networkupdate

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Network update

Questions?

Contact Network Management and Credentialing Services at 1-800-316-BLUE (2583).

Beth Israel Lahey Health may leave the Blue Cross network

Beth Israel Lahey Health and Blue Cross Blue Shield of Massachusetts are actively negotiating contract renewal terms. Both organizations remain committed to reaching a mutually acceptable agreement, yet we haven’t been able to agree on rates that would keep Beth Israel Lahey Health in our network.

Beth Israel Lahey Health is an important partner, and we value the care they provide to our members. Our contract conversations continue, and we remain confident that we will reach an agreement. Our goal is to ensure that Beth Israel Lahey Health has the necessary resources to care for our members while being responsive to our customers who continue to bear the burden of the relentless rise in health care costs.

If we are unable to reach an agreement by:

October 15, 2026: Their hospitals become out-of-network for our commercial plans
January 1, 2027: Their doctors and other health care providers become out-of-network for our commercial plans

Important details

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Organizations leaving the network

Beth Israel Lahey Health hospitals that would leave the network include:

Anna Jaques Hospital
BayRidge Hospital (behavioral health/substance use disorder)
Cambridge Health Alliance Cambridge Hospital
Beth Israel Deaconess Medical Center
Beth Israel Deaconess Hospital - Milton
Beth Israel Deaconess Hospital – Needham
Beth Israel Deaconess Hospital – Plymouth
New England Baptist Hospital
Lahey Clinic (Burlington and Peabody)
Mount Auburn Hospital
Northeast Hospital (Beverly and Addison Gilbert)
Winchester Hospital

Products and health plan benefits affected

Beth Israel Lahey Health leaving the network affects members belonging to these plans:

Commercial HMO/POS
Commercial PPO
Indemnity
Federal Employee Program
Managed Blue for Seniors and Medex®' Choice (a Medicare supplement health plan)

Hospital alternatives

See below for a list of alternatives to Beth Israel Lahey Health hospitals in the same geographic area. For a complete list of health care providers, refer to Find a Doctor & Estimate Costs.

Hospital Alternatives (geographically closest):

Beth Israel Lahey Hospital name	Closest alternative hospitals
Addison Gilbert Hospital (Northeast Health) 298 Washington Street, Gloucester	Merrimack Health Lawrence Hospital – Lawrence Massachusetts General Hospital – Boston Salem Hospital/Massachusetts General Brigham – Salem
Anna Jaques Hospital 25 Highland Avenue, Newburyport	Merrimack Health Lawrence Hospital Merrimack Health Haverhill Merrimack Health Holy Family – Methuen Merrimack Health Lawrence
BayRidge Hospital 60 Granite Street, Lynn (psychiatry only)	MelroseWakefield Hospital – Melrose
Beth Israel Deaconess Medical Center – Brookline 330 Brookline Avenue, Boston	Boston Children’s Hospital – Boston Boston Medical Center – Boston Brigham and Women’s – Boston Dana-Farber Cancer Institute– Boston Massachusetts General Hospital – Boston Tufts Medical Center – Boston
Beth Israel Deaconess Hospital –Milton 199 Reedsdale Road, Milton	Boston Medical Center – Boston Boston Medical Center – South (Brockton) Brigham and Women’s – Boston Brigham and Women’s Faulkner – Boston South Shore Hospital – Weymouth
Beth Israel Deaconess Hospital – Needham 148 Chestnut Street, Needham	Boston Medical Center – Brighton Brigham and Women’s Faulkner – Boston Emerson Hospital – Concord Newton-Wellesley Hospital Tufts Medical Center – Boston
Beth Israel Deaconess Hospital – Plymouth 275 Sandwich Street, Plymouth	Boston Medical Center – South (Brockton) Cape Cod Hospital – Hyannis Falmouth Hospital – Falmouth Signature Health (Brockton) Tobey Hospital – Wareham
Beverly Hospital (Northeast Health) 85 Herrick Street, Beverly	Lawrence General – Lawrence Lawrence Memorial – Medford Lowell General – Lowell MelroseWakefield Hospital – Melrose Salem Hospital/Mass General Brigham – Salem
Cambridge Health Alliance –Cambridge Hospital 1493 Cambridge Street, Cambridge	Boston Medical Center Brighton – Brighton Massachusetts General – Boston Mount Auburn Hospital – Cambridge
Lahey Hospital & Medical Center 41 Burlington Mall Road, Burlington	Emerson Hospital – Concord MelroseWakefield – Melrose Newton-Wellesley – Greater Boston
Lahey Hospital & Medical Center 1 Essex Center Drive, Peabody	Massachusetts General – Boston MelroseWakefield – Melrose Salem Hospital – Salem
Mount Auburn Hospital 330 Mount Auburn St, Cambridge	Boston Medical Center – Brighton Brigham and Women’s – Boston Tufts Medical Center – Boston
New England Baptist Hospital 125 Parker Hill Avenue, Boston	Boston Children’s – Boston Boston Medical Center – Brighton Brigham and Women’s – Boston Brigham and Women’s Faulkner – Boston
Winchester Hospital 41 Highland Avenue, Winchester	Boston Medical Center – Brighton Emerson Hospital – Concord Massachusetts General – Boston MelroseWakefield – Melrose Tufts Medical Center – Boston

