Benefits & savings
Get the care you need to take on your health goals and live your best life.
Our Medicare Advantage plans come with benefits and services beyond Original Medicare, so you're covered for the care you need.
Dental coverage through LIBERTY Dental
Your dental coverage goes beyond routine cleanings. Preventive services, including oral exams, routine cleaning, and x-rays, are covered in full. Covered services include root canals, crowns, and bridges. You can choose to go to any dentist but keep in mind that your costs will be lower if you choose a dentist within the LIBERTY Dental Medicare network, which accepts a fixed amount for each covered service as payment in full.
Covered dental services
Diagnostic and preventive services covered at $0 copay:
- Periodic oral evaluations
- X-rays (intraoral, bitewing, panoramic)
- Fluoride applications
Comprehensive dental services covered up to the plan-specific calendar year maximum benefit amount:
- Restorative services (crowns and fillings)
- Endodontic services (root canals)
- Periodontal services (treatment for gum disease)
- Prosthodontic services (dentures)
- Oral and maxillofacial services (tooth extraction)
Vision benefits powered by EyeMed
Our vision benefits offer flexibility, choice, and savings so that it’s easy for you to access the vision care and services you need. Every doctor in our vision network is carefully selected to ensure you can choose from the right mix of independent, national retail, and regional retail providers, including LensCrafters®, Target Optical®, and Pearle Vision®.
Covered vision services
Routine vision services:
- Routine annual vision exam with dilation, covered at $0 copay with an in-network provider
- Eyeglasses or contact lenses
Eyeglasses and contact lenses are discounted when purchased from a participating EyeMed provider.
Medicare-covered services, covered with a plan-specific copayment:
- Outpatient physician services for the diagnosis and treatment of diseases and injuries of the eye, including treatment for age-related macular degeneration
- Annual glaucoma screenings for people at high risk
- Annual diabetic retinopathy screening for people with diabetes
- One pair of eyeglasses or contact lenses after each cataract surgery that includes insertion of an intraocular lens
Hearing exams and hearing aids through TruHearing
Hearing exams from an in-network TruHearing provider are covered in full. Your benefits also include coverage for hearing aids.
Contact a Hearing Consultant at 1-888-937-3243 for more information about your routine hearing benefits.
Covered hearing services
Routine hearing benefits, covered when provided by a TruHearing provider:
- Annual routine hearing exam, covered at $0 cost
- Up to two TruHearing branded hearing aids every 12 months (one hearing aid per ear)
Diagnostic hearing and balance evaluations performed by your provider to determine if you need medical treatment are covered as outpatient care.
Over-the-counter (OTC) product benefit
As a member of a Mass General Brigham Health Plan Medicare Advantage plan, you have an Over-the-Counter (OTC) benefit every quarter. This benefit allows you to get OTC products you may need. Simply order online, on the app, call 800-695-5306 (TTY: 711), or mail your completed order form. Your order will be shipped directly to your door.
Products included in the OTC benefit
This benefit can be used to purchase over-the-counter products for the following healthcare needs and more:
- Antacids and acid reducers
- Laxatives and digestive health
- Anti-fungal medications
- Bathroom safety and fall prevention
- Cold and flu
- Dental and denture care
- Diabetes care
- Diagnostics (thermometers, blood pressure monitors, etc.)
- Eye and ear care
- First aid
- Incontinence supplies
- Motion sickness
- Nutritional supplements, vitamins, and minerals
- Pain relief aids, pain relievers and fever reducers
- Skin and sun care
- Sleep aids
- Smoking cessation
- Supports and braces
24/7 clinical advice and support line
Our plans include a clinical advice line at 833-368-5339 that you can call twenty-four (24) hours a day, seven (7) days a week, to get answers to any health-related questions you may have. Every call is answered by a registered nurse who can respond to health-related questions. When you call, the nurse will ask you a few questions about your situation and details about your health concern to help you decide if you should make an appointment with your provider, care for yourself at home, or go to the Emergency Room.
On Demand virtual urgent care
On Demand offers convenient, high-quality, 24/7 virtual urgent care services with $0 cost sharing for minor illnesses and injuries—and it’s available anytime and anywhere in the United States. Members connect to providers through a secure, interactive video visit on the web or mobile device. On Demand is NOT for medical emergencies. For medical emergencies, call 911.
You may also access virtual care, when available, from your local provider. But you may have to pay your usual office visit copay.
Sign in to the Mass General Brigham Health Plan member portal to get started with telemedicine from On Demand.
Worldwide emergency and urgent care
Members are covered anywhere for emergency and urgent care. This includes the hospitals and centers in your community and any place around the world.
Meal delivery after hospital stay
To help with your transition home after being discharged from the hospital, all plans include free meal delivery in partnership with Community Servings. With a referral from your physician, Mass General Brigham Health Plan Medicare Advantage members can receive up to 20 refrigerated meals delivered directly to their home. Meals can be tailored to suit dietary and condition-specific needs. Your care manager will help you determine your need for this benefit.
|Dental, hearing, eyewear, and OTC benefit cost sharing
|Comprehensive dental services allowance / preventative services||$1,500 / $0 copay||$2,000 / $0 copay||$2,500 / $0 copay|
|Hearing aids1 / routine hearing exam||$699-$999 copay per hearing aid per year / $0 copay||$699-$999 copay per hearing aid per year / $0 copay||$699-$999 copay per hearing aid per year / $0 copay|
|Eyewear allowance / routine eye exam||$200 per year / $0 copay||$250 per year / $0 copay||$300 per year / $0 copay|
|Over-the-counter purchases||$85 every three months||$95 every three months||$120 every three months|
Fitness and weight loss reimbursements
Pursue your health goals and get money back with reimbursements for qualified fitness and weight loss programs.
We offer a $300 annual fitness reimbursement to use toward costs you pay to participate in a qualified fitness program. A qualified fitness program is a full-service health club where you use a variety of cardiovascular and strength-training equipment including individual health clubs and fitness centers. Qualified fitness programs also include virtual/online fitness memberships, subscriptions, programs, or classes that provide cardiovascular and strength training using a digital platform.
Weight loss reimbursement
We offer a $150 annual weight loss reimbursement to use toward a hospital-based or a qualified non-hospital-based program that focuses on weight loss by modifying eating and physical activity habits. The weight loss program must require participation in behavioral/lifestyle counseling with nutritionists, registered dieticians, exercise physiologists, or other certified health professionals in multiple sessions. Program delivery and counseling may be in-person, over the phone, or online. Meal provisions are not covered.
Have questions? Our Medicare Advisors are here to help.
Get expert guidance to help you understand your options, find the right plan, and make sure the transition to your new plan goes smoothly with no disruption to your care.
Call 855-486-3097 (TTY 711)
Or schedule a consultation.
October 1-March 31
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April 1-September 30
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