Dual Eligible Special Needs Plans (D-SNPs)

About Dual Eligible Needs Plans

Mass General Brigham Health Plan has been selected to offer Dual Eligible Special Needs Plans (D-SNPs). Individuals eligible for One Care or Senior Care Options (SCO) who reside in Suffolk, Essex, Middlesex, Norfolk, Dukes, Bristol, Nantucket, and Plymouth counties may choose Mass General Brigham Health Plan starting in January 2026. Please note, Mass General Brigham Health Plan offering One Care and SCO plans is contingent upon approval by CMS and EOHHS.
 
One Care is a comprehensive managed care program implemented by EOHHS in collaboration with CMS for the purpose of delivering and coordinating all Medicare- and Medicaid-covered benefits for MassHealth Members eligible for both programs. Services are developed and delivered based on an Enrollee’s person-centered assessment and care plan.

Enrollment in this managed care program is voluntary, and once enrolled, a member may disenroll at any time. Enrollment is open to members who meet the following criteria:

• are between the ages of 21 and 64;
• have Medicare Parts A and B;
• do not have presumptive eligibility;
• not subject to a six-month deductible period under MassHealth regulations;
• not a refugee;
• do not reside in Intermediate Care Facility operated by the Massachusetts Department of Developmental Services (DDS);
• qualify for Medicare Part D (drug coverage);
• have MassHealth Standard or MassHealth CommonHealth;
• do not have private health insurance (like health insurance from a job);
• do not take part in a Home and Community Based Services (HCBS) Waivers; and
• live in an area covered by a One Care plan.

Senior Care Options (SCO) is a comprehensive managed care program implemented by EOHHS in collaboration with CMS for the purpose of delivering and coordinating all Medicare- and Medicaid-covered benefits for eligible Massachusetts individuals managed by a SCO Plan using a person-centered model of care.

Enrollment in this managed care program is voluntary, and once enrolled, a member may disenroll at any time. Enrollment is open to MassHealth Standard members who meet the following criteria:

• may have Medicare Parts A and B;
• are aged 65 or older;
• live at home or in a long-term-care facility;
• do not have presumptive eligibility;
• not a refugee;
• are not subject to a six-month deductible period under MassHealth regulations; and
• live in an area served by a SCO plan.