Type of center	Ambulatory Surgi-Centers (ASCs) and Urgent Care Centers (UCCs) near Beth Israel Lahey Hospitals	Location
ASC	Boston Out-Patient Surgical Suites	Waltham
ASC	Eastern Massachusetts Surgery Center	Norwood
UCC	AFC Urgent Care	Arlington
UCC	AFC Urgent Care	Beverly
UCC	AFC Urgent Care	Boston
UCC	AFC Urgent Care	Burlington
UCC	CVS Healthcare Practices	Beverly
UCC	ConvenientMD	Burlington
UCC	ConvenientMD	Framingham
UCC	Holtzman Urgent Care	Boston
UCC	AFC Urgent Care	Waltham
UCC	PM Pediatrics of New England	Woburn

Continuity of care

Our most important consideration is making sure we minimize disruption to our members’ care. We will let our members know about the continuity of care guidelines, including the continuity of care provisions from your Provider Services Agreements.

For commercial members

If you’re providing services now to members who are	They may be covered at the in-network level	Action required
Pregnant	Through the first postpartum visit.	You can fill out a Continuity of Care Request Form for each member who meets continuity of care criteria and submit it to us on their behalf before October 15, 2026. Or ask the patient to complete the form so they can continue to see you for a defined time or treatment, or until they transfer to another in-network provider.
Terminally ill	As long as needed.
Have a serious and complex condition, are receiving inpatient care, or are scheduled for a non-elective surgery	For 90 days following the date Beth Israel Lahey Health leaves the network, or when active treatment is no longer required, whichever is earlier.

If you’re providing services now to members who are

They may be covered at the in-network level

Action required

Pregnant

Through the first postpartum visit.

You can fill out a Continuity of Care Request Form for each member who meets continuity of care criteria and submit it to us on their behalf before October 15, 2026.

Or ask the patient to complete the form so they can continue to see you for a defined time or treatment, or until they transfer to another in-network provider.

Terminally ill

As long as needed.

Have a serious and complex condition, are receiving inpatient care, or are scheduled for a non-elective surgery

For 90 days following the date Beth Israel Lahey Health leaves the network, or when active treatment is no longer required, whichever is earlier.

For Federal Employee Program (FEP) members

Members who:	And for:
Belong to a Federal Employee Program (FEP) plan and who: Are pregnant can continue care with you through the postpartum period Have chronic or disabling conditions can continue care with you for up to 90 days if they are undergoing treatment Note: FEP members are instructed to call 1-800-689-7219 to request continuity of care.	*FEP Blue Standard Option:** We will pay out-of-network rates.* The member may be able to use preferred benefits for up to 90 days after you receive notice of the change. *FEP Blue Basic and FEP Blue Focus:* The member will pay all charges. The member may be able to use preferred benefits for up to 90 days after you receive notice of the change. *Refer to fepblue.org for additional information.

Members who:

And for:

Belong to a Federal Employee Program (FEP) plan and who:

Are pregnant can continue care with you through the postpartum period
Have chronic or disabling conditions can continue care with you for up to 90 days if they are undergoing treatment

Note: FEP members are instructed to call 1-800-689-7219 to request continuity of care.

