In the event that your child’s health insurance plan changes, you should:

  • Learn as much as you can before the change
  • Go to informational workshops about different plan options, if available
  • Contact a member services representative at the new health plan as soon as you can. Get a benefits handbook and a list of primary care and specialty providers in the network. Find out how the new plan will help you to transition your child’s current services.
  • Learn about the network of healthcare providers in the new health plan. Check if your child’s primary care and specialty providers are in the network of the new health plan.
  • Tell all of your child’s providers and vendors about the insurance change. This includes home healthcare, durable medical equipment, and pharmacy. Be sure to have the name and subscriber information of the new health plan with you when you call.
  • If any of your child’s current healthcare providers are not covered by your new plan, speak with your current providers about the change and how to find new providers.
  • If you work with a case manager at your current health plan, contact that person as soon as you know about the change. The case manager may be able to help with the transition.

This information is provided in part by the Division of Perinatal, Early Childhood, and Special Health Needs within the Massachusetts Department of Public Health and