Welcome Grand Circle 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.
GCC Open Enrollment 2026!
Open Enrollment for 2026 benefits runs November 3, 2025 – November 14, 2025. Log in to UKG during this timeframe to get started.
Why We’re Making the Change:
We’re switching carriers to provide choice, enhanced benefits, and cost savings. Our new plans with MGBHP offer lower prescription costs and improved tools and customer service, all while reducing the rate increase we would have faced with HPHC.
What’s New:
- EPO (Complete Access EPO 500 with Care Complement) – Available to all associates (TRC and non-TRC) nationwide, regardless of residential or work location. Nationwide coverage with no referrals needed outside MA and NH; blends HMO+ and PPO features.
- PPO (Complete PPO Plus 500 with Care Complement) – Available to all associates (TRC and non-TRC) nationwide, regardless of residential or work location. Access to in- and out-of-network doctors with no referrals required, even in MA and NH.
- PPO – HRA (Complete PPO Plus Combined 2000 with Care Complement) – Only available to non-exempt TRC Agents nationwide, regardless of residential or work location. Access to in- and out-of-network doctors with no referrals required, even in MA and NH, with a Healthcare Reimbursement Account (HRA).
Choose the plan that best fits your needs and enjoy enhanced benefits. Log in to UKG during Open Enrollment to make your election.
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, select your plan's network: Complete Access EPO or Complete PPO Plus.
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 January 1, 2026.
Complete Access EPO 500 with Care Complement
The Complete Access EPO plan provides 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.
- Schedule of Benefits
- Summary of Benefits and Coverage
- FlexRx Prescription Drug Cost Sharing
- Care Complement benefits
Complete PPO Plus 500 with Care Complement
The Complete PPO Plus plan offers expansive access to top doctors and hospitals locally through Mass General Brigham Health Plan’s network and nationally through the UnitedHealthcare Options PPO network of over 1,600,000 providers and 5,600 hospitals. No PCP required and no referrals necessary.
- Schedule of Benefits
- Summary of Benefits and Coverage
- FlexRx Prescription Drug Cost Sharing
- Care Complement benefits
Complete PPO Plus Combined 2000 with Care Complement
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.
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.
Behavioral health resources
With our behavioral health benefits, you can easily search for providers, access virtual care, including recovery coaches, and explore programs and tools that help you live and work well.
Pharmacy coverage
Built for choice, savings, and convenience, FlexRx offers low-cost drug tiers for many medications, coverage for common over-the-counter drugs, and online tools to help you manage your plan and save money.
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
Personal representative designation form
You have the right to choose one or more persons to act on your behalf with respect to the protected health information that pertains to you. If you would like to exercise this right, please complete and return this form to us. You can download the form in English or Español.
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