MARLBOROUGH HOSPITALIST GROUP, PLLC
Accepted Insurance for NPI 1316639321
Hospitalist in Marlborough, MA

NPI Status: Active since May 26, 2023

Contact Information

157 UNION ST
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 481-5000

Get Directions

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with MARLBOROUGH HOSPITALIST GROUP, PLLC, a practicing hospitalist professional in Marlborough, MA. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 33 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, and WellSense Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160103
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160037
Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160106
Anthem Bronze Access Blue New England HMO 8500/50%/9200
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160038
Anthem Gold Access Blue New England HMO 1000/20%/7500
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160039
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160041
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160100
Anthem Gold Access Blue New England HMO 2000/10%/7500
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160043
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160042
Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160044
Anthem Gold Access Blue New England HMO 500/30%/9000
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160069
Anthem Platinum Access Blue New England HMO 250/10%/3500
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160087
Anthem Silver Access Blue New England HMO 2500/30%/10000 Value
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160096
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160094
Anthem Silver Access Blue New England HMO 3500/20%/10000
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160049
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160048
Anthem Silver Access Blue New England HMO 4000/0%/9000
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160081
Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160068
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160098
Anthem Silver Access Blue New England HMO 4000/20%/8500
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160051
Anthem Silver Access Blue New England HMO 4000/30%/9000 Value
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160074
Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160050
Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160092
Anthem Silver Access Blue New England HMO 5000/0%/9000
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160052
Anthem Silver Access Blue New England HMO 5000/30%/9000 Value
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160076
Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD
HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160055

WellSense Health Plan

WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010006
WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010005
WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010007
WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010001
WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010004
WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010003
WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

13219NH0010002
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, WellSense Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.
No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.
MARLBOROUGH HOSPITALIST GROUP, PLLC is enrolled across the following managed care network types: HMO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.