Before you make an appointment with Boston Specialists, there are a few things you need to know:

1) Do I need a referral to be seen at Boston Specialists?

Dr. Leung is a specialist. Unless you have a PPO insurance plan or Medicare, you will need a referral to see him. All HMO plans requires a referral to see specialist. If you need a referral and don't have one, your insurance may not cover the visit. It is why it is important to check with your insurance to see if you need to obtain a referral before you see Dr. Leung.

You can ask your primary care physician (PCP) to fax the referral to 877-726-8492. Your PCP will need the following information to process your referral:

• The physician's name, Dr. John Leung

• For patients in Steward network, use both numbers to identify Dr. John Leung

  NPI = 144-732-8711

  TIN = 87-3650253

• For patients in BI network, use

  TIN = 84-3477628

• The reason you would like to see a specialist

  Please call 617-804-6767 or email admin@bfac.org with any questions.

2) What is my out of pocket cost to be seen at Boston Specialists?

At Boston Specialists, we strive to avoid unexpected bills and work hard to ensure financial transparency. We highly recommend patients contact their insurance to keep track of their deductibles to predict out-of-pocket costs. Additionally, most large insurance carriers offer cost estimators that members can use to gain an accurate estimate of their out-of-pocket costs. If you are unable to obtain an estimate from your insurance company, please email our practice manager at manager@bfac.org for a quote within 2-3 weeks. Our estimates are generated by a 3rd party software and as a result will likely not be as accurate as an estimate generated by your insurance company.

You have a deductible , co-insurance and/or copay; or

• You require a prior/ pre-authorization mandated by your insurance plan. We strongly suggest you call your insurance representative prior to your clinic visit to find out if you require a pre-authorization for allergy testing, and your financial responsibility for common allergy testing. The “CPT code” is used by insurance companies to identify a specific test.

• We have listed our most commonly used CPT codes below with the CMS average national payment amount. For commercial insurance plans our charges and payments are contingent upon individual contracts with these insurance companies and their various benefit plans and may be 150%+ of the CMS national average. We recommend calling your insurance company to inquire about your coverage for specific CPT codes.

3) What do I need to do to prepare for the clinic visit?

• Bring a photo ID and insurance card

• Identify a pharmacy that you will use for picking up medications (address and fax#)

• If you are here for allergy testing, see here

• If you are here for other specific tests, see here

• Find out your co-pay amount by calling your insurance company or checking your insurance card to avoid paying a deposit for co-pay ($50)

Accepted Insurances

• Blue Cross Blue Shield

• Harvard Pilgrim

• United Healthcare

• Aetna

• Coventry

• Cigna

• Tufts Health Plan

• Fallon

• MassHealth

• Neighborhood Health Plan

• Unicare

• Senior Whole Health

• Medicare