Insurance

Acton Medical Associates, PC contracts with several health maintenance organizations (HMOs) (see below). We also accept numerous other insurances including, but not limited to, many Blue Shield plans, Medicare, Medicaid, Healthcare Value Management, United Healthcare and Private Health Care Systems. Insurance company affiliations change constantly. Please remember to bring your insurance card with you to every visit to avoid unnecessary delays when checking in. Because we accept so many insurance plans, patients are responsible to know the specifics of their own coverage. If you have any questions as to whether we accept your insurance, please call our patient billing office at (978) 263-1696.

HMO Affiliations

• Harvard Pilgrim Health Care
• HMO Blue
• Tufts Health Plans
• Tufts Medicare Preferred
• Fallon Community Health Plan
• AETNA US Healthcare
• CIGNA
• US Family Health Plans

If you have one of the above-mentioned HMOs and choose AMA-PC as your primary care group, all of your primary care, and/or all of your children’s primary care must be provided by us. If you or your children are in need of specialty care not available at AMA-PC, your primary care physician must issue a referral which must then be approved by our Benefits Committee. Any care provided without a referral will become your financial responsibility except emergency care or out of area urgent care. If you are referred to a specialist who orders additional test or labs, your primary care physician must also approve these. Patient Services Representatives are available to answer your managed car questions and to facilitate al your managed care needs.