Patient and Visitor Information
Brigham and Women's Faulkner Hospital accepts most health insurance plans. Mass General Brigham maintains information about health insurance accepted at BWFH and other hospitals within the Mass General Brigham system. Please visit their website for further information on insurance plans and products accepted at BWH.
Many insurance plans are now considered “tiered” plans, and have different levels of costs depending on where you go for care. It is important that you check with your own health insurance plan to see what level of coverage you will receive at a specific hospital. Even if you see your insurance plan listed, additional referrals or authorizations may be required. Some services may not be covered by your insurance coverage at every location. The level of coverage provided to you is determined by your insurer.
Also, many health insurance plans may use other companies to cover certain services such as behavioral health (mental health) or transplant related services. Please contact your health insurance plan or employer for your specific questions.
You should always check with your own health insurance plan before getting care to make sure you understand your covered benefits and costs.
Brigham and Women’s Faulkner Hospital, a member of Mass General Brigham, is committed to price transparency. Patients can contact Patient Billing Solutions or use our online tool to view a cost estimate of common health care services ("shoppable items").
As required by the federal government, we publish information (a machine-readable file) about the rates negotiated with insurance companies for all services and items offered by our hospital. The information is NOT an estimate of the costs that you are responsible for paying.
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn't in your health plan's network.
If you do not have health insurance and/or cannot cover the cost of your care, we will gladly assist you in applying for free care, or advise you of other possible options. Please visit Patient Billing and Financial Assistance for information about various forms of financial assistance available from Mass General Brigham.
For more detailed information about the billing process (including frequently asked questions about billing, types of bills you may receive, and a sample billing statement), click here.
Sometimes, your annual Preventive Health Exam, Medicare Annual Wellness Visit, or Welcome to Medicare Visit can turn into a “Sick Visit." During your visit, your provider may need to treat a new medical issue or a chronic problem that has changed. If that occurs, this part of the visit is called a Sick Visit and may result in additional services being billed to your insurance. Please