Patient Rights & Responsibilities

• Student health plan

• Employee health plans

  • Traditional MIT Health Plan

  • Flexible MIT Health Plan
  • Eligibility
  • Mental health benefits
  • Prescription drugs
  • Fitness benefit
  • Referrals
• Affiliate health plan

Traditional Health Plan

For benefits-eligible employees of MIT Cambridge, Lincoln Laboratory, the Whitehead Institute, the Broad Institute, and Draper Laboratory. Retirees under age 65 may be eligible to continue with the same benefits they had while actively working. Speak with your benefits office to determine your coverage eligibility.

The Traditional MIT Health Plan offers convenient access to a broad range of MIT Medical services and specialties delivered by our staff of more than 100 physicians, psychologists, nurses, social workers, and other health care professionals at our on-campus location. Several services are also offered at Lincoln Laboratory in Lexington.

As a member of the Traditional MIT Health Plan, you’ll enjoy the highest quality preventive, diagnostic, and therapeutic health care from people who are also members of the Institute community.

Before choosing a new health plan, we encourage you to compare the benefits of other plans with the convenience and coverage offered by our Traditional MIT Health Plan. If you receive treatment at MIT Medical, or by referral at one of our affiliate hospitals, you’ll be covered for the following services (copayments apply in some cases; see the 2009 or 2010 MIT Traditional Health Plan brochure under "Resources" below):

• Office visits to most clinical services at MIT Medical, with no referral needed
• Urgent care 24 hours a day during the academic year (summer hours may vary)
• Routine physical exams (only at MIT Medical, except limited pediatric visits)
• Routine eye exams at MIT Medical
• Women’s health care services, including gynecological exams, mammograms, interrupted pregnancies, and maternity coverage
• Outpatient psychotherapy evaluation and some treatment at MIT Medical
• Inpatient care at participating hospitals or substance abuse treatment facilities
• Mental health and substance abuse benefits through Blue Cross Blue Shield of Massachusetts (BCBSMA) Managed Care Behavioral Health Network
• Cancer treatment
• Vision, hearing, cholesterol, and other screening tests
• Diagnostic, lab, and X-ray services
• Immunizations at MIT Medical
• Prescription drugs dispensed at MIT Medical, subject to copayment (or through a participating Express Scripts pharmacy, subject to a higher copayment)
• Emergency care
• Out-of-area urgent and emergency care services

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. To find a health care provider outside the United States, go to the Blue Cross Blue Shield Doctor and Hospital Finder.

Download the 2010 MIT Traditional Health Plan brochure or the 2009 MIT Traditional Health Plan brochure (PDF) for a complete explanation of the services and benefits available to you and your family. Or contact Claims and Member Services at 617-253-5979 or mservices@med.mit.edu.

Resources

2010 MIT Traditional Health Plan brochure
2009 MIT Traditional Health Plan brochure
2009 MIT Traditional Health Plan – Summary Plan Description

Related Links

MIT Medical Services Directory
Blue Cross Blue Shield of Massachusetts
Referral FAQs