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Thank you for choosing one of our Medicare Advantage plans! 

About your plan

With Mass General Brigham Health Plan, your health plan and your providers will work together to support you on your health journey. 

Your Medicare Advantage plan is insured and administered by Mass General Brigham Health Plan. We will manage your membership and support you in accessing your benefits. You’ll receive all of your benefit information and claims from Mass General Brigham Health Plan. 

Our Customer Service team is here to help

When you have questions about using your plan, our Customer Service team is here to help. They'll work with you to make sure you have everything you need for a great experience with Mass General Brigham Health Plan.

To contact a Customer Service representative, call 1-855-833-3668 (TTY: 711).

Customer Service hours
October 1 – March 31, 8 AM-8 PM ET, Mon-Sun  
April 1 – September 30, 8 AM-8 PM ET, Mon-Fri

Get started by creating an account on the member portal

The Mass General Brigham Health Plan member portal is the best place to go to find your plan documents and benefit information that’s specific to your plan. You’ll have convenient access to provider and pharmacy search tools, reimbursement request forms, billing and payment information, and more.

You can create an account on the portal after your health plan effective date.

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Frequently asked questions

As a new member, one of our Health Plan Care Guides will reach out to you by phone.

Our Care Guides are friendly, knowledgeable, and dedicated to your care. Their role is to support and partner with you through multiple aspects of your plan membership, from orienting and onboarding to navigating your care and benefits. They will explain your new benefits and help you access them. They can also help you find a primary care doctor and answer questions about your medical, pharmacy, vision, dental, and wellness benefits.

Below are a few frequently asked questions and information about how your Care Guide can help with each of them.

 

  • How can I find details about what is covered by my plan?

    The Summary of Benefits and Evidence of Coverage plan documents include important information about your cost sharing and the services covered by your Medicare Advantage plan from Mass General Brigham Health Plan.

    You can find your plan documents on the Mass General Brigham Health Plan member portal. You can create an account on the portal after your health plan effective date. The member portal is the best place to find all your plan documents and benefit information that’s specific to your plan. 

    Get started on the portal →

  • Are my doctors and specialists included in my plan?

    You can search our online Provider Directory to find doctors, specialists, and other providers in the Mass General Brigham Health Plan network. As a Medicare Advantage member, your plan also includes coverage for non-emergency or routine care from any Medicare-participating provider anywhere in the U.S.

    Out-of-network care and services may cost you more than in-network. You can check your in- and out-of-network cost sharing for providers in your plan’s Summary of Benefits. Instructions for how to find this document are located above. Your Care Guide can help you understand your cost sharing and find an in-network provider if you would like to switch.

  • What are the costs associated with my plan? How do I submit a claim?

    Your Evidence of Coverage includes a list of covered services and their associated cost sharing. Instructions for how to find this document are located above. If you have questions about a specific service and its cost, your Care Guide can help review your plan documents and understand what your cost sharing will be.

    If you receive a bill or pay for services that you think we should pay for, you may need to ask us for reimbursement. After your health plan effective date, you can submit a claim (also known as a reimbursement request) online through the Mass General Brigham Health Plan member portal. Your Care Guide can help you get started on the member portal after your effective date and can walk you through submitting a reimbursement.

  • Are my medications covered? How much do they cost?

    You can search our online Formulary to find drugs covered by your plan and which of the five cost sharing tiers they belong to. The amount you pay depends on the drug’s tier and what stage of the benefit you have reached. You can find more information about these tiers and stages in your plan’s Summary of Benefits. Instructions for how to find this document are located above. Your Care Guide can also help you search for medications and help you understand what your cost sharing will be.

    If you need help with the cost of your medications, you may be eligible for certain state and federal programs that reduce your monthly prescription drug premium or co-pays. You can find out more about these programs on our Prescription drug coverage page. Your Care Guide is also available to help you learn more about the low-income subsidy and pharmaceutical assistance programs.

  • What is included in my dental, vision, and hearing benefits?

    You can visit our Benefits and savings page to learn about the benefits included with your plan and find an in-network provider for these services. Your plan’s Summary of Benefits includes specific coverage details for each of these benefits. Instructions for how to find this document are located above. Your Care Guide can help you find a provider and understand what your cost sharing will be for dental, vision, and hearing services.

  • Am I covered when I travel outside the United States?

    As a Medicare Advantage member, you are covered anywhere for emergency and urgent care. This includes the hospitals and centers in your community and any place around the world. 

If you have any questions, our Customer Service team can help.

When you have questions about using your plan, our Customer Service team is here to help. They'll work with you to make sure you have everything you need for a great experience with Mass General Brigham Health Plan.

Call 1-855-833-3668 (TTY: 711)

October 1-March 31
8 AM-8 PM ET, Mon-Sun

April 1-September 30
8 AM-8 PM ET, Mon-Fri

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