Product reference
Details on Mass General Brigham Health Plan products.
Products
Click the links below to jump to the product description and view a sample member ID card.
Standard plans
Coverage offered by employers or purchased by individuals.
- Complete HMO plans
- Complete PPO Plus plans
- Complete Access EPO plans
- Allies & Allies Choice HMO plans*
- Choice Easy Tier plans
Mass General Brigham plans
Coverage available to employees of Mass General Brigham.
Qualified health plans (QHP)
Affordable plans providing essential health benefits for members.
- Complete HMO Plan - Health Connector
- Select HMO Plan - Health Connector*
- Complete PPO Plus - Health Connector
*Limited Network Products
Additional plans
Additional plans offered by employers.
Medicaid and Medicare plans
Coverage for individuals who meet specific age, disability, and/or income criteria.
Complete HMO plans
Our Complete HMO plans offer access to our extensive provider network. Members must designate a PCP to manage their medical care and issue referrals.
Complete PPO Plus plans
Complete PPO Plus members have in-network access to our network within our MA/NH service area and access to PHCS networks in NH, plus access to the United Healthcare Options PPO network outside our MA/NH service area.
Mass General Brigham employee plans
Members have a Mass General Brigham Core PPO, Select PPO, Plus PPO, Premium EPO, or HDHP PPO with HSA plan. Members of these plans have access to the full Mass General Brigham Health Plan network, plus the UnitedHealthcare Options PPO network nationwide.
Complete Access EPO
Complete Access EPO is a high-value national network that offers members access to leading doctors and hospitals, no matter where they live in the U.S. Members in MA and NH have access to the Mass General Brigham Health Plan network and PHCS networks, and members outside MA/NH can seek care from the UnitedHealthcare Options PPO network.
Allies & Allies Choice HMO
Designed to make high-quality care more affordable and accessible. Members will receive care at a top community hospital and get support from health navigators who ensure quicker access to care.
Qualified health plans (QHP)
Affordable plans that provide essential health benefits for members. These plans are available through the Massachusetts Health Connector.
Complete HMO plan - Health Connector
This is our full network product available through the MA Health Connector. Members must choose a PCP to manage their care and issue referrals.
Select HMO plan - Health Connector
Select HMO members have in-network access to our new Select HMO network. Members will have access to comprehensive benefits at a lower cost through this limited network of high-quality providers.
Complete PPO Plus - Health Connector
Complete PPO Plus members have in- and out-of-network coverage with no referrals needed for specialty care.
Choice Easy Tier plans
Members have access to our full network, but hospitals fall into two tiers. The tiers determine what cost share the member pays. Available as a PPO Plus and HMO product.
Value HMO plan
The Value HMO network is designed to help ensure access to the highest quality care with the greatest value for City of Boston employees and retirees. Members have access to a limited provider network featuring many of the state’s leading hospitals.
Complete HMO plan (GIC)
Our Complete HMO plan for members of the Group Insurance Commission offers access to our extensive provider network. Members must designate a PCP to manage their medical care and issue referrals.
Mass General Brigham ACO
Mass General Brigham Health Plan is proud to provide MassHealth insurance coverage to members of Mass General Brigham ACO.
Medicare Balance
With Medicare Balance, members may access medical care from any provider who accepts Medicare payment. There is no provider network and no requirements for patients to have a Primary Care Physician, referrals, or prior authorizations.
Medicare Advantage plans
Medicare Advantage is a bundled plan option that adds additional coverage to Original Medicare. Original Medicare (Parts A and B) includes hospital insurance for both inpatient and home health, and medical insurance for doctor visits and some preventive care. Medicare Advantage (Part C) plans combine Part A, Part B, and often Part D (drug coverage), to provide members with full-coverage benefits including dental, vision, hearing, and more.
Medicare Advantage
Our Medicare Advantage plans have many advantages over Original Medicare. Each plan includes additional benefits like hearing, vision, dental, and a Flexible Benefit Card for qualifying fitness classes, weight-loss programs, over-the-counter products, prescription hearing aids, and non-emergency medical transportation. In addition, our Medicare Advantage and Group PPO plans include prescription coverage.
Visit our provider FAQ for more information.
Medicare Advantage Group PPO
Designed for retired employees, our Medicare Advantage Group PPO plan offers an extensive network of providers and hospitals with benefits like hearing, vision, dental, and a Flexible Benefit Card for qualifying fitness classes, weight-loss programs, over-the-counter products, prescription hearing aids, and non-emergency medical transportation.
Contact us
Our Provider Service team is here to answer any of your questions Monday through Friday, 8:00 a.m. to 5:00 p.m., closed 12:00 - 12:45 p.m.
Call: 855-444-4647
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company