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Mass General Brigham One Care

Request a copy of our decision support kit to learn more about how Mass General Brigham One Care goes beyond MassHealth and Medicare.

Quick links:

Mass General Brigham One Care benefits
How to enroll
Forms & documents

More benefits than MassHealth 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 a team of specialists. 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. 

For more information, call us at 888-403-7567 (TTY: 711). You can also request a call using this form. Our hours are:

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

You can learn about how our SCO plan works in the documents below.

Information to help you use your plan benefits.
A summary of what we cover.
The details of your benefits and your rights as a member.
The Star Rating of this plan. You can use the Star Rating to see how different plans compare to one another.

Can't find what you're looking for? Visit our Forms & Resources page for more plan information and documents.

Am I eligible?

You may be eligible for Mass General Brigham One Care if you:

  • Are 21 to 64 years old
  • Are eligible for MassHealth Standard or MassHealth CommonHealth
  • Are eligible for Medicare
  • Have no other private or public health insurance
  • Live in one of these Massachusetts counties: Bristol, Dukes, Essex, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk

If you are interested in becoming a member, our team can help you understand your eligibility and answer questions about the plan. Call us at 888-403-7567 (TTY: 711) for help. You can also request a call using this form. Our hours are:

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

MassHealth offers different types of coverage based on your age, health status, and living situation. You can visit mass.gov to apply for MassHealth coverage. After you apply, MassHealth will determine which program or coverage type you can get. If you are selected for MassHealth Standard or MassHealth CommonHealth, you may be eligible for Mass General Brigham SCO.

If you're getting Social Security disability benefits, you'll get Medicare automatically after getting disability benefits for 24 months. If you have ALS (also called Lou Gehrig’s disease) you’ll get Medicare automatically as soon as you start getting disability benefits. If you have end-stage renal disease, you are eligible for Medicare if you meet the requirements listed here.

If you are eligible for Medicare Part A and Part B, you may be eligible for Mass General Brigham SCO.

Benefit highlights

With our SCO 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.

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
  • A nurse care manager who can answer questions about your health concerns
  • Social, behavioral, and other specialized supports

You'll pay $0 for prescription drugs and over-the-counter products on our One Care plan drug list. You can check the drug list, also known as a formulary, at the link below.

Members can get counseling and treatment for:

  • Substance use disorders
  • Depression, including postpartum depression
  • Eating disorders
  • Suicidal thoughts
  • ADHD
  • Many other mental health conditions

Dental – Our SCO plan includes:

  • Cleanings and exams
  • X-rays and fillings
  • Extractions and root canals
  • Dentures and denture fittings

Vision – Vision services, including exams and eyeglasses or medically necessary contact lenses, are covered every two years.

Hearing – Coverage includes hearing exams and hearing aids.

Transportation – One Care includes unlimited rides to medical appointments. You also get two round trips up to 50 miles per month. You can use these trips to run errands or go to activities in your community recommended by your care team.

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 links below.

Mass General Brigham SCO directory
10/1/2025
Medication search
Medical provider search
Dentist search
Vision provider search

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 links below.

Mass General Brigham SCO directory
10/1/2025
Medication search
Medical provider search
Dentist search
Vision provider search

How to enroll

If you're ready to enroll in Mass General Brigham SCO, you can contact our sales team. 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 888-403-7567 (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

MassHealth resources

If you need more help with your health care, you can contact support.

My Ombudsman will work with you to make sure you receive your benefits and exercise your rights within your health plan.

Phone: 855-781-9898 (Toll Free). For TTY users, use MassRelay at 711 to call the number above. 

Email: info@myombudsman.org

Website: myombudsman.org

The SHINE Program provides free health insurance information, counseling, and assistance to people who are eligible for Medicare and their caregivers. 

A SHINE counselor will help you:  

  • Understand your Medicare and other health insurance and drug coverage options 
  • Find the right coverage for you  
  • Find ways you can save money on your prescription drugs and health insurance  
  • Help you apply for programs that will lower your costs  
  • Provide information to help you make the best coverage selection  

You can contact a SHINE Counselor through the phone number or email below.

Phone:
Call MassOptions at 800-243-4636
TTY/ASCll 800-439-2370 

Email: SHINE@state.ma.us

If you have questions about the benefits included with MassHealth, you can contact their Customer Service team.

Phone: 800-841-2900 (TTY users should call 800-497-4648)

Hours: Monday through Friday, 8 a.m. to 5 p.m.

Website: mass.gov/MassHealth

Have questions?

We can help.

Our sales team is available to answer any questions and help you decide if Mass General Brigham SCO 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
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© 2024 Mass General Brigham Health Plan, Inc. Mass General Brigham Health Plan is an HMO-POS/PPO organization with a Medicare contract. Enrollment in Mass General Brigham Health Plan depends on contract renewal. Other providers/pharmacies are included in our network.

 

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Last updated: 10/1/2024 - Pending CMS approval

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