Welcome Sisters of St. Joseph members!
Here’s some information to help you get off to a great start with Mass General Brigham Health Plan.
Welcome to Mass General Brigham Health Plan
We are excited to have you as a member. Our mission is to provide you with high quality healthcare and an exceptional customer experience. With our comprehensive range of services and exceptional network of providers, we are dedicated to ensuring your health and well-being.
Getting started with your new plan is easy. Whether you have questions about your coverage or need assistance in navigating our network, our knowledgeable team is always ready to assist you.
Learn about your plan
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Is my doctor in the network?
The DoctorSmart directory lets you find and compare doctors, hospitals, and more. To get started, click here and select your network.
You can also view a list of in-network hospitals and community health center locations here.
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Is my medication on the drug list? What will it cost?
We partner with Optum Rx® to offer you great pharmacy benefits and a nationwide pharmacy network. You can search the drug list and get cost information using the links below.
- Drug lookup
- 6-tier Formulary (PDF version)
- Low cost drug list - Find a list of drugs in the low-cost generic drug tier for your plan.
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When will I get my member ID card?
You can see your ID card before it comes in the mail. As of January 1, you can go to the Mass General Brigham Health Plan member portal and follow the steps to view or print your digital ID card. It's a good idea to tell your doctors that you'll be switching to a new plan.
Transition your care
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Fill out our Transition of Care form
Let us know as soon as possible if you or a family member have care that needs to continue with your new plan by completing and sending this form (also available en español) to us by email, mail or fax. If you have questions or need help, you can call us at 866-414-5533.
Our service team and nurses will help make sure you continue to receive care during your transition if you:- Have an upcoming treatment, procedure, or surgery planned
- Are having a baby
- Take prescription drugs that require authorization
- Plan to see specialists with referrals already in place
- Rely on durable medical equipment (DME) such as a wheelchair or sleep apnea device (CPAP)
- Are undergoing care for an illness, chronic condition (like diabetes and asthma), your behavioral health, or special needs
- Receive infusions at a hospital or home
Let us know if we can help
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What do I do if my doctor isn't in your network?
If you don’t see your doctor in our network, let us know by calling 866-414-5533. We'll double check for you. We can also help you find a new doctor in the network or talk with you about your options.
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What do I do if my medication isn't on your drug list?
During your switch over to Mass General Brigham Health Plan, we can help make sure you have access to the medications you need. Give us a call at 866-414-5533 and let us know your prescription isn't on the drug list.
Get to know your plan and benefits
Find more details about the benefits included with your plan in our digital benefit kit.
- Care Complement: English | Español - Easy access to no-cost pain and chronic condition therapies.
- $0 Copays for child visits: English | Español - No member cost for pediatric benefits designed for the health of the whole family.
- Covered Preventive Services - Routine healthcare services delivered by network providers at no cost sharing
- Diabetes Services & Supplies - Covered services and supplies used in diabetes treatment and support.
- Elektra Health - Take control of your menopause journey.
- Fitness & Weight Loss Reimbursement: English | Español - Get fit, lose weight, and enjoy the endorphin rush of getting reimbursed for it!
- Behavioral health: English | Español - Take charge of your mental health.
- Livongo - Help to control Type 1 or Type 2 diabetes.
- Lyra Health - Mental health made easy.
- Member App - Easily manage your health plan on the go.
- On Demand - Easy access to high-quality, virtual urgent care 24/7 right from your tablet, smart phone, or computer.
- OTC Benefit: English | Español - Real savings on your medicine cabinet essentials.
- Pharmacy Benefit Guide - Mass General Brigham Health Plan FlexRxSM program is built for choice, savings, and convenience.
- Poppy Seed Health - Pregnancy, postpartum & loss support, on demand.
- Rx Savings Solutions: English | Español - Stop overpaying for your prescriptions.
- Virgin Pulse - Create your own custom wellness program.
Learn about our behavioral health offerings
When you need mental health support, the last thing you want are obstacles getting in the way. Watch now to learn how Lyra Health, Optum, and our recovery coaches make it easier and faster for our members to get high-quality care.
Log in to your member portal
As of January 1, you can log in to your secure member portal to view plan documents, track your cost sharing, search for doctors, and more.
Download the member app
Easily manage your health plan on the go with the Health Plan Member app. As of January 1, you can download the app and log in using your member portal account. Scan the QR code or click the link below to get started.
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Have questions?
If you have questions or need help with any of the resources on this page, we are here to help. Please call us at 866-414-5533 or email healthplanCustomerService-Members@mgb.org with any questions.