Explore our plan benefits
and savings
Our integrated health plans offer you full coverage plus comprehensive benefits
including dental, vision, hearing, virtual care, and more.
Mass General Brigham Advantage plan benefits at a glance
Our Medicare Advantage plans all come with extensive benefits beyond what Original Medicare offers.
Dental, vision,
and hearing
- Your dental coverage goes beyond routine cleanings, including preventive services and more.
- Our vision network offers a mix of independent, national retail, and regional retail providers.
- Hearing exams from our in-network provider are covered in full.
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
View the OTC catalog to learn what products are covered by this benefit.
Benefits Breakdown
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 find more details about covered services and cost-sharing in the plan’s Evidence of Coverage.
Reduce costs by choosing a dentist within the DentaQuest network.
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)
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.
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.
24/7 virtual urgent care services with $0 cost sharing for minor illnesses and injuries.
Members are covered for emergency and urgent care in hospitals and care centers around the world.
Need more information? We’ve got you covered
Our decision support kit provides all the information you need to compare plans, explore benefits, and view plan costs.
Frequently Asked Questions
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.
The Flexible Benefit Card benefit includes $85 per quarter to spend on over-the-counter products for the following healthcare needs and more.
- Allergy
- 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
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 treadmills, stationary bikes, rowing machines, weights, exercise bands, and fitness trackers when purchased from a sporting goods store.
Items excluded from this benefit include sports equipment (bicycles, skis, tennis rackets, for example), initiation fees at a country club or sports club, fees for personal training, and fees for dance studios or martial arts schools.
The flex card allowance can also be used for participation in a qualified weight loss program. These include hospital- and non-hospital-based multi-session programs that focus on changing eating and activity habits and are led by nutritionists, registered dietitians, or other certified health care professionals. The program may be in person or virtual.
Items excluded from this benefit include individual weight loss counseling, pre-packaged meals, books and videos, costs of food or meals, and scales.
© 2024 Mass General Brigham Health Plan, Inc. Mass General Brigham Health Plan is an HMO-POS/PPO organization with a Medicare contract. Enrollment in Mass General Brigham Health Plan depends on contract renewal. Other providers/pharmacies are included in our network.
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Last updated: 10/1/2024 - Pending CMS approval