Your plan for smarter care and greater value
Competitively priced plans with a network that goes beyond Mass General Brigham.
Health coverage that works for your business
Now is a great time to consider a plan from Mass General Brigham Health Plan. Our 2027 plans come with competitive pricing so you can offer strong coverage without stretching your budget. Members get real, everyday value from benefits like Care Complement, mental health support, prescription and over-the-counter savings, and women’s health resources. Plus, with access to a network of world-renowned doctors, specialists, and hospitals within the Mass General Brigham system and beyond, employees can get the care they need from providers they trust.
Complete Access EPO plans:
A high-value, national network consisting of our full network in Massachusetts and New Hampshire, plus the UnitedHealthcare Options PPO network outside MA and NH. Members in MA and NH designate PCPs to help coordinate care.
Complete plans:
Complete plans offer comprehensive care from a broad network of top providers—including Mass General Brigham and beyond. Our Complete HMO network extends from Massachusetts to parts of New Hampshire and Rhode Island. Complete PPO Plus network also includes UnitedHealthcare Options PPO network of more than 1.6 million providers and 5,600 hospitals nationwide.
Choice Easy Tier plans:
Members have access to our full network. Hospitals fall into three tiers. The tiers determine what cost share the member pays. Available as an HMO and PPO Plus product.
*$1,800 figure is an estimated potential annual value based on a family of four utilizing the full family fitness reimbursement ($300), estimated Rx and OTC savings, and the total value of cost-sharing waivers for 3 pediatric sick visits, 3 pediatric behavioral health visits, 6 physical therapy, 6 chiropractor, and 6 acupuncture visits specifically available on the Complete HMO 2500 30/55/500 with Care Complement plan for individuals and small groups. This amount is not a cash payment or a guarantee of savings. Actual value realized will vary significantly based on plan selection, individual healthcare needs, and program utilization. Care Complement is a benefit of the health insurance plan; wellness perks may be provided by third-party vendors.
What is Care Complement?
Care Complement provides access to more affordable care options by removing cost sharing for certain services, therapies, and medications. The following services are covered at $0 cost sharing:
- First six physical therapy or occupational therapy visits
- First six acupuncture visits (20 visit limit)
- First six chiropractor visits
- First three sick visits and first three behavioral health visits for members aged 18 or younger
- Cardiac rehabilitation therapy
- Certain services that reduce the risk of complications from diabetes, including an annual routine eye exam, diabetic education, and nutritional counseling
- Medication-assisted therapy office visits and prescriptions to treat substance use
- 11 common prescription medications for chronic conditions such as depression, diabetes, heart conditions, and high blood pressure
Plans available for new and renewing business
View our 2027 plans to review cost-sharing information and find plan documents with detailed benefit information.
Search for covered drugs in our formulary.
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Complete HMO 25/50 with Care Complement | $0 | $0 | $25 | $50 | |
| Complete HMO 500 30/55 with Care Complement | $500 | $1000 | $30 | $55 | |
| Complete HMO 1000 30/60 with Care Complement | $1000 | $2000 | $30 | $60 | |
| Complete HMO 1000 30/50 10%/30% with Care Complement | $1000 | $2000 | $30 | $50 | |
| Complete HMO 1500 30/60 with Care Complement | $1500 | $3000 | $30 | $60 | |
| Complete HMO 2000 30/60/550 with Care Complement | $2000 | $4000 | $30 | $60 | |
| Complete HMO 2000 40/80 with Care Complement | $2000 | $4000 | $40 | $80 | |
| Complete HMO 2500 35/65 with Care Complement | $2500 | $5000 | $35 | $65 | |
| Complete HMO 2500 35/65 15%/35% with Care Complement | $2500 | $5000 | $35 | $65 | |
| Complete HMO 3000 45/65 with Care Complement | $3000 | $6000 | $45 | $65 | |
| Complete HMO 3500 50/85 with Care Complement | $3500 | $7000 | $50 | $85 | |
| Complete HMO 4000 40/60 with Care Complement | $4000 | $8000 | (D) $40 | (D) $60 | |
| Complete HMO 5000 40/60 with Care Complement | $5000 | $10000 | (D) $40 | (D) $60 | |
| Complete HMO HSA 2500 40/60 Enhanced FlexRx | $2500 | $5000 | (D) $40 | (D) $60 | |
| Complete HMO HSA 3000 40/65 Enhanced FlexRx | $3000 | $6000 | (D) $40 | (D) $65 | |
| Complete HMO HSA 3600 40/65 Enhanced FlexRx | $3600 | $7200 | (D) $40 | (D) $65 | |
| Complete HMO HSA 4400 Enhanced FlexRx | $4400 | $8750 | (D) $55 | (D) $85 |
(D) = Deductible must be met first, then copayment or coinsurance may apply.
