How to Avoid Balance Billing When You Use Non-Massachusetts Providers
The following information applies to our non-Medicare plans only: Basic, PLUS and Community Choice.
When UniCare State Indemnity Plan members use Massachusetts providers, they cannot be balance billed because these providers are prohibited by state law from doing so. However, when non-Medicare members use non-Massachusetts providers, they may be balance billed for these services if the amount of the bill is more than the Plan's allowed amount for covered services.
To avoid being balance billed for services received from providers when you are traveling outside Massachusetts, you can use our out-of-state network providers. All Basic members, and PLUS members who reside in Connecticut, Maine, New Hampshire or Rhode Island, also have access to UniCare network providers in their state.
To find out what you should know about using non-Massachusetts providers and how to locate them, click on the link below for the appropriate plan:
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