For those families who take their insurance through the Commonwealth of Mass GIC program and other employers (State employees and Town of Middleboro Employees), effective 07/01/2024 Middleboro Pediatrics will no longer be accepted by HPHC Quality HMO. Our office (and by extension, the other pediatric offices who are members of Affiliated Pediatric Practices, aka APP) did not “choose” this outcome and were not in volved in the decision to be excluded from the new Harvard Pilgrim Quality HMO plan on 07/01/2024. Our offices have been excluded due to the health insurance plan (Harvard Pilgrim/GIC) changing our network rating from a tier 2 provider (“in network provider”) to a tier 3 (“high cost/excluded provider”) for the upcoming year. Harvard Pilgrim/GIC chose to adjust the tiering for all of their GIC insurance plans, and it affects all of the practices in our network (APP) as well as all pediatric specialists and hospitals and hospitals affiliated with Mass General Brigham (“MGB”).
If you wish to remain able to have your ongoing medical care with Middleboro Pediatrics and MGB specialists and facilities, we ask you carefully review your options during your open enrollment which is happening now for plans effective starting on 07/01/2024. Please enroll with a plan option for which Middleboro Pediatrics and MGB are considered included/covered providers. DO NOT ASSUME that when you place one of our physician’s names on your enrollment form and you receive your child’s insurance card that you have been placed on a plan we accept. THIS IS VERY IMPORTANT as you will not be allowed to change plans once open enrollment closes. Middleboro Pediatrics will not be able to make the change for you. Should you have any further questions, contact the insurance plan directly with your questions, regarding which physicians are contracted with the specific plan you are interested in enrolling with. Please avoid calling our office with these questions as our staff has limited knowledge and access to information pertaining to the plan options you are being offered.
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