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Complete Access EPO 2000 30/60/550 with Care Complement | $2000 | $4000 | $30 | $60 | |
| Complete Access EPO 3000 45/65 with Care Complement | $3000 | $6000 | $45 | $65 | |
| Complete Access EPO HSA 3000 40/65 Enhanced FlexRx | $3000 | $6000 | (D) $40 | (D) $65 |
(D) = Deductible must be met first, then copayment or coinsurance may apply.
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Choice Easy Tier HMO 500 30/55 with Care Complement | $500 | $1000 | $30 | $55 | |
| Choice Easy Tier HMO 1000 30/60 with Care Complement | $1000 | $2000 | $30 | $60 | |
| Choice Easy Tier HMO 1500 30/60 with Care Complement | $1500 | $3000 | $30 | $60 | |
| Choice Easy Tier HMO 2000 30/60/550 with Care Complement | $2000 | $4000 | $30 | $60 | |
| Choice Easy Tier HMO 2500 45/65 15%/20%/35% with Care Complement | $2500 | $5000 | $45 | $65 | |
| Choice Easy Tier HMO 3000 50/65 with Care Complement | $3000 | $6000 | $50 | $65 |
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Complete PPO Plus 2000 30/60/500 | $2000 | $4000 | $30 | $60 | |
| Complete PPO Plus 3000 45/65 with Care Complement | $3000 | $6000 | $45 | $65 | |
| Complete PPO Plus HSA 3000 40/65 Enhanced FlexRx | $3000 | $6000 | IN (D) $40 | IN (D) $65 |
IN (D) = In-Network Deductible must be met first, then copayment or coinsurance may apply.
Closed plans available for renewing business only
Groups may maintain the 2027 version of their current plan or choose another plan available for sale.
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Complete PPO Plus 500 30/55 with Care Complement | $500 | $1000 | $30 | $55 | |
| Complete PPO Plus 1000 30/60 with Care Complement | $1000 | $2000 | $30 | $60 | |
| Complete PPO Plus 1000 30/50 10%/30% with Care Complement | $1000 | $2000 | $30 | $50 | |
| Complete PPO Plus 1500 30/60 with Care Complement | $1500 | $3000 | $30 | $60 | |
| Complete PPO Plus 2000 30/60/550 with Care Complement | $2000 | $4000 | $30 | $60 | |
| Complete PPO Plus 2000 40/80 with Care Complement | $2000 | $4000 | $40 | $80 | |
| Complete Ppo Plus 2500 35/65 with Care Complement | $2500 | $5000 | $35 | $65 | |
| Complete PPO Plus 2500 35/65 15%/35% with Care Complement | $2500 | $5000 | $35 | $65 | |
| Complete PPO Plus 3500 50/85 with Care Complement | $3500 | $7000 | $50 | $85 | |
| Complete PPO Plus 4000 40/60 with Care Complement | $4000 | $8000 | IN (D) $40 | IN (D) $60 | |
| Complete PPO Plus 5000 40/60 with Care Complement | $5000 | $10000 | IN (D) $40 | IN (D) $60 | |
| Complete PPO Plus HSA 2500 40/60 Enhanced FlexRx | $2500 | $5000 | IN (D) $40 | IN (D) $60 | |
| Complete PPO Plus HSA 3600 40/65 Enhanced FlexRx | $3600 | $7200 | IN (D) $40 | IN (D) $65 | |
| Complete PPO Plus HSA 4400 Enhanced FlexRx | $4400 | $8750 | IN (D) $55 | IN (D) $85 |
IN (D) = In-Network Deductible must be met first, then copayment or coinsurance may apply.
| Plan name | Annual individual deductible | Family deductible | Office visit copay–PCP | Office visit copay–specialist | Plan documents |
| Choice Easy Tier PPO Plus 500 30/55 with Care Complement | $500 | $1000 | $30 | $55 | |
| Choice Easy Tier PPO Plus 1000 30/60 with Care Complement | $1000 | $2000 | $30 | $60 | |
| Choice Easy Tier PPO Plus 1500 30/60 with Care Complement | $1500 | $3000 | $30 | $60 | |
| Choice Easy Tier PPO Plus 2000 30/60/550 with Care Complement | $2000 | $4000 | $30 | $60 | |
| Choice Easy Tier PPO Plus 2500 45/65 15%/20%/35% with Care Complement | $2500 | $5000 | $45 | $65 | |
| Choice Easy Tier PPO Plus 3000 50/65 with Care Complement | $3000 | $6000 | $50 | $65 |
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc. and Mass General Brigham Health Insurance Company
Mass General Brigham Health Plan is an HMO-POS/PPO organization with a Medicare contract. Enrollment in Mass General Brigham Health Plan depends on contract renewal. Other providers/pharmacies are included in our network.
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Mass General Brigham One Care is a Dual Special Needs Plan (D-SNP) that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone age 21 - 64 who qualifies for MassHealth Standard or CommonHealth and Original Medicare and does not have any other comprehensive health insurance, except Medicare.
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Mass General Brigham SCO (Senior Care Options) is a Dual Special Needs Plan (D-SNP) with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health insurance, except Medicare.
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