Welcome YMCA of Greater Boston members!
Here’s some information to help you get off to a great start with Mass General Brigham Health Plan.
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Welcome to Mass General Brigham Health Plan
We are excited to have you as a member. Our mission is to provide you with high-quality health care and an exceptional customer experience. With our range of services and exceptional network of providers, we are dedicated to ensuring your health and well-being.
Getting started with your new plan is easy. Whether you have questions about your coverage or need assistance in navigating our network, our knowledgeable team is always ready to assist you.
Learn about your plan
The DoctorSmart directory lets you find and compare doctors, hospitals, and more. To get started, select your plan's network: Complete HMO, 2026 Choice Easy Tier HMO, or 2026 Choice Easy Tier PPO Plus.
If you don’t see your doctor in our network, let us know by contacting our Customer Service team. 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. Learn more here.
With Optum Rx®, you get comprehensive prescription drug coverage. Read our FAQ to learn even more about what that includes.
We partner with Optum Rx to offer you great pharmacy benefits and a nationwide pharmacy network. You can search the drug list and get cost information using the links below.
- Drug lookup
- 6-tier Formulary (PDF version)
- Low cost drug list - Find a list of drugs in the low-cost generic drug tier for your plan
- Pharmacy benefit guide - Learn more about your pharmacy benefits
During your switch over to Mass General Brigham Health Plan, we can help make sure you have access to the medications you need. Give our Customer Service team a call and let us know your prescription isn't on the drug list.
Your new ID card will arrive soon after you enroll, but you can view it online before it comes in the mail. After enrolling, you can visit Member.MGBHP.org and follow the steps to view or print your digital ID card. You can then show providers your card on your phone or download a printable copy.
If you are switching to Mass General Brigham Health Plan, 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
Review your plan documents
Here you'll find plan details about your plan options, including cost sharing and benefits. These plans below will be effective on January 1, 2026. View 2025 plans here.
YMCA of Greater Boston Choice Easy Tier HMO 1000 with Care Complement
A 3-tier hospital network plan, where the tier of provider you choose determines your out-of-pocket costs and you get full access to our broad provider network. You must select a PCP from our network, and referrals are required for most specialty care.
- Schedule of Benefits
- Summary of Benefits and Coverage
- Choice Easy Tier plans brochure
- Care Complement benefits
YMCA of Greater Boston Choice Easy Tier PPO Plus Combined 1000 with Care Complement
This plan offers access to top doctors and hospitals locally through Mass General Brigham Health Plan's 3-tiered network and nationally through the UnitedHealthcare Options PPO non-tiered network of over 1,600,000 providers and 5,600 hospitals. No PCP required and no referrals necessary.
- Schedule of Benefits
- Summary of Benefits and Coverage
- Choice Easy Tier plans brochure
- Care Complement benefits
Complete HMO HSA 2000 20%
This plan offers comprehensive care from a broad network of top providers—including Mass General Brigham and beyond. You must select a PCP from our network. Referrals are required for most specialty care. All services except certain preventive care are subject to the deductible.
Getting started with your health plan
Download our brochure for more information about your plan and how it can help support your health and wellness.
Get to know your plan features
Care Complement
Care Complement provides access to more affordable care options by removing cost sharing for certain services, therapies, and medications. Not available on the Complete HMO HSA plan.
Women's health programs
Our women’s health programs offer comprehensive resources and support for all stages of life, including menopause, pregnancy, postpartum, and pelvic health.
Over-the-counter drug benefit
Pay nothing, or only your plan’s cost sharing, for many routine over-the-counter (OTC) drugs with a prescription.
Fitness and weight-loss benefits
Our fitness and weight-loss benefits help you feel good, live healthy, and easily access the activities and programs you enjoy.
Behavioral health resources
With our behavioral health benefits, you can easily search for providers, access virtual care, including recovery coaches, and explore programs and tools that help you live and work well.
Pharmacy coverage
Built for choice, savings, and convenience, FlexRx offers low-cost drug tiers for many medications, coverage for common over-the-counter drugs, and online tools to help you manage your plan and save money.
Learn about our behavioral health offerings
When you need mental health support, the last thing you want are obstacles getting in the way. Watch now to learn how Lyra Health, Optum, and our recovery coaches make it easier and faster for our members to get high-quality care.
For more information
Personal representative designation form
You have the right to choose one or more persons to act on your behalf with respect to the protected health information that pertains to you. If you would like to exercise this right, please complete and return this form to us. You can download the form in English or Español.
Let us know if we can help
If you have questions or need help with any of the resources on this page, our Customer Service team is here to help, even before you become a member.
Call: 866-643-8392 (TTY 711)
Email: MGBHPCS@mgb.org
Hours: Monday through Friday, 8 a.m to 6 p.m. and Thursdays 8 a.m. to 8 p.m.
© 2025 Mass General Brigham Health Plan, Inc. All Rights Reserved.
Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company