Services offered
Behavioral health
Mental health counseling, therapy, psychiatric medication management, and crisis support.
Enabling services
Transportation, translation, case management, outreach, and patient navigation.
Primary care
Routine adult and family medicine, annual exams, chronic disease management.
Substance-use treatment
Medication-assisted treatment (MAT), counseling, and recovery support for opioid and alcohol use disorders.
Hours
32.00 hrs/wk · Unknown
About Casa Esperanza
Casa Esperanza is a federally qualified health center (FQHC) located in Boston, MA. Fees are assessed on a sliding scale based on household income, uninsured patients below 200% of the federal poverty line typically pay a nominal fee of $0 to $30 per visit. The center accepts Medicaid, Medicare, commercial insurance, and uninsured patients.
Community Health Centers like Casa Esperanza play a critical role in serving Black families and other historically underserved populations. They are required by federal rule to accept patients regardless of insurance status or ability to pay, and they integrate medical, dental, behavioral health, and pharmacy services in a single location.
HIV testing + PrEP at Casa Esperanza or nearby
Every HRSA-funded FQHC offers confidential HIV testing and can prescribe PrEP (pre-exposure prophylaxis). If Casa Esperanza doesn't have a dedicated HIV care program, our HIV locator shows the named PrEP-prescribing clinics and testing sites across Massachusetts.
Mental health + behavioral health context
Black adults are about half as likely to receive mental-health treatment as white adults despite similar prevalence rates per SAMHSA, with cost and provider trust as the largest documented barriers. FQHC behavioral-health services like those at Casa Esperanza use sliding-scale fees that make care accessible regardless of insurance status. If you're in crisis, dial or text 988 for the 24/7 Suicide & Crisis Lifeline.
Substance use treatment context
Black overdose deaths rose roughly 40% from 2019 to 2022 per CDC NVSS, the fastest-rising drug-overdose mortality of any U.S. demographic. Medication-assisted treatment (MAT), buprenorphine, methadone, naltrexone, is the evidence-based standard of care. FQHC-based MAT addresses access barriers that disproportionately affect Black patients (DEA-waivered prescribers are more concentrated in low-income areas via FQHCs).
Coverage + benefits in Massachusetts
Casa Esperanza accepts Massachusetts Medicaid. FQHC certified application counselors typically cross-enroll Medicaid + WIC + SNAP at the same visit. Anyone enrolled in Medicaid is automatically income-eligible for WIC under federal adjunctive eligibility (7 CFR 246.7).
Frequently asked questions
What services does Casa Esperanza offer?
Casa Esperanza in Boston, Massachusetts offers Behavioral health, Enabling services, Primary care, Substance-use treatment.
Does Casa Esperanza accept Medicaid or sliding-scale fees?
Casa Esperanza accepts Medicaid, accepts Medicare, welcomes uninsured patients, offers sliding-scale fees based on household income.
What are the hours at Casa Esperanza?
32.00 hrs/wk · Unknown
Is Casa Esperanza a federally qualified health center?
Yes. Casa Esperanza is a federally qualified health center (FQHC) funded by HRSA Section 330. FQHCs are required by federal rule to accept patients regardless of insurance status or ability to pay, and they integrate medical, dental, behavioral health, and pharmacy services.
Where is Casa Esperanza located?
Casa Esperanza is at 245 Eustis St, Boston, MA 02119-2826. Phone: 617-445-1123.
Please verify before visiting. Hours, services, and insurance acceptance can change. Call the center directly to confirm they're open and accepting new patients before you go. Data last verified on April 24, 2026.
Casa Esperanza and the sliding-scale alternatives listed below are the right first stop. A same-day telehealth visit is self-pay and is not billed to Medicaid. If nothing nearby can see you soon:
Affiliate
Where to go next
If Casa Esperanza is full, too far, or not the right fit, these are your closest alternatives and the coverage help that goes with them.
Other clinics in Boston
- Woods Mullen Shelter Boston, MA · 0.5 mi away Sliding scale Medicaid Uninsured OK
- Southampton Street Shelter Boston, MA · 0.5 mi away Sliding scale Medicaid Uninsured OK
- Jean Yawkey Place Boston, MA · 0.5 mi away Sliding scale Medicaid Uninsured OK
- Rosie's Place Boston, MA · 0.5 mi away Sliding scale Medicaid Uninsured OK
- Boston Health Care For The Homeless Program Administrative Offices Boston, MA · 0.5 mi away Sliding scale Medicaid Uninsured OK