Welcome Eliot Community Human Services members!
Here’s some information to help you get off to a great start with Mass General Brigham Health Plan.
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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.
Explore your benefits
View the open enrollment presentation to better understand your health plan options and benefit offerings. Compare benefits, costs, and coverage, so you can choose the plan that best fits your life.
Learn about your plan
The DoctorSmart directory lets you find and compare doctors, hospitals, and more. To get started, view the Complete Access EPO network.
You can also view a list of in-network hospitals and community health center locations here.
If you don’t see your doctor in our network, let us know by contacting our Customer Service team. 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.
Virtual primary care
Virtual primary care is a good option to establish a new primary care relationship for comprehensive care where and when you need it. Learn more here.
With Optum Rx®, you get comprehensive prescription drug coverage. Read our FAQ to learn even more about what that includes.
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
- Pharmacy benefit guide - Learn more about your pharmacy benefits
During your switch over to Mass General Brigham Health Plan, we can help make sure you have access to the medications you need. Give our Customer Service team a call and let us know your prescription isn't on the drug list.
Your new ID card will arrive soon after you enroll, but you can view it online before it comes in the mail. After enrolling, you can visit Member.MGBHP.org and follow the steps to view or print your digital ID card. You can then show providers your card on your phone or download a printable copy.
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 866-643-8392.
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
Review your plan documents
Here you'll find plan details about your plan options, including cost sharing and benefits. These plans will be effective on July 1, 2025. All of Eliot's plans provide access to a national network; Mass General Brigham Health Plan’s full network in Massachusetts and New Hampshire plus UnitedHealthcare Options PPO network outside of MA/NH. Members in MA and NH must designate a PCP, and referrals are needed for certain specialty services.
Eliot Community Human Services Complete Access EPO 3000 with Care Complement
Most services are covered after a copay or deductible.
- Benefit Overview Plan 1
- Benefit Overview Plan 2
- Schedule of Benefits
- Summary of Benefits and Coverage
- Care Complement
Eliot Community Human Services Complete Access EPO HSA 3300 Enhanced FlexRx
All services except certain preventive care and preventive drugs are subject to the deductible.
Getting started with your health plan
Download our brochure for more information about your plan and how it can help support your health and wellness.
Get to know your plan features
Care Complement
Care Complement provides access to more affordable care options by removing cost sharing for certain services, therapies, and medications.
*Not available on HSA plan
Women's health programs
Our women’s health programs offer comprehensive resources and support for all stages of life, including menopause, pregnancy, postpartum, and pelvic health.
Over-the-counter drug benefit
Pay nothing, or only your plan’s cost sharing, for many routine over-the-counter (OTC) drugs with a prescription.
Fitness and weight-loss benefits
Our fitness and weight-loss benefits help you feel good, live healthy, and easily access the activities and programs you enjoy.
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.
For more information
Let us know if we can help
If you have questions or need help with any of the resources on this page, our Customer Service team is here to help, even before you become a member.
Call: 866-643-8392 (TTY 711)
Email: MGBHPCS@mgb.org
Hours: Monday through Friday, 8 a.m to 6 p.m. and Thursdays 8 a.m. to 8 p.m.
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company