(Information as of December 4, 1998.)
Network Health is a free healthcare program associated with the
Cambridge Hospital and Somerville Hospital. It is designed for people
who do not have health insurance, or have only partial coverage.
People might choose Network Health versus other programs because of the
convenience to those living in Cambridge/Somerville, because it can
provide more coverage than most programs for those that do not strictly
meet the income qualifications, and because it provides some dental
Network Health covers people under the state-run assistance program
known as Free Care.
Network Health is intended for people without insurance, but is free
for everyone who completes an application and meets the income requirements.
Here, we describe how the plan differs from Free Care.
See a general description of Free Care,
including how to qualify, before proceeding.
- Full Coverage
For those that meet the Full Free Care guidelines under the Network
Health Plan, the plan is called "Network Health Plan A".
- Partial Coverage
For those that qualify under the Partial Free Care income guidelines,
Network Health coverage takes care of a certain percentage of the cost
of services depending on the applicant's exact
household income; the percentage is determined by a Network Health
counselor and can meet as much as 95% of costs.
Network Health A covers most prescriptions, but only when they are
filled at Cambridge Hospital pharmacy.
Network Health provides for the following dental services:
- front teeth crowning
Approved applicants receive membership for a 6-month period, which may
be extended for another 6 months upon filing an extension form. After
one year, a new application must be filed.
College students are eligible; no restrictions on full- or part-time
status are indicated.
Network Health pays the bills for most medical and mental health/addiction
services provided through the Network Health provider, hospital and community
Services are largely provided at the offices of Participating Providers
throughout Cambridge and Somerville at 16 locations. In total, there
are 60 primary care providers. Network Health provides lists and a map
of locations so that applicants may choose the most convenient and
Services are also rendered at Cambridge Hospital and Somerville Hospital.
Covered services include, but are not limited to, outpatient, day
surgery, inpatient, and emergency services.
Network Health A does not provide for things like:
- ambulance services
- eyeglasses/contact lenses
- home health services
- outside lab tests
- skilled nursing facility care
- services provided at a hospital other than Cambridge Hospital
or Somerville Hospital
If a patient is out of the area and requires emergency care, that care
is not covered.
Interpreter services are available. Patients needing these services
should ask staff to call an interpreter; interpreter services can be
reached directly at 617-498-1550. In addition, a number of the
individual providers are conversant in languages other than English,
including: French, French Creole, German, Greek, Portuguese, and
Spanish. Many of the Network Health enrollment counselors are also
conversant in a variety of languages.
The specialties outlined for the Participating Providers are as follows:
- Adult medicine
- Family medicine
- Internal medicine
- Women's health
Network Health A will cover hospitalization authorized by the provider
at Cambridge Hospital or Somerville Hospital.
Network Health is sponsored by the Cambridge Health Alliance (a
composite organization of Cambridge and Somerville Hospitals). It
is also a Harvard Medical School Affiliate and was the recipient of the
1993 Foster M. McGaw Prize.
Interested parties can request applications and information from Member
Services at Network Health: 1-888-257-1985.
In order to apply, you'll need (for both the 100% coverage or the partial
- An application form
- One of the acceptable forms of Income Verification (must include
the prior 12-month period before enrollment), including:
- Income tax forms from the previous year.
- A W-2 form from the previous year.
- Most recent pay check stub, reflecting Gross Year-to-Date wages OR
4 most recent pay check stubs if stub does not reflect Gross Year-to-Date
- Self-Verification, signed by the applicant and notarized, which
clearly states income earned during the past 12 months.
- Income Verification form reflecting income earned over the last 12
months, completed and signed by a social worker outside Cambridge
Hospital Community Health Network, an outreach worker, a social service
agency, or clergy.
- Support Affidavit, if the applicant is 18 years of age or older and
has no income, or is supported by others. This document is never
signed by the applicant; it must be signed by parents, the person
providing financial support, a clergy member, a social worker, or a
social service agency representative.
- Self Declaration is appropriate if the applicant is 18 or older
with no means of providing support verification. Signature of the
applicant and notarization are required.
For more information,
see the Cambridge Health Alliance web site (http://www.challiance.org).
To contact the Graduate Student Organization on healthcare issues, send
mail to firstname.lastname@example.org.