CINXE.COM

<!doctype html><html lang="en"><head><script type="application/javascript" id="hs-cookie-banner-scan" data-hs-allowed="true" src="/_hcms/cookie-banner/auto-blocking.js?portalId=5977230&domain=massgeneralbrighamhealthplan.org"></script> <meta charset="utf-8"> <title>Member resources & forms | Mass General Brigham Health Plan</title> <link rel="shortcut icon" href="https://massgeneralbrighamhealthplan.org/hubfs/Mass_General_Brigham_August_2022/Images/faviconV2.png"> <meta name="description" content="Quick access to popular resources for Mass General Brigham Health Plan members."> <link type="text/css" rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/template_assets/82085669395/1699282157532/Mass_General_Brigham_August_2022/css/main.min.css"> <meta name="viewport" content="width=device-width, initial-scale=1"> <script src="/hs/hsstatic/jquery-libs/static-1.4/jquery/jquery-1.11.2.js"></script> <script>hsjQuery = window['jQuery'];</script> <meta property="og:description" content="Quick access to popular resources for Mass General Brigham Health Plan members."> <meta property="og:title" content="Member resources & forms | Mass General Brigham Health Plan"> <meta name="twitter:description" content="Quick access to popular resources for Mass General Brigham Health Plan members."> <meta name="twitter:title" content="Member resources & forms | Mass General Brigham Health Plan"> <style> a.cta_button{-moz-box-sizing:content-box !important;-webkit-box-sizing:content-box !important;box-sizing:content-box !important;vertical-align:middle}.hs-breadcrumb-menu{list-style-type:none;margin:0px 0px 0px 0px;padding:0px 0px 0px 0px}.hs-breadcrumb-menu-item{float:left;padding:10px 0px 10px 10px}.hs-breadcrumb-menu-divider:before{content:'›';padding-left:10px}.hs-featured-image-link{border:0}.hs-featured-image{float:right;margin:0 0 20px 20px;max-width:50%}@media (max-width: 568px){.hs-featured-image{float:none;margin:0;width:100%;max-width:100%}}.hs-screen-reader-text{clip:rect(1px, 1px, 1px, 1px);height:1px;overflow:hidden;position:absolute !important;width:1px} </style> <link rel="stylesheet" href="https://fonts.googleapis.com/css2?family=Roboto:ital,wght@0,400;0,700;1,400&display=swap"> <link rel="stylesheet" href="https://fonts.googleapis.com/css2?family=Roboto+Slab:wght@300&display=swap"> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/template_assets/82085698924/1699282157548/Mass_General_Brigham_August_2022/css/theme-overrides.min.css"> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82090546779/1660631028396/module_82090546779_Site_Search.min.css"> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82085669378/1664866863897/module_82085669378_Content_Page_Banner.min.css"> <style> #hs_cos_wrapper_widget_1668620242630 .banner-wrapper {} </style> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82090680455/1666342865980/module_82090680455_Callout_Split_Image-Content.min.css"> <style> #hs_cos_wrapper_widget_1668620278410 .two-column-featured-content {} </style> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82111861570/1665685518854/module_82111861570_Accordion.min.css"> <style> #hs_cos_wrapper_widget_1668620870213 .accordion {} .accordion.widget_1668620870213 .accordion-content ul { list-style:circle; } </style> <style> #hs_cos_wrapper_widget_1668622578667 .accordion {} .accordion.widget_1668622578667 .accordion-content ul { list-style:circle; } </style> <link rel="stylesheet" href="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82113534642/1664866924196/module_82113534642_Teal_Content_Block.min.css"> <style> #hs_cos_wrapper_widget_1668622606343 .advanced-contnt .contnt_box { padding-top:1.5rem; padding-right:2rem; padding-bottom:1.5rem; padding-left:2rem; margin-top:1.5em; margin-bottom:1.5em; } </style> <style> @font-face { font-family: "Roboto"; font-weight: 400; font-style: normal; font-display: swap; src: url("/_hcms/googlefonts/Roboto/regular.woff2") format("woff2"), url("/_hcms/googlefonts/Roboto/regular.woff") format("woff"); } </style>  <style id="hs_editor_style" type="text/css"> .row1-row-0-force-full-width-section > .row-fluid { max-width: none !important; } /* HubSpot Non-stacked Media Query Styles */ @media (min-width:768px) { .row4-row-0-vertical-alignment > .row-fluid { display: -ms-flexbox !important; -ms-flex-direction: row; display: flex !important; flex-direction: row; } .cell_1672759816135-vertical-alignment { display: -ms-flexbox !important; -ms-flex-direction: column !important; -ms-flex-pack: center !important; display: flex !important; flex-direction: column !important; justify-content: center !important; } .cell_1672759816135-vertical-alignment > div { flex-shrink: 0 !important; } } </style> <link rel="canonical" href="https://massgeneralbrighamhealthplan.org/members/member-resources"> <script> /*Code to remove the consent banner cookies when a visitor clicks an element with the 'removeCookies' id.*/ var _hsp = window._hsp = window._hsp || []; document.getElementById("removeCookies").onclick = function() { _hsp.push(['revokeCookieConsent']); }; </script> <script type="text/javascript"> (function(window, document, dataLayerName, id) { window[dataLayerName]=window[dataLayerName]||[],window[dataLayerName].push({start:(new Date).getTime(),event:"stg.start"});var scripts=document.getElementsByTagName('script')[0],tags=document.createElement('script'); function stgCreateCookie(a,b,c){var d="";if(c){var e=new Date;e.setTime(e.getTime()+24*c*60*60*1e3),d="; expires="+e.toUTCString();f="; SameSite=Strict"}document.cookie=a+"="+b+d+f+"; path=/"} var isStgDebug=(window.location.href.match("stg_debug")||document.cookie.match("stg_debug"))&&!window.location.href.match("stg_disable_debug");stgCreateCookie("stg_debug",isStgDebug?1:"",isStgDebug?14:-1); var qP=[];dataLayerName!=="dataLayer"&&qP.push("data_layer_name="+dataLayerName),isStgDebug&&qP.push("stg_debug");var qPString=qP.length>0?("?"