Plan benefits for 2025 Medicare Advantage plans | Mass General Brigham Health Plan

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

View the OTC catalog to learn what products are covered by this benefit. - Coming soon!

Dental coverage via DentaQuest
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.

Reduce costs by choosing a dentist within the DentaQuest network.

Check if your dentist is in-network

Covered dental services

Diagnostic and preventive services covered at $0 copay:
- Periodic oral evaluations
- X-Rays
- Cleanings
- Fluoride applications
- Teledentistry
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
Vision benefits powered by EyeMed
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.

Check if your provider is in-network

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.

Learn more about coverage from TruHearing.

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

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

Clinical advice line: Contact our clinical advice line twenty-four (24) hours a day, seven (7) 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.

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

We offer a comprehensive benefit package to provide complete coverage for wherever you are in your health journey. Whether you’re looking to stay fit and healthy or dealing with a chronic condition, Mass General Brigham Health Plan can help you live life to the fullest. Our plans provide benefit coverage including dental, hearing, vision, OTC, fitness, a Flexible Benefit Card, transportation benefits, and meal delivery benefits.

You can review plan documents, including the Evidence of Coverage and Summary of Benefits, for each of our Medicare Advantage plans on their respective plan pages.

You can find the plan pages at the links below.

As a Mass General Brigham Health Plan 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.

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.

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Mass General Brigham Advantage plan benefits at a glance

Flex Card benefits for your physical health

Covered dental services

Diagnostic and preventive services covered at $0 copay:

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

Covered vision services

Routine vision services:

Medicare-covered services, covered with a plan-specific copayment:

Covered hearing services:

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