Explore our plan benefits and savings

Our health plans offer benefits that go beyond Original Medicare, including dental, vision, hearing, virtual care, and more.

Flexible Benefit Card

Flex Card benefits for your physical health

Every member receives a Flexible Benefit Card with allowances for wellness and transportation. Our Advantage Secure and Advantage Plus plans also include an over-the-counter (OTC) allowance.

 

Your Flexible Benefit Card can be used for qualifying:

  • Fitness memberships, classes, or equipment 
  • Prescription hearing aids
  • Non-emergent transport to medical visits and the pharmacy

You can also earn a $50 reward on your card when you complete your annual wellness visit.

Benefits breakdown

Dental care is key to your overall health. Our plans offer coverage to help manage out-of-pocket costs through DentaQuest Dental. Covered services include routine cleanings, oral exams, and X-rays.

Our Advantage Secure and Advantage Plus plans also offer an annual allowance for crowns, root canals, extractions, and more.

You can choose to go to any dentist, but keep in mind your costs will be lower if you choose a dentist within the DentaQuest Dental Medicare network.


Additional dental benefit resources

Our vision benefits and network offer flexibility, choice, and savings so that it’s easy for you to access the vision care and services you need.

Members are covered for routine eye exams for $0 cost sharing from EyeMed providers. You also get an annual allowance starting at $150 for prescription eyewear.

Hearing exams from an in-network TruHearing provider are covered at no additional cost. Member benefits also include coverage for two hearing aids per year through TruHearing, with copays between $699 and $999 per hearing aid depending on the hearing aids chosen.

Our Advantage Secure and Advantage Plus plans include an allowance for the over-the-counter items you use most. Members can use their Flexible Benefit Card to make purchases at local retailers like Costco and CVS, or via our online catalog.

Available OTC products include:

  • Allergy medicines
  • Bathroom safety and fall prevention items
  • Dental and denture care
  • Eye and ear care
  • First aid, including Narcan
  • Incontinence supplies
  • Pain relievers and fever reducers
  • Skin and sun care
  • Supports annd braces
  • Vitamins and minerals

Flexible Benefit Card

Flex Card benefits for your physical health

Every member receives a flexible spending card with allowances for wellness, transportation, and over-the-counter purchases.

Your Flexible Benefit Card can be used for qualifying:

  • Fitness memberships, classes, or equipment 
  • Weight-loss programs
  • Prescription hearing aids
  • Over-the-counter (OTC) medications and supplies
  • Non-emergent transport to medical visits

You can also earn a $50 reward on your card when you complete your annual wellness visit.

 

View the OTC catalog to learn what products are covered by this benefit.

 

Use our fitness benefit location finder to search for qualifying gyms near you.

 

*Some limitations may apply. 

Flexible Benefit Card

Flex Card benefits for your physical health

Every member receives a flexible spending card with allowances for wellness, transportation, and over-the-counter purchases.

Your Flexible Benefit Card can be used for qualifying:

  • Fitness memberships, classes, or equipment 
  • Weight-loss programs
  • Prescription hearing aids
  • Over-the-counter (OTC) medications and supplies
  • Non-emergent transport to medical visits

You can also earn a $50 reward on your card when you complete your annual wellness visit.

 

View the OTC catalog to learn what products are covered by this benefit.

 

Use our fitness benefit location finder to search for qualifying gyms near you.

 

*Some limitations may apply. 

Benefits breakdown

Reduce costs by choosing a dentist within the DentaQuest network

 

To help when visiting your dentist, view the tip sheet and the Dental Plan Benefit Summary Procedure Codes for Medicare Advantage.


Covered dental services:

Diagnostic and preventive services covered at $0 copay

  • Periodic oral evaluations
  • X-rays
  • Cleanings
  • Fluoride applications
  • Teledentristry

Comprehensive dental services covered up to the plan-specific calendar year maximum benefit amount

  • Crowns and fillings
  • Root canals
  • Gum disease treatment
  • Dentures
  • Tooth extraction

Our vision benefits and network offer flexibility, choice, and savings so that it’s easy for you to access the vision care and services you need.


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 from an in-network TruHearing provider are covered in full. Your benefits also include coverage for hearing aids.


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)

Mass General Brigham Health Plan is now working with Porter to provide In-Home or Telehealth Visits at no cost to you. During an In-Home or Telehealth Visit, a Porter nurse practitioner will discuss health issues, perform necessary lab tests, review medical history, assess home safety, and answer questions about your health. After the visit, Porter will connect you with appropriate healthcare support based on your unique needs, plan benefits, and community resources.

If you are interested in an In-Home or Telehealth Visit, contact Porter by:

Already working with Porter? Log in to the Porter Member Portal at https://portal.helloporter.com/login. Note: By clicking this link, you will be leaving the Mass General Brigham Health Plan website and entering a third-party site.


Round-the-clock support, for care when you need it

All plans include a 24/7 nurse advice line and on-demand virtual care services, plus emergency and urgent care worldwide.

Nurse advice line

Contact our clinical advice line 24 hours a day, seven days a week, to speak with a registered nurse about any healthcare concerns.

On demand care

24/7 virtual urgent care services with $0 cost sharing for minor illnesses and injuries.

Emergency care


Members are covered for emergency and urgent care in hospitals and care centers around the world.

 


Frequently asked questions

Mass General Brigham Health Plan Medicare Advantage members have worldwide coverage for emergency and urgent care. There is a $50,000 maximum coverage limit per year for care outside the US.

Yes. Our plans include coverage with no cost sharing for vaccine services covered under Medicare Part B. These include:

  • The pneumonia vaccine
  • Flu shots, once each flu season in the fall and winter, with additional flu shots if medically necessary.
  • Hepatitis B vaccine if you are at high or intermediate risk of getting Hepatitis B.
  • Other vaccines if you are at risk and they meet Medicare Part B coverage rules.

We also cover some vaccines under our Part D prescription drug benefit at no cost to you. Your costs for a Part D vaccination depend on the type of vaccine, where you get the vaccine, and
who gives you the vaccine. You can find more details about Part D vaccines in the Evidence of Coverage documents available on our plan pages.

The flex card allowance can be used for gym or health club memberships or online fitness classes that provide cardiovascular and strength training exercises. You may also use it for home fitness equipment, such as weights, stationary bikes, and treadmills from a physical retail sporting goods store location (brick-and-mortar) where Mastercard is accepted. 

Items excluded from this benefit include sports equipment (bicycles, skis, tennis rackets, for example), fitness trackers, initiation fees at a country club or sports club, fees for personal training, and fees for dance studios or martial arts schools.

Enroll in your plan

Start taking advantage of our benefits by enrolling in a plan today. 

Have questions

about our benefits?

Contact one of our dedicated Medicare Advisors. They’ll be able to assist with questions about plan benefits or reimbursements.

Call 855-486-3097

TTY 711

October 1 - March 31

8 a.m. to 8 p.m. ET, Monday-Sunday

April 1 - September 30

8 a.m. to 8 p.m. ET, Monday-Friday

Search the network and formulary

Check to see if your doctors and prescription medications are covered. If you have questions, we can help you make a smooth transition and support your ongoing needs.