+qP.join("&")):""; tags.async=!0,tags.src="https://mgb.containers.piwik.pro/"+id+".js"+qPString,scripts.parentNode.insertBefore(tags,scripts); !function(a,n,i){a[n]=a[n]||{};for(var c=0;c<i.length;c++)!function(i){a[n][i]=a[n][i]||{},a[n][i].api=a[n][i].api||function(){var a=[].slice.call(arguments,0);"string"==typeof a[0]&&window[dataLayerName].push({event:n+"."+i+":"+a[0],parameters:[].slice.call(arguments,1)})}}(i[c])}(window,"ppms",["tm","cm"]); })(window, document, 'dataLayer', '555fbf7a-be0d-4c7e-8667-7267bb9555b0'); </script> <meta property="og:url" content="https://massgeneralbrighamhealthplan.org/members/member-resources"> <meta name="twitter:card" content="summary"> <meta http-equiv="content-language" content="en"> <meta name="generator" content="HubSpot"></head> <body> <div class="body-wrapper hs-content-id-88561667482 hs-site-page page "> <div data-global-resource-path="Mass_General_Brigham_August_2022/templates/partials/headers/mgbhp-header.html"><div class="otr_hder"> <header class="header"> <button class="menu-toggle"></button> <div class="region r-header-top"> <div class="r-header-top__content"> <div id="hs_cos_wrapper_top_menu" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <nav aria-label="Main menu" class="navigation-primary"> <ul class="submenu level-1"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="http://member.massgeneralbrighamhealthplan.org/" class="menu-link">Member portal</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="http://employer.massgeneralbrighamhealthplan.org/" class="menu-link">Employer portal</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="http://broker.massgeneralbrighamhealthplan.org/" class="menu-link">Broker portal</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="http://provider.massgeneralbrighamhealthplan.org/" class="menu-link">Provider portal</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/covid-19" class="menu-link">COVID-19</a> </li> </ul> </nav></div> </div> </div> <div class="r-header"> <div class="r-header__content"> <div class="logo-wrapper"> <div id="hs_cos_wrapper_header_logo" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="custom-logo"> <a href="https://www.massgeneralbrighamhealthplan.org/"> <img src="https://massgeneralbrighamhealthplan.org/hubfs/Mass%20General%20Brigham%20Health%20Plan/Logos/MGB_Health_Plan_horiz_rgb-1.svg" alt="MGB_Health_Plan_horiz_rgb-1"> </a> </div></div> </div> <div class="des_menu"> <div id="hs_cos_wrapper_btm_menu" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <nav aria-label="Main menu" class="navigation-primary"> <ul class="submenu level-1"> <li class="has-submenu menu-item hs-skip-lang-url-rewrite"> <a href="javascript:;" class="menu-link">Explore plans</a> <span class="submenu-toggle"></span> <ul class="submenu level-2"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/small-business" class="menu-link">1-4 employees</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/small-groups" class="menu-link">5-50 employees</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/large-groups" class="menu-link">51+ employees</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/individuals-families" class="menu-link">You and your family</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/allies" class="menu-link">Allies plans</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamadvantage.org" class="menu-link">Medicare Advantage</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/medicare-balance" class="menu-link">Medicare Balance</a> </li> </ul> </li> <li class="has-submenu menu-item hs-skip-lang-url-rewrite"> <a href="javascript:;" class="menu-link active-branch">Members</a> <span class="submenu-toggle"></span> <ul class="submenu level-2"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/find-provider" class="menu-link">Find a doctor</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/benefits" class="menu-link">Benefits</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/pharmacy" class="menu-link">Pharmacy</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/behavioral-health" class="menu-link">Mental health resources</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/members/member-resources" class="menu-link active-item" aria-current="page">Member forms & resources</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/mgb-aco" class="menu-link">Mass General Brigham ACO</a> </li> </ul> </li> <li class="has-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/employers" class="menu-link">Employers</a> <span class="submenu-toggle"></span> <ul class="submenu level-2"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/small-business" class="menu-link">Small businesses</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/small-groups" class="menu-link">Small groups</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/large-groups" class="menu-link">Large groups</a> </li> </ul> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/brokers" class="menu-link">Brokers</a> </li> <li class="has-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers" class="menu-link">Providers</a> <span class="submenu-toggle"></span> <ul class="submenu level-2"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/join" class="menu-link">Join the network</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/authorization-guidelines" class="menu-link">Authorization guidelines</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/claims" class="menu-link">Claims information</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/medical-policies" class="menu-link">Medical policies</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/pharmacy-guidelines" class="menu-link">Medical specialty and pharmacy policies</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/payment-guidelines" class="menu-link">Payment policies</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/care-management" class="menu-link">Care