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Transparent Pricing Options
Insurance-based care with optional enhanced access
We accept major insurance plans and provide transparent self-pay options. Optional membership enhances access and preventive continuity.
Insurance-Based Care
We participate with major commercial insurance plans including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Harvard Pilgrim, and Tufts. Standard insurance copays apply.
Self-Pay (Cash)
Transparent pricing for uninsured patients:
Members may receive a 10-15% self-pay adjustment depending on visit type.
Optional Enhanced Access Membership
Available to all patients (insurance or self-pay) for enhanced access, continuity, and preventive planning.
Membership Benefits Include:
Not Included:
Care Pathways
Standard care and optional membership compared
Membership is an enhancement layer, not a replacement for insurance-based or self-pay primary care.
Membership is not insurance and does not replace insurance coverage.
Emergency department care or urgent life-threatening response.
Hospital admissions, inpatient services, or specialty procedures.
Unlimited 24/7 phone access.
| Feature | Standard Care | Optional Membership |
|---|---|---|
| Core Primary Care Visits | Insurance-based and self-pay visit options |
Same core options, plus enhanced access features |
| Scheduling Experience | Standard scheduling pathway |
Priority scheduling and same-week availability when possible |
| Preventive Planning Depth | Addressed during routine care |
Dedicated preventive planning support and longer annual wellness |
| Communication Pathway | Routine office communication |
Direct secure PCP messaging and defined after-hours pathway |
| Emergency Coverage | Not provided |
Not provided; emergency care requires ER/911 |
Insurance Participation
Participating insurance plans
Examples of common plans supported by Somaform Health. Coverage details and eligibility are confirmed before your visit.
Questions about coverage or visit pricing?
Become a patient through our waitlist-first process, or request a direct appointment based on current openings.