BMC HealthNet Plan | Member Resources
www.bmchp.org › I-Am-A › MemberGenerally, any doctor or hospital that you visit must be chosen from a list of providers who work with BMC HealthNet Plan and accept your plan type. They are also called “in-network” providers. Your doctor will refer to you other doctors or hospitals on our approved list to make sure that your medical visit is covered by insurance (there ...
BMC HealthNet Plan | Medical Coverage Policies
www.bmchp.org › I-Am-A › ProviderMay 01, 2021 · The policies below summarize BMC HealthNet Plan's medical coverage criteria and claims payment guidelines for specific services. You will also find policies related to administrative services. The policies are used as a guide by the Plan to make clinical determinations regarding health care coverage and reimbursement.
BMC HealthNet Plan | Boston Medical Center
www.bmc.org › plan-bmc-healthnetBMC HealthNet Plan. In 1997, Boston Medical Center founded Boston Medical Center Health Plan, Inc., now one of the top ranked Medicaid MCOs in the country, as a non-profit managed care organization. In Massachusetts it does business as BMC HealthNet Plan, providing comprehensive managed care coverage to more than 325,000 individuals through its ...