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    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.

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    Complete PPO Plus Plans

    Complete PPO Plus members have in-network access to our network within our MA/NH service area, plus access to the United Healthcare Options PPO network outside our MA/NH service area.

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    Mass General Brigham Employee Plans

    Members have a Mass General Brigham Core 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.

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    Complete Access EPO Plans

    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 members outside MA/NH can seek care from the UnitedHealthcare Options PPO network.

    Visit our provider FAQ for more information.

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    Allies & Allies Choice HMO Plans

    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. 

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    Qualified Health Plans (QHP)

    Complete HMO Plan

    This is our full network product available through the MA Health Connector. Members must choose a PCP to manage their care and issue referrals.
     
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    Select HMO Plan

    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.

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    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.

     
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    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.

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    Complete HMO Plan (GIC)

    Our Complete HMO plan for members of the Group Insurance Commission offers access to our extensive provider network, with high-quality specialists tiered into two simple groups: higher and lower-cost providers. Members must designate a PCP to manage their medical care and issue referrals.

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    Mass General Brigham ACO

    Mass General Brigham Health Plan is proud to provide MassHealth insurance coverage to members of Mass General Brigham ACO.

    Visit our provider FAQ for more information.

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    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.

     
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    Contact us

    Our Provider Service team is here to answer any of your questions Monday through Friday, 8:00 AM to 5:00 PM, closed 12:00 - 12:45 PM.

    Call: 855-444-4647

    Email: healthplanProvidersService@mgb.org