The Mass General Brigham ACO is required by MassHealth to follow the MassHealth Drug List for all Mass General Brigham Accountable Care Organization (ACO) members. Beginning July 1, 2026, MassHealth will no longer cover drugs used for weight loss only.
Beginning July 1, 2026, weight loss medications will no longer be covered unless approved by your Mass General Brigham ACO plan, based on information provided by your doctor that shows a medical reason for use other than weight loss alone.
What do I need to do?
Please speak with your doctor. If you need to stay on a weight loss drug for a medical reason other than weight loss alone, your doctor is responsible for submitting a new pre-approval request to us.
Effective July 1, 2026, Wegovy® (semaglutide) will be the sole preferred drug to treat ALL other medically accepted conditions. The following conditions may be reasons for coverage of Wegovy® (semaglutide).
If you have diabetes or prediabetes, your doctor will need to write you a new prescription for a diabetes drug.
We are pleased to offer comprehensive benefits to help members achieve their health and wellness goals. Our programs are designed for long-term success by meeting members where they are on their health journeys.
A year-long program for members who are looking to lose weight, become more active, and reduce the risk of chronic conditions, such as diabetes and heart disease. To learn more about this program, view our flyer or email us at HealthPlanHealthandWellness@mgb.org.
One-on-one health coaching by phone at no cost to help members make a wellness plan and connect to resources in the community. To get started, call the Customer Service number on the back of your member ID card and ask to talk to a Health Coach.
For subscriptions, programs, or activities at qualifying fitness facilities. Please check the Member Portal at Member.MGBHP.org for details about your benefit and to submit your reimbursement form.
Comprehensive virtual and in-person mental health services. Get to know our behavioral health offerings and how to access them.
A variety of programs to support our members’ health needs. Learn more about our Care Management programs.
The wellness hub helps members set goals, choose activities that fit interests and health level, and join group challenges to build healthy habits. Access the wellness hub through the Member Portal at Member.MGBHP.org.
We encourage our members to speak to their doctors about these options. For additional support, contact our Customer Service team at the number on the back of the member ID card or call 800-462-5449 (TTY: 711). Members can also email HealthPlanCustomerService-Members@mgb.org or visit Member.MGBHP.org to chat live with a Customer Service professional.
Our Customer Service team is happy to help answer your questions about our coverage, benefits, and wellness programs.
Please visit the Contact Us page or call Customer Service at the number on the back of your Mass General Brigham Health Plan member ID card.
© 2026 Mass General Brigham Health Plan, Inc. All Rights Reserved.
Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company