Blue Cross Blue Shield of Massachusetts members, Federal Employee Program members and out-of-state Blue members are in-network at Washburn House in Worcester. This page covers Blue Cross authorizations, the Massachusetts 14-day rule, and how to verify your plan: verify your insurance online or call any time.
Blue Cross Blue Shield In-Network Rehab Centers in Massachusetts
Washburn House (Worcester)
In-network with Blue Cross Blue Shield, including Federal Employee Program plans and out-of-state Blue plans through BlueCard; precertification goes through your home Blue plan. Offers medical detox, residential treatment, partial hospitalization, intensive outpatient care and aftercare, serving Worcester, Boston and all of Massachusetts and New England. About Washburn House.
What Blue Cross Blue Shield Covers for Rehab in Massachusetts
Blue Cross Blue Shield plans cover medically necessary detox, inpatient and residential rehab, partial hospitalization, intensive outpatient and outpatient care at parity with medical benefits. Precertification for detox and inpatient care goes through your home Blue plan or its behavioral health administrator; our admissions team handles it, including BlueCard authorizations for out-of-state members. In-network cost sharing means your plan’s deductible, copay or coinsurance and out-of-pocket maximum apply.
Blue Cross Blue Shield Plans in Massachusetts
Blue Cross Blue Shield of Massachusetts covers most members through employer HMO Blue and PPO plans, Health Connector individual plans and Medicare Advantage. It does not administer MassHealth; Washburn House accepts MassHealth through MBHP and the managed-care plans listed on our Massachusetts guide. Federal Employee Program and out-of-state Blue (BlueCard) members are in-network.
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What Blue Cross Blue Shield Members Should Know About Massachusetts
Blue Cross Blue Shield of Massachusetts manages behavioral health authorizations through its own behavioral health team. For fully insured Massachusetts plans, state law requires coverage of up to 14 days of medically necessary acute treatment and clinical stabilization services without prior authorization, and Washburn House admits under that rule when it applies. HMO Blue members do not need a primary-care referral for substance use treatment. Blue Cross does not administer MassHealth; MassHealth members should review the plans Washburn House accepts on the Massachusetts guide. Federal Employee Program and BlueCard members are in-network.
To confirm your Blue Cross Blue Shield benefits, verify your insurance online or call our admissions line; full instructions, private-pay options and payment plans are on our Massachusetts insurance guide.
More Insurance Guides
- Rehab in Massachusetts that accepts insurance
- Blue Cross Blue Shield coverage for rehab (all states)
- Verify your insurance
- Levels of care explained
Frequently Asked Questions
Is Washburn House in-network with Blue Cross Blue Shield?
Yes. Washburn House is in-network with Blue Cross Blue Shield. Verify your specific plan before admission, since some employer plans use narrower networks.
Which Massachusetts center should Blue Cross Blue Shield members call first?
Blue Cross members, including HMO Blue, call Washburn House directly; no primary-care referral is needed for substance use treatment. Washburn House in Worcester is our Massachusetts center and handles detox through outpatient care, so it is the first call for Massachusetts and most New England members. Our admissions team can also compare it with our Cherry Hill, New Jersey center when a longer inpatient stay or a mental-health-primary admission is needed.
