Mass General Brigham One Care

Mass General Brigham One Care is a health plan for people ages 21 to 64 who have MassHealth and Medicare.

Connect with a Plan Associate at 888-403-7610 (TTY 711) or download the Benefit Kit to learn more.

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More benefits than MassHealth (Medicaid) and Medicare for $0 cost

Mass General Brigham One Care is a health plan for people ages 21 to 64 who have MassHealth and Medicare. It’s easy to use because it combines the benefits you already have into one health plan with one card.

 

It also includes support from a care coordinator and an integrated care team. This team will work with you and your doctors to meet your care needs. You'll also get other benefits like dental and vision care, and transportation to your appointments. 

More benefits than MassHealth (Medicaid) and Medicare for $0 cost

Mass General Brigham One Care is a health plan for people ages 21 to 64 who have MassHealth and Medicare. It’s easy to use because it combines the benefits you already have into one health plan with one card.

 

It also includes support from a care coordinator and an integrated care team. This team will work with you and your doctors to meet your care needs. You'll also get other benefits like dental and vision care, and transportation to your appointments. 

What benefits are included?

With our One Care plan, you’ll have $0 copays for doctor visits, hospital stays, and urgent care. You also get more benefits that go beyond MassHealth and Medicare.

Dental


$0 copays for the dental services you need to maintain good oral health.

Care team


A care coordinator will work with you and your care team to meet your health needs.

Transportation


Members get unlimited free rides to your medical appointments.

Not sure if you're eligible?

Our MassHealth Specialists are here to provide personalized guidance and answer your questions. They can help you complete and submit your MassHealth application.

To get started, call 888-403-7610 (TTY: 711) or reach out to us at MedicaidReferrals@mgb.org.

Not sure if you're eligible?

Not sure if you're eligible?

Our MassHealth Specialists are here to provide personalized guidance and answer your questions. They can help you complete and submit your MassHealth application.

To get started, call 888-403-7610 (TTY: 711) or reach out to us at MedicaidReferrals@mgb.org.


How to enroll

If you're ready to enroll in Mass General Brigham One Care, you can connect with a Plan Associate. A member of the team will help you review plan benefits and determine your eligibility. If you are eligible, they can help you complete an application by telephone.

Call 888-403-7610 (TTY: 711).

Hours:

October 1 - March 31
8 a.m. to 8 p.m. ET, Monday-Sunday

 

April 1 - September 30
8 a.m. to 8 p.m. ET, Monday-Friday


Want more benefit information?

Get more details about the benefits included with Mass General Brigham One Care by downloading our Benefit Kit. You can also find more information below.

    When you enroll, we will assign a care coordinator to help you get the care you need. This person will work with you, your primary care provider, and your care team. Together, they will make a care plan for your personal health needs.

    You can also call our 24/7 advice line to speak with a registered nurse about any of your healthcare concerns.

    If you need more support, your care team might also have:

    • A long-term services (LTS) coordinator who can help you find resources in your community
    • A pharmacist who knows your prescription medications
    • Specialists and other health care providers for your health conditions
    • Social, behavioral, and other specialized supports

    You'll pay $0 for prescription drugs and qualifying over-the-counter products on our One Care plan drug list. You can check the drug list, also known as a formulary, on our SCO and One Care Pharmacy Benefits page.

    Dental – Our One Care plan has a $0 copay for cleanings and exams, X-rays and fillings, extractions and root canals, and dentures and denture fittings. You can find covered dentists by checking the dental network, and a list of covered dental services in the dental plan benefit summary.

    Vision – Vision services, including exams and glasses, are covered every two years. Medically necessary contacts may be approved by your provider in place of glasses. Use the online vision provider locator to find covered vision providers.

    Hearing – Annual hearing exams are free and hearing aids are covered.

    Members can get counseling and treatment for:

    • Substance use disorders
    • Depression, including postpartum depression
    • Eating disorders
    • Suicidal thoughts
    • Attention-deficit/hyperactivity disorder (ADHD)
    • Many other mental health conditions

    Transportation – One Care includes unlimited rides to medical appointments and two round trips per month up to 50 miles each way to non-medical destinations connected to your care plan.

    Personal help programs – You may be eligible for long term support services (LTSS). These services provide hands-on care in your home. You can get help with activities like getting dressed, eating, taking a bath, and doing laundry.

     

     

    Search for doctors and medications

    You can find a list of covered providers, hospitals, and pharmacies in our directory. You can also do an online search using the link below.

    Search for doctors and medications

    You can find a list of covered providers, hospitals, and pharmacies in our directory. You can also do an online search using the link below.

    Looking for plan documents? Visit our member resources page to find the member handbook, summary of benefits, MassHealth resources available to members, and more.


    Have questions?

    We can help.

    Our Plan Associates are available to answer any questions and help you decide if Mass General Brigham One Care is the right plan for your healthcare needs.

    Call 888-403-7567

    TTY 711

    October 1 - March 31

    8 a.m. to 8 p.m. ET, Monday-Sunday

    April 1 - September 30

    8 a.m. to 8 p.m. ET, Monday-Friday