Health Insurance Services

Assisting you in accessing the care you need.

The SBCHC Financial Counseling department helps patients to:

  • Submit a Medicaid (MassHealth) application
  • Submit a Medicaid (MassHealth) Renewal form
  • Elect or change an insurance-assigned PCP
  • Select a MassHealth health plan
  • Submit supporting documentation to MassHealth, such as proof of identity, income, or residency
  • Address general Medicare questions

If you need assistance with any of these tasks, book a Financial Counseling appointment by calling (617) 269-7500.

MassHealth Members

Once approved for Medicaid (also referred to as "MassHealth" in the state of Massachusetts), you may be eligible to select a MassHealth health plan. It's important to choose a plan that's best for you and your family. That depends on where you live and where you receive primary care and specialty services.

WellSense Community Alliance (previously called BMC HealthNet Community Alliance) is the MassHealth plan that is accepted at South Boston Community Health Center.

Also, most plans required you to have an assigned Primary Care Provider (PCP). In order for your SBCHC visit to be covered by insurance, you must elect a South Boston Community Health Center provider to be your PCP prior to being seen. To elect or change an insurance-assigned PCP:

  • Log in to your MA portal at https://www.mass.gov/masshealth-ma-login-accounts,
  • Contact MassHealth Customer Service at 1-800-841-2900; or
  • Book an appointment with our Financial Counseling department by calling (617)269-7500 so that a staff member can assist you with contacting your insurer.

For a list of SBCHC primary care providers, visit our Providers page.

Uninsured

At South Boston Community Health Center, we help people apply for state-sponsored health coverage. The process starts with a single, state-wide application that will screen a person for eligibility for MassHealth coverage, ConnectorCare Plans, and Qualified Health Plans based on household size and income. You can apply online at MAHealthConnector.org.

Our Certified Application Counselors can help you with your application if you need it. Book an appointment with Financial Counseling by calling (617) 269-7500. With this allotted time, our staff will guide you through the application process and prepare any other necessary documents needed for eligibility determination.

Coming prepared with your Social Security Card (if applicable), proof of identity, citizenship and residency will expedite your application process.

Acceptable Forms of Documentation

Identity
  • U.S. Passport (even if it is expired)
    will satisfied both Identity and Citizenship
  • Driver’s License
  • Legal Permanent Resident card
  • Certificate of U.S. Citizenship
  • Certificate of Naturalization
  • Military ID
  • School ID
  • A government issued ID containing the individual’s photo or other identifying information
  • Military dependent’s ID
  • U.S. Coast Guard Merchant Mariner card
Citizenship
  • U.S. Passport
  • Certificate of Naturalization
  • Certificate of U.S. Citizenship
  • U.S. Birth Certificate
Residency
  • Utility bill or work order dated within the past 60 days
  • Copy of deed and record of most recent mortgage payment
  • Statement from a homeless shelter
  • School records
  • Section 8 agreement
  • Homeowner's insurance agreement
  • Copy of lease and record of most recent rent payment
  • Notarized affidavit supporting residency

 

After submitting your application to MassHealth, uninsured patients can access SBCHC services while their application is pending.

Those who do not wish to apply for health insurance may pay for their office visit out-of-pocket at the time of registration. The patient will be required to sign a Financial Responsibility Form stating that they will be responsible for any additional procedures that may occur in the visit.

At South Boston Community Health Center we truly believe in eliminating barriers to care. If for some reason you are not eligible for any of the coverage plans listed on our Accepted Insurance Carriers page, please schedule an appointment with Financial Counseling to discuss other options, including discounts on SBCHC-provided services.

Under-Insured

Patients with private or employee-sponsored insurance plans wishing to apply for a secondary coverage through the state can also book an appointment with Financial Counseling. Our Certified Application Counselors can walk you through an online application for additional coverage that could help with your current copayments.

Medicare

Patients who are approaching 65 years of age, who are preparing to enroll in Medicare, should visit: https://www.medicare.gov/basics/get-started-with-medicare

 

Contact Information

Phone | (617) 269-7500

Hours of Operation

Monday - Friday | 9:00 am - 4:00 pm

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What You're Saying

“I feel that it is a well-oiled machine, with Dr. Brout at South Boston. I just can't say enough good things! They know why I am there without a computer, since everybody knows what is going on with me, all staff. Everybody is on the same page, for a level of healthcare I had never experienced.”
Family Medicine/Dr Brout
Family Medicine Patient 2022
“I like the doctors my son has. They listen, are very understanding, and seem like they care. I just like how they are with my son.”
BH Parent
Parent of Behavioral Health Patient 2022
“I like the attentiveness and feeling heard. I appreciate the fact that providers always make me feel involved in decisions.”
Behavioral Health
Behavioral Health Patient 2022
“I like that the service is more personalized because you know the people, and that is very important.”
Dental
Dental Patient 2022
“I liked that they were attentive and fast. They gave me the support I needed and were empathetic and organized. I went to a lot of departments, and all of the staff was this way.”
Family Medicine
Family Medicine Patient 2022
“The staff in the lab, Verinta or "V," is amazing. My son was literally giddy with delight at her joking and playfulness. He was actually so happy with her, he didn't react to the blood draw, but then cried outside a tiny bit with a delayed reaction like "hey, wait, that hurt." She is an absolutely phenomenal addition to the phlebotomy team! Overall, a great experience.”
May 2019
Parent of a Pediatric Patient
“Dr. Kane always asks me if I understand everything and whether or not I need further clarification... I really appreciate him explaining everything so in depth.”
2018
Eye Care Patient 2018
“There’s an emphasis on education here. Dr. Chiakpo and Marianna (a nurse in training) provided a lot of background concerning my issue and even brought in diagrams, which I greatly appreciated, since I’m a visual learner. They both gave me space to ask questions on everything. I really appreciated the time they spent with me.”
2018
Family Medicine Patient 2018
“I truly enjoyed the sweetness of Dr. Biffi. She was very detailed in her explanations, and thoroughly checked and re-checked everything. She really impressed me.The assistant was also very good, dedicated, and professional.”
2018
Eye Care Patient 2018
“My ride was late, but Dr. Green waited an hour for me. When I got there, she took me right in, so that was very nice. She gave me a prescription; she actually brought the prescription all the way outside to give it to me, since I had forgotten it. She is excellent! Everyone is very nice and very understanding. I really liked the center; everyone was very cordial to me.””
2018
Adult Medicine Patient 2018