FEP Blue Standard Option*: We will pay out-of-network rates.* The member may be able to use preferred benefits for up to 90 days after you receive notice of the change.

FEP Blue Basic* and FEP Blue Focus*: The member will pay all charges. The member may be able to use preferred benefits for up to 90 days after you receive notice of the change.

*Refer to fepblue.org for additional information.

How we are supporting our members

To minimize disruption for our members, we’ve implemented the following transition plan:

Where possible as a courtesy, we will find new in-network primary care providers (PCPs) for members with an HMO plan and an existing Beth Israel Lahey Health PCP. These members can keep the new PCP or choose a new one at any time.

Members may continue to be covered with their current Beth Israel Lahey Health PCP for at least 30 days after the termination goes into effect under continuity of care guidelines.

Members will receive a letter with their new in-network PCP details by
November 1, 2026.

All other HMO members who are not matched with a new in-network PCP and members with a PPO plan will receive an email or letter, depending on their specified communication preferences.

What to know and do next

Click on the information below that applies to you for the most current information and steps you must take.

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Clinicians who only belong to Beth Israel Lahey Health (who have a hospital affiliation and admitting privileges only with a Beth Israel Lahey Health hospital)

If we are unable to reach an agreement with Beth Israel Lahey Health, as a non-participating physician or clinician, we will no longer reimburse you for services rendered to our members as described below.

If you’re caring for Blue Cross patients as a	In-network reimbursement ends
Primary care provider	February 1, 2027 for primary care provider services (30 days after the contract ends)
Specialist	January 1, 2027 for specialist provider and hospital services*

*.If the member is authorized to continue their care with you, a longer timeframe may apply.
.
If you only have a Beth Israel Lahey Health contractual agreement and want to remain in-network, you must:

Sign an agreement with another participating provider organization.

Obtain a hospital affiliation with admitting privileges at another participating hospital or an admitting arrangement with a participating hospitalist group that has admitting privileges at another participating hospital.

hospital affiliations
admitting privileges
demographic information

Email us at Provider-Enrollment@bcbsma.com no later than September 15, 2026 so that we may review and process your updates.

Clinicians affiliated with Beth Israel Lahey Health and who have another primary hospital affiliation

If you are contracted as a Beth Israel Lahey Health physician and/or with another physician group, this termination will not affect your other affiliation. You may continue seeing Blue Cross Blue Shield of Massachusetts members through your non-Beth Israel Lahey Health group.
Nurse practitioners and physician assistants must have admitting arrangements with a Blue Cross network physician or hospitalist program.
Psychiatric nurse practitioners and psychiatric physician assistants do not require admitting arrangements.

For in-network coverage starting February 1, 2026, refer your Blue Cross patients to non-Beth Israel Lahey Health facilities.

If you have	Then
A solo agreement or an agreement with another participating provider group A hospital affiliation with admitting privileges at another participating hospital, or An admitting arrangement with a participating hospitalist group that has admitting privileges at another participating hospital.	Login to your CAQH Provider Data Portal account and update these sections: hospital affiliations admitting privileges demographic information Email us at Provider-Enrollment@bcbsma.com no later than September 15, 2026 so we may review and process your updates.

If you have

Then

A solo agreement or an agreement with another participating provider group
A hospital affiliation with admitting privileges at another participating hospital, or
An admitting arrangement with a participating hospitalist group that has admitting privileges at another participating hospital.

Login to your CAQH Provider Data Portal account and update these sections:
1. hospital affiliations
2. admitting privileges
3. demographic information
Email us at Provider-Enrollment@bcbsma.com no later than September 15, 2026 so we may review and process your updates.

Forms

Forms and links	Purpose
Continuity of Care Request Form	To help the qualified members request continued care.
Your CAQH Provider Data Portal account (You’ll need to update the hospital affiliations and admitting sections of the Integrated Massachusetts Application)	To get admitting privileges at another participating hospital, or an admitting arrangement with participating hospitalists who have admitting privileges at another participating hospital.
Contract Update Form for Physician Assistants and Ancillary Advanced Practice Nurses <link to fillable PDF>	To notify us of a change to your practice status. Use this form only if you are a physician assistant or an ancillary advanced practice nurse.

MPC-042126-1J-6-WCM