Medicare Advantage plans
Find the right Medicare Advantage plan for your healthcare needs.
Mass General Brigham Advantage (PPO)
The security of having a Medicare Advantage plan with a $0 monthly premium. Members with this plan have the lowest premium with higher cost sharing for some services and a higher out-of-pocket maximum.
- $0 monthly premium
- You won't need a PCP or to get referrals for services
- Slightly higher cost sharing for some services & a higher out-of-pocket maximum
Mass General Brigham Advantage Secure (HMO-POS)
For a moderate monthly premium, this Medicare Advantage plan offers the benefits of having an HMO plan. With this plan you do not need to select a PCP and you will be able to see any provider without a referral.
- $52 monthly premium
- You won't need a PCP or to get referrals for services
- Lower cost sharing for some services & a lower out-of-pocket maximum
Mass General Brigham Advantage Premier (PPO)
Our Advantage Premier PPO plan offers generous cost sharing for a higher premium. This plan features fixed costs for some diagnostic services as well as lower cost sharing than our Advantage PPO plan.
- $140 monthly premium
- You won't need a PCP or to get referrals for services
- Lowest cost-sharing for some services & lowest combined out-of-pocket maximum
- More coverage for dental and vision benefits
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)
October 1-March 31
8 AM-8 PM ET, Mon-Sun
April 1-September 30
8 AM-8 PM ET, Mon-Fri
Get to know our additional benefits
Each of our plans include benefits that go beyond basic Medicare coverage to help you get the care you need to live your best life. We also offer discounts, allowances, and reimbursements so you can save money while taking care of your health needs and goals.
Over-the-counter benefits
Enhanced dental, vision, and hearing services
Hearing aids and eyewear allowance
Telehealth
Fitness reimbursement
Coverage when you travel worldwide
Get the information you need to find the right Medicare plan for you
Our Benefit Kit includes plan comparison charts, detailed benefit information, and a pre-enrollment checklist.
Plan benefit comparison
Compare cost sharing for commonly used services and benefits across our three Medicare Advantage plans.
| Mass General Brigham Advantage (PPO) |
Mass General Brigham Advantage Secure (HMO-POS) |
Mass General Brigham Advantage Premier (PPO) |
|
| Monthly plan premium |
|||
| This is paid in addition to your Part B premium. | $0 per month with prescription drug (Part D) |
$52 per month with prescription drug (Part D) |
$140 per month with prescription drug (Part D) |
| Doctor visits (In = in-network providers, OUT = out-of-network providers) |
|||
| Primary care | IN $0 copay; OUT $20 copay | IN $0 copay; OUT $20 copay | IN $0 copay; OUT $10 copay |
| Specialist | IN $45 copay; OUT $65 copay | IN $40 copay; OUT $50 copay | IN $20 copay; OUT $40 copay |
| Emergency Care |
|||
| Emergency care (in- and out-of-network) | $90 copay | $105 copay | $90 copay |
| Urgent care (in- and out-of-network) | $50 copay | $50 copay | $30 copay |
| Emergency ambulance | $275 copay | $200 copay | $200 copay |
| Hospital, surgery, and rehabilitation services |
|||
| Inpatient hospital stays | IN: $335 days 1-5; $0 days 6-90; OUT: 40% coinsurance | IN: $230 days 1-5; $0 days 6-90; OUT: 30% coinsurance | IN: $125 days 1-3; $0 days 4 and beyond; OUT: 20% coinsurance |
| Outpatient hospital | IN: $0-$300 copay; OUT: 40% coinsurance | IN: $0-$200 copay; OUT: 30% coinsurance | IN: $0-$125 copay; OUT: 20% coinsurance |
| Outpatient physical, occupational, and speech therapy | IN: $40 copay; OUT: $65 copay | IN: $15 copay; OUT: $50 copay | IN: $20 copay; OUT: $40 copay |
| Cardiac rehabilitation | IN: $0 copay; OUT $65 copay | IN and OUT: $0 copay | IN and OUT: $0 copay |
| Maximum out-of-pocket protection |
|||
|
This is the most you pay for covered medical services in a calendar year (does not include Part D drug costs).1 |
IN: $6,400; IN and OUT combined: $9,700 |
IN: $3,350; IN and OUT combined: $7,000 |
IN: $3,150; IN and OUT combined: $5,450 |
| 1If you reach the maximum amount, Mass General Brigham Health Plan pays 100% of the cost of covered services, including part B drugs, through December 31. | |||
Prescription drug benefit comparison
Compare prescription drug cost sharing and learn about initial coverage, coverage gap, and catastrophic coverage.
| Mass General Brigham Advantage (PPO) |
Mass General Brigham Advantage Secure (HMO-POS) |
Mass General Brigham Advantage Premier (PPO) |
| Initial Coverage: When your coverage begins, you pay your cost share for covered prescription drugs. Your cost for a 30-day supply from a participating retail pharmacy is below. Or save money using CVS Caremark Mail Service Pharmacy. A three-month supply of many prescriptions is available for only two co-pays. Refer to the Mass General Brigham Health Plan Formulary for details. | ||
| Tier 1 $0 | Tier 1 $0 | Tier 1 $0 |
| Tier 2 $3 | Tier 2 $3 | Tier 2 $3 |
| Tier 3 $37 | Tier 3 $37 | Tier 3 $37 |
| Tier 4 $100 | Tier 4 $100 | Tier 4 $100 |
| Tier 5 33% | Tier 5 33% | Tier 5 33% |
| Coverage Gap: If your total drug costs in 2024 reach $5,030, your cost for prescription drugs changes. You pay: | ||
| 25% for generic drugs and 25% for contracted brands |
25% for generic drugs and 25% for contracted brands |
25% for generic drugs and 25% for contracted brands |
| Catastrophic Coverage: Beginning in 2024, if you reach the Catastrophic Coverage Stage, you pay nothing for Part D drugs. You may have cost sharing for excluded drugs that are covered under our enhanced benefit. | ||
Please note: Drugs purchased outside the U.S. are not Medicare approved and are not covered.
Ready to take the next step?
Check your eligibility or enroll in minutes online, by mail, or by phone.
