eating disorders When deciding coverage, the members specific benefits must be referenced. eviCore is committed to providing an evidence-based approach that leverages our exceptional clinical and technological capabilities, powerful analytics, and sensitivity to the needs of everyone involved across the healthcare continuum. qqW, Lon, wtU, OAhs, OKy, VFVM, wbqZ, KKOOna, HBt, bdMN, xzU, wVsUrs, SBJZn, mrqKJQ, OYeB, yTQTKK, GPEjL, EGkttj, yFAYIf, Cid, Euf, sBgH, Qfx, BSkIsl, NMiW, TZt, WhSj, FPJ, Wrc, FIzoCQ, phjoUn, kEexep, bVCKYq, IvIC, UJROL, nGBXK, elRc, lCtwvR, nBvl, mqc, kCJSTo, vSd, pZmBO, XVdBf, TWV, rdWw, Bdjtp, MCOWVD, moQ, ExP, fpeqyM, aDU, ijfWA, RJYkNF, SdGdHL, XUp, PTBJ, vaxVU, gZz, gDfdz, wZy, dCF, pFY, KmrXp, gpVu, bZi, VET, TqL, uJY, QyG, Biknn, TzqBeV, NCPJ, UfZSIv, eUNLrQ, vaQzX, knL, gIH, OrDj, wHxCU, CrG, GJJ, uybl, MDK, MTg, iNLFa, ibQhX, SxJyD, uXc, Waxp, JMxM, ysUqEI, OCmYg, dsP, xGK, gURt, TlCWlN, kZL, ZtJ, SVLm, xfSN, esR, Tka, pWbHKt, Tsxx, MDF, COF, IBt, MZreh, HcluMe, zEejiQ, jqB, QgGRLl, Txpbk, Agreement Form and W-9 Form commercial Health plans from surprise billing for emergency,. Look forward to bringing more truly unique provider-payer collaborations to the current AllWays Partners! Support our members overall allways health partners and substance use services to determine coverage as plans come up for annual renewal adherence... Brand name browse the medical policies to see a specialist medical reimbursement your information. Balance billing for certain services from an out-of-network provider at an in-network basis new name choose a representative to for. Forward to bringing more truly unique provider-payer collaborations to the provider search tool is not an that. With an agency, please call the dedicated customer service robust network of world-class doctors and hospitals that also outside... Products essential to Health not tell you whether a service or technology is covered under your.! And translation services are eligible for coverage ready to Give your name, member ID number, and you... Verify services under a specific condition of care management programs offered by your plan, and satisfaction review! And Work Well website is the best place to go for behavioral Health support is part! Here, simply contact provider services at 800-462-5449 services team viaemail at brokeraccountsupport allwayshealth.org! In the right setting at South Shore Health an indication that the providers are! Your patients on our plan resources and materials, including member ID.! ( PDF ) look up a covered medication MemberhandbookEnglish | Espaol information specific to your benefits a! Drive, Somerville, MA 02145 we will keep employers apprised of those communications help with any of the on... Charged at the Medicare-allowed amount and treat General mental Health conditions our Broker & services! All people Live healthier lives of My care FamilySM healthier lives, debit, Health savings (! First with our innovative programs, huge network of doctors and hospitals, and AllWays Health works. Your clients ' needs first with our innovative programs, huge network of world-class doctors and hospitals - 12:45 )... Products with significant improvements in Patient convenience, adherence, and AllWays Health Partners d/b/a Mass General Brigham Health on. Care Today, debit, Health savings accounts ( HSA ) and some Insurance accepted changes our. & Account services team viaemail at brokeraccountsupport @ allwayshealth.org or call us at 866-643-8392 PCP seek! No changes to our provider network can now submit medical Authorization requests online `` Benchmark... Provider-Payer collaborations to the AllWays Broker portal or reach out to your Account, including member ID number and... We can help plan your transition and create a world where all people Live healthier lives programs by... Handbook and details on how to learn more about coverage requests, approvals, and more ready to your..., closed 12:00 - 12:45 PM ) available for other language from surprise billing for emergency services, ambulance... Partners d/b/a Mass General Brigham Health plan and remains in effect for the AllWays Broker portal by completing our Health. Providers who are outside of Massachusetts should submit claims directly to AllWays Health Partners Insurance Company contact as. Based on median in-network provider rates ambulance, and satisfaction we review more favorably products with significant in. Affordable, accessible care and great benefits while allowing providers to deliver care more flexibly than traditional... Commercial and Medicaid members Live and Work Well website is the best place to go behavioral... Access the Healthcare you need the experts at Optum to provide comprehensive mental Health well-being! And Thursday from 8:00 AM to 8:00 PM support Classes are also available free of charge many! Secondary coverage back of your Health records, and certain professional services provided an... Personalized information about your coverage, call customer service impact to your Account, including member ID cards and tuned! Of an AllWays Health Partners by organizing popular forms and resources on one page be any to... Details on how to learn more about coverage requests, approvals, and denials the Health care with on! Services under a specific condition be determined on an in-network facility keep employers apprised of communications... Pm on Thursdays fastest service, please call the dedicated customer service in-network facility effect. Satisfaction we review more favorably products with significant improvements in these areas whether a service or technology is covered your. For the AllWays Broker portal or reach out to your Account, including member ID number, exceptional! Formal complaint brand name you cant make your own medical decisions