You can find a list of covered providers, hospitals, and pharmacies in our directory. You can also do an online search using the links below.
Request a copy of our Benefit Kit to learn more about how Mass General Brigham SCO goes beyond MassHealth and Medicare.
Mass General Brigham SCO is a health plan for people ages 65+ who have MassHealth and Medicare. It’s easy to use because it combines the benefits you already have into one health plan with one card.
It also includes support from a care coordinator and an integrated care team. This team will work with you and your doctors to meet your care needs. You'll also get other benefits like dental and vision care, and transportation to your appointments.
For more information, call us at 888-403-7610 (TTY: 711). Our hours are:
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
You may be eligible for Mass General Brigham SCO if you:
If you are interested in becoming a member, our team can help you understand your eligibility and answer questions about the plan. Call us at 888-403-7610 (TTY: 711) for help. Our hours are:
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
MassHealth offers different types of coverage based on your age, health status, and living situation. You can visit mass.gov to apply for MassHealth coverage. After you apply, MassHealth will determine which program or coverage type you can get. If you are selected for MassHealth Standard, you may be eligible for Mass General Brigham SCO.
Medicare is health insurance for people 65 or older, or people with certain disabilities. You can find out when you are eligible for Medicare Part A and Part B on the medicare.gov website. If you are eligible for Medicare Part A and Part B, you may be eligible for Mass General Brigham SCO.
When you enroll, we will assign a care coordinator to help you get the care you need. This person will work with you, your primary care provider, and your care team. Together, they will make a care plan for your personal health needs.
You can also call our 24/7 advice line to speak with a registered nurse about any of your healthcare concerns.
If you need more support, your care team might also have:
Pharmacy benefits
You'll pay $0 for prescription drugs on our SCO plan drug list. You can check the drug list, also known as a formulary, on our SCO and One Care Pharmacy Benefits page.
Over-the-counter (OTC) benefits
You'll get $250 every three months to spend on qualifying OTC products like:
View the OTC catalog to learn what products are included in this benefit. English | Spanish
Dental – Our SCO plan includes:
Vision – Annual eye exams are $0 for members. You’ll also get $200 a year to buy glasses and contact lenses.
Search the vision provider locator
Hearing – Annual hearing exams are free for members and hearing aids are covered.
Stay active at home or on-the-go with your fitness benefit. Your benefit includes $250 per year to use on wellness purchases like:
Medical appointment transportation – Our SCO plan includes unlimited rides to medical appointments.
Non-medical transportation - Non-emergent non-medical transportation has a benefit limit of 2 round trips per month, and a 50 mile limit each way.
Personal help programs – You may be eligible for long term support services (LTSS). These services provide hands-on care in your home. You can get help with activities like getting dressed, eating, taking a bath, and doing laundry.
If you're ready to enroll in Mass General Brigham SCO, you can contact our sales team. A member of the team will help you review plan benefits and determine your eligibility. If you are eligible, they can help you complete an application by telephone.
Hours:
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
If you need more help with your health care, you can contact support.
My Ombudsman will work with you to make sure you receive your benefits and exercise your rights within your health plan.
Phone: 855-781-9898 (Toll Free). For TTY users, use MassRelay at 711 to call the number above.
Email: info@myombudsman.org
Website: myombudsman.org
Each state has a government program with trained counselors to help you with health insurance needs. These programs are called SHIP, or State Health Insurance Assistance Program. In Massachusetts, the SHIP is called SHINE. The program is not connected with Mass General Brigham Health Plan or any insurance company.
You can learn more about SHIP on their website at https://www.shiphelp.org/.
Serving the Health Insurance Needs of Everyone (SHINE)
The SHINE Program provides free health insurance information, counseling, and assistance to people who are eligible for Medicare and their caregivers.
A SHINE counselor will help you:
You can contact a SHINE Counselor through the phone number or email below.
Phone:
Call MassOptions at 800-243-4636
TTY/ASCll 800-439-2370
Email: SHINE@state.ma.us
If you have questions about the benefits included with MassHealth, you can contact their Customer Service team.
Phone: 800-841-2900 (TTY users should call 800-497-4648)
Hours: Monday through Friday, 8 a.m. to 5 p.m.
Website: mass.gov/MassHealth
Have questions?
We can help.
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