Health plans for Mass General Brigham employees
Mass General Brigham Health Plan is pleased to administer health plans on behalf of Mass General Brigham.
What’s in your benefits
Urgent care interactive video visits 24/7 with no cost sharing through On Demand
Fitness benefit: one month of membership fees at a qualified health club for one covered family member
Virgin Pulse: our wellness website where you can take a health assessment and get personalized recommendations
DoctorSmart(SM): the only tool you’ll need to find in-network medical and behavioral health providers and tiering information
Find a provider without logging in to your member portal account using the Provider Directory.
Mass General Brigham Providers: See any information that is outdated or incorrect? Please let us know here so we can ensure that our data is as current and accurate as possible.
The Mass General Brigham Health Plan Welcome program includes:
- A mailing of member ID cards to your home. If you have not received yours yet, you will shortly. Rest assured; a digital ID card is also available now at Member.MassGeneralBrighamHealthPlan.org. You will need to enter your Social Security number, last name, ZIP code, and date of birth to get your card. You can download a printable copy or show it on your phone when seeking care from your providers.
- Your member welcome kit will also come with information about the Mass General Brigham Health Plan member portal, Member.MassGeneralBrighamHealthPlan.org, how to access On Demand and the CaféWell online wellness community, cost sharing details, and more.
Nearly all providers currently seen by Mass General Brigham employees are in the Mass General Brigham Health Plan network, and the Mass General Brigham Health Plan team continues to recruit additional providers.
Tier 1 and Tier 2 provider services
Both Plus PPO and Select offer employees the choice between two tiers of network providers.
Tier 1 - Preferred Doctors and Hospitals (Includes Mass General Brigham Providers)
Tier 2 - Non-Preferred Doctors and Hospitals
Our health plans have differentiated between “preferred providers” and “non-preferred providers” for many years, although the use of the terms “Tier 1” and “Tier 2” are new in 2019.
What you'll pay for care
| Doctor and Hospital Level | Typical Cost Sharing* |
| Tier 1: Preferred Providers and Hospitals | $ |
| Tier 2: Non-Preferred Providers and Hospitals | $$ |
| Out-of-Network Providers and Hospitals | $$$ Plus PPO only; Out-of-network coverage is limited to emergency and urgent care for Select members |
*Tiering does not apply for employees who live out-of-area, so Tier 1 cost-sharing applies to all services delivered by a network provider (Tier 1 or Tier 2). See your Schedule of Benefits under Plan Documents for specific cost sharing details.
Services not tiered
There are certain services that have no tiering, which means you will pay the Tier 1 cost-sharing if you see a network provider. They include:
- Acupuncture
- Chiropractic care
- Physical therapy/Occupational therapy
- Speech therapy
- Mental health care or substance use care
Member Portal
Your personal gateway to complete details about your coverage, benefits, preventive services, copayments, out-of-pocket maximum, and other cost-sharing information.
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company