FAQ: Billing Concerns

There are several reasons you may have been charged for your visit to MIT Health: 

• Your insurance plan requires a copayment for your visit

• Your insurance company charges coinsurance for your visit

• Your plan has a mandatory deductible that must be met before charges are covered

• You are on a high-deductible health plan

• The test or visit you had was not covered by your insurance plan. Examples might include unnecessary vitamin D tests, tests that are only covered at a certain frequency (once every five years), or multiple well visits conducted within a single calendar year

• You requested a screening or service that your insurance company deemed unnecessary 

You will need to confirm the reason directly with your insurance company. But the most common reasons a visit or test wasn’t covered are: 

• The test or visit type is never allowed by your insurance plan

• The test or visit was deemed not to be essential or necessary by your insurance company

• A mistake occurred when transmitting your test/visit to your insurance company, such as your visit being accidentally billed to the wrong diagnosis code  

Because these services are not part of MIT Health, billing works the same way it would at any outside medical practice. The provider will bill your health insurance directly. If you are a student, your visit will be billed to SHIP; if you waived SHIP, the provider will bill your alternate insurance.

You will receive bills directly from the service partner you visited. MIT Health cannot answer billing questions or resolve billing problems for our service partners. Contact the provider directly with any billing concerns.