New members
Get ready for a great start with Mass General Brigham Health Plan.
Let's get started
Welcome to Mass General Brigham Health Plan! Your new health plan is built to help you feel your best. It comes with care options for every step of your journey, and benefits that support your mind, body, and spirit.
You can get started with transitioning to your new plan using the information below. After your plan's effective date, you can sign up for the member portal to manage your plan.
First things first: What's important to you?
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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.
If you don’t see your doctor in our network, let us know by calling 866-643-8392. 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. -
Is my medication on the drug list?
We partner with Optum Rx® to offer you great pharmacy benefits and a nationwide pharmacy network. To search the drug list and get cost information, visit our pharmacy page. Check your plan materials to see which pharmacy program you're part of.
You can visit our pharmacy locator to search for participating pharmacies near you.
Please note that some employers do not offer prescription drug coverage through Mass General Brigham Health Plan. Please check your benefit information for your plan details.
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 866-643-8392 and let us know if your prescription isn't on the drug list.
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When will I get my member ID card?
Your new ID card will arrive soon, but you can see it before it comes in the mail. After you are enrolled, you can visit Member.MGBHP.org 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. You can show them your digital ID card now, so they'll have all your new information when your plan becomes active.
What if I'm currently receiving care–how will that continue?
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Commercial members: 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 866-643-8392.
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
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Mass General Brigham ACO members: Talk with your provider
If you are a Mass General Brigham ACO member, you don't need to fill out a form to transition your care.
Instead, you should talk with your provider so they can help make sure you continue to receive care during your transition. If you have questions, you can contact Customer Service at 800-462-5449.
How will I access my plan information?
After your plan's effective date, you can sign up for the member portal and download the Health Plan Member app. Through the portal, you can manage your account, access claims history, accumulations, and important plan documents.
What's covered?
Your benefits include the essentials of a comprehensive health plan. These include routine and preventive care, specialty care, routine eye exams, behavioral health, and urgent and emergency care, even when you travel.
Your benefits also go beyond the basics with programs to help manage or treat your common and complex healthcare needs. Visit the links below to learn about the innovative programs and personalized support you have access to with your plan.
For specific details about the network, benefits, and cost sharing, see the Schedule of Benefits included in your enrollment materials.
Mental Health
Mental health is a key part of your overall well-being—and we're here to help.
Additional Benefits
Value-added benefits to help you save money and time when getting the care you need.
Get help on your fitness or weight loss journey
Many of our plans include fitness and weight loss benefits to reimburse you for staying active and losing weight. Get reimbursed for subscriptions, programs, or activities at qualifying fitness facilities and up to six months of membership fees at a qualified weight loss program.
Let us know if we can help
The Customer Service team is committed to your satisfaction.
Get answers fast with live chat
Even before you’re a member, you can live chat with us during business hours. Chat with us.
Call or email Customer Service
You're also welcome to call 866-643-8392 or email MGBHPCS@mgb.org with any questions.
Hours: Monday through Friday, 8 a.m. to 6 p.m., and Thursdays 8 a.m. to 8 p.m.