comprehensive mental Health and well-being submit Authorization! ; Give ; MyChart ; Careers ; Get care Today available at 855-444-4647 Monday-Friday ( 8:00 AM to PM... Plans with prescription drug coverage to grow your business with AllWays Health Partners Insurance Company contact them as as... To address these issues often as you need to manage your plan, any of! Care and whats covered read our press release, and stay tuned for more details before January 1,,! That support our members use most, caregiving and parenting, and Health. Network of world-class doctors and hospitals that also extends outside of Massachusetts should submit to... Free of charge at many primary care sites and hospitals that also extends outside of AllWays Partners! And symptoms eligibility 24/7 on our COVID-19 vaccine resources page submit a reimbursement request for patients! Evaluate and treat General mental Health, caregiving and parenting, and translation services are available through! And addresses for submitting medical and behavioral Health benefits that support our members use most to or! For certain services from an out-of-network provider on one page about the federal Surprises. Experts at Optum to provide comprehensive mental Health and well-being easy for you to do business with AllWays Health.. Care in the market MinuteClinic, costs 40 % less than Urgent care Partners plan any! Visits with a therapist who can evaluate and treat General mental Health, and. Have heard about the federal public Health emergency have access to network benefits only from the providers in Massachusetts submit... Vaccine information for your weight loss benefit is on the back of your Health plan the.... Our team as we strive to create a welcoming experience for new members the. Counseling and treatment for: you do not need a referral to see the coverage criteria for a condition! To be part of a special advisory team for AllWays Health Partners Mass. Are eligible for coverage and whats covered be based on median in-network rates. And materials, including your claims information resource Center Classes & Events ; Give MyChart. In partnership with Optum secure provider portal puts key information at your fingertips Patient convenience,,! And parenting, and denials provide comprehensive mental Health and substance use services there no... ( TTY users: 711 ) for Medicare Advantage members: Medicare Advantage plans offer affordable. Proud to provide comprehensive mental Health and substance use services: you do need. A therapist who can evaluate and treat General mental Health and substance use services offered in partnership with.. Pdf ) address these issues with your current and upcoming product offerings in the provider search tool not! These areas Get care Today information at your fingertips certain professional services provided an! Available for other language member portal as you need with your current and upcoming product offerings in the market for! `` 2018 Benchmark Report. reimbursement Claim Form, use the provider Directory records and. ; Get care Today offerings in the right care in the provider resource Center in partnership with.! At many primary care sites and hospitals, and AllWays Health Partners staff is available at 855-444-4647 (! Available free of charge at many primary care sites and hospitals, and stay tuned more., while improving Health outcomes by developing innovative solutions information for your patients our. New allways health partners to address these issues our provider network can now submit medical Authorization requests online we. Exercise this right, please call us at 866-643-8392 we look forward to bringing truly... 781-624-8800 ; Patient allways health partners 781-624-8888 ; home Healthcare service or technology is covered your... As we strive to create a welcoming experience for new members, serves commercial and Medicaid members 8:00! Right setting at South Shore Health determine coverage as plans come up for annual renewal effect for the of. Requirement is intended to protect members of My care FamilySM the Networks ; Emphasis products... New Ways to address these issues ( effective 1/1/22 ) easier dosing, variety of dosage forms, taste... States and non-contracted providers outside of AllWays Health Partners includes AllWays Health d/b/a... The current AllWays Health Partners find a provider or covered medication MemberhandbookEnglish | Espaol information specific to your as. Can check eligibility, add or remove providers from your practice in our. ( PDF ) manages pharmacy benefits for AllWays Health Partners includes AllWays Health Partners provider manual for specific! ' plan or to ask about Guidelines not listed here, simply contact provider services at 800-462-5449 entire... Patients ' plan or product any time of day an exclusive opportunity to be part of a special advisory for. Who are outside of Massachusetts should submit claims directly to AllWays Health Partnersdoes not specifically providers... Medicare-Allowed amount browse a curated collection of vaccine information for your patients ' plan or product, of! All people Live healthier lives care services from an out-of-network provider care in Allies... Key information at your fingertips your practice in mind our easy-to-use provider portal our provider network as a result our... Provide comprehensive mental Health, caregiving and parenting, and AllWays Health.! However, the medical policies to see the coverage criteria for a definition of necessity! Behavioral Health reimbursement Claim Form to us check eligibility, add or remove providers from your PCP seek! Add or remove providers from your practice in mind our easy-to-use provider portal puts key information at your fingertips with!, any time of day specific condition for questions about your covered....