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For benefits-eligible employees of MIT Cambridge and
Lincoln Laboratory and the Whitehead Institute. Not available
to Draper Laboratory employees.
As its name implies, the Flexible MIT Health Plan allows
you to arrange for medical care in a number of ways:
Care at MIT: When you receive care at MIT Medical
or at one of our affiliate hospitals through a referral
by an MIT physician, nearly all services are free.
Care outside MIT: Outside Massachusetts, you can
use any licensed doctor or general hospital anywhere in
the world by paying a deductible and co-insurance fee.
Inside Massachusetts, you can use any Blue Cross Blue Shield
of Massachusetts (BCBSMA) participating doctor or hospital,
subject to deductible and co-insurance requirements. If
the provider isn't part of the BCBSMA network, you may
also be billed for the difference between the BCBSMA-allowed
amount and the provider's fee.
Worldwide emergency service: If you have a medical
emergency anywhere in the world, your care is fully covered
as long as you follow our authorization and follow-up procedures.
Depending on where you seek health care, coverage for you
and your family includes:
- Free office visits, with no referral needed, to most
MIT clinical services
- Urgent care 24 hours a day
- Routine physical exams (only at MIT Medical except limited
pediatric visits)
- Routine eye exams (only at MIT Medical)
- A range of women's health care services, including gynecological
exams, mammograms, and interrupted pregnancies, and maternity
coverage
- Outpatient psychotherapy evaluation and some treatment
at MIT Medical
- Inpatient care in cooperating hospitals or substance
abuse treatment facilities
- Special mental health and substance abuse benefits through
BCBSMA's Managed Care Behavioral Health Network
- Cancer treatment therapies
- Acupuncture for pain management and serious medical conditions
at Massachusetts General Hospital or New England School
of Acupuncture
- Vision, hearing, cholesterol, and other screening tests
(as part of an annual phyical)
- Diagnostic lab and X-ray services
- Immunizations - with co-payments in some cases (only
at MIT Medical, excludes pediatric immunizations)
- Prescription drugs dispensed at MIT Medical or outside
of MIT Medical with participating Express Scripts pharmacies
(copayments may vary)
- Emergency care
- Out-of-area urgent and emergency care services
Be sure to download the Benefits-at-a-Glance 2008 (pdf) for a complete explanation of the MIT Medical
services and benefits available to you and your family.
Or, contact Claims and Member Services at 617-253-5979
or by email at mservices@med.mit.edu.
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