Boston Medical Center (BMC) HealthNet Plan is a 501(c)(3) status managed care organization providing coverage to MassHealth (Medicaid) and Commonwealth Care members. Founded in 1997 by Boston Medical Center, the Plan contracts with providers and hospital systems throughout Massachusetts to deliver care to over 230,000 members.

The mission of BMC HealthNet Plan is to be a quality and cost effective provider-sponsored managed care organization supplying excellent care coordination and services.

Provider Oriented
BMC HealthNet Plan views its participating providers as partners in a commitment to clinical excellence for low-income individuals and families who are the providers’ patients and the Plan’s members. The Plan’s care-related policies are provider-driven. For example, the Plan requires no pre-authorizations for office visits to participating specialists.

In addition, to better serve our members – and provider network – BMC HealthNet Plan has offices in Boston (our main office), as well as in New Bedford Springfield and Pittsfield. Our goal is to ensure local support in all regions where we provide coverage.

Coordinated Care
Each BMC HealthNet Plan member selects a personal physician who provides or arranges for the member’s care. All approved physician services, inpatient admissions, and outpatient visits, are covered. The Plan also offers special care management programs for members who are pregnant or who have asthma, diabetes, depression, coronary artery disease, chronic obstructive pulmonary disease or congestive heart failure. Members also can benefit from the Plan’s behavioral health care management services.

Service Area and Network for BMC HealthNet Plan MassHealth
Our service area includes more than 270 Massachusetts cities and towns in 32 of 38 service areas defined by MassHealth. We contract with 54 acute care hospitals, 2,600 primary care physicians and nearly 11,000 specialists and ancillary providers, as well as 1,000 pharmacies.

Statewide Service Area for BMC HealthNet Plan Commonwealth Care
BMC HealthNet Plan is the only managed care organization approved to provide coverage for Commonwealth Care members in all areas of Massachusetts. Our provider network for Commonwealth Care includes the providers in our MassHealth network, plus we are continually contracting with primary and specialty care providers, as well as hospitals, in our new Commonwealth Care service areas in the Merrimack Valley, the North Shore and Worcester/Central Massachusetts.