management</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/resources" class="menu-link">Provider resources</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/providers/product-reference" class="menu-link">Product reference</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/admin-newsletter" class="menu-link">Provider admin newsletter</a> </li> </ul> </li> <li class="has-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us" class="menu-link">Meet us</a> <span class="submenu-toggle"></span> <ul class="submenu level-2"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/contact-us" class="menu-link">Contact us</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/our-leadership" class="menu-link">Our leadership</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://blog.massgeneralbrighamhealthplan.org" class="menu-link">Blog</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/innovations" class="menu-link">Innovations from Mass General Brigham Health Plan</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/in-our-community" class="menu-link">In our community</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/quality" class="menu-link">Commitment to quality</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/careers" class="menu-link">Careers</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/newsroom" class="menu-link">Newsroom</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/privacy-and-security" class="menu-link">Privacy and security</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/transparency-regulations" class="menu-link">Transparency & regulations</a> </li> </ul> </li> </ul> </nav></div> </div> <div class="mob_menu"> </div> <div class="des_srch"> <div id="hs_cos_wrapper_st_srch" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <div class="hs-search-field"> <div class="hs-search-field__bar"> <div class="block-title">Search</div> <form action="/hs-search-results"> <div class="frm_item"> <input type="text" class="hs-search-field__input" name="term" autocomplete="off" aria-label="Search" placeholder="Search"> </div> <input type="hidden" name="type" value="SITE_PAGE"> <input type="hidden" name="type" value="BLOG_POST"> <input type="hidden" name="type" value="LISTING_PAGE"> <div class="frm_btn"> <button aria-label="Search"></button> </div> </form> </div> <ul class="hs-search-field__suggestions"></ul> </div></div> </div> </div> </div> </header> </div></div> <main id="main-content" class="body-container-wrapper home-page"> <div class="container-fluid home-row1"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 row1-row-0-force-full-width-section dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620242630" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="banner-wrapper" id=""> <section class="hero-landing"> <div class="hero__bg hero-bg-7" style="background-image:url(https://massgeneralbrighamhealthplan.org/hubfs/iStock-1362328147-1.jpeg); background-position:center center;"></div> <div class="hero__inner"> <h1 class="hero__title"> Member resources & forms </h1> <div class="hero__content"> <p>Welcome to the member resource center.<br>Get quick links to the tools and resources our members use most.</p> </div> </div> </section> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row2"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620278410" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="two-column-featured-content" id=""> <div class="field__item page-center"> <section class="featured-media"> <div class="columns small-12 medium-6 featured-media__media"> <div class="featured-media__image"> <img src="https://massgeneralbrighamhealthplan.org/hubfs/MGBHP%20Rebrand/Rebrand%20images/iStock-1401542006.jpg" alt="iStock-1401542006" style="border:px solid rgba(#null,0.0);border-radius:px;"> </div> </div> <div class="columns small-12 medium-6 featured-media__content"> <h2 class="featured-media__title"> Log in to your Member portal account </h2> <div class="featured-media__text"> <p>Log in to your secure Member portal to view plan documents, track your cost sharing, search for doctors, and more.</p> </div> <div class="featured-media__cta"> <a class="cm-button button--arrow" href="https://member.massgeneralbrighamhealthplan.org" target="_blank" rel="noopener">Log in or register now</a> </div> </div> </section> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row3"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620407198" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1668620407198_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h2>New to Mass General Brigham Health Plan?</h2> <p><span>Visit the </span><a href="/new" rel="noopener">online transition center</a><span> for answers to common questions we hear from new members. There, you can also find and fill out a </span><a href="https://resources.massgeneralbrighamhealthplan.org/member/TransitionofCareForm.pdf" rel="noopener" target="_blank">Transition of Care Form</a><span> if you need access to ongoing care during your switch to Mass General Brigham Health Plan.</span></p> <p> </p></span></div> </div> </div> </div> <div class="row-fluid-wrapper row-depth-1 row-number-3 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620425650" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <style> .colorbutton-widget_1668620425650.colorbutton-widget_1668620425650 { background-color: #003A96; color: #FFFFFF; } .colorbutton-widget_1668620425650.colorbutton-widget_1668620425650:hover { background-color: #0077c8; color: #FFFFFF; } </style> <a class="button colorbutton-widget_1668620425650" href="https://massgeneralbrighamhealthplan.org/new-1"> Learn about your plan </a></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row4"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 row4-row-0-vertical-alignment dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell cell_1672759816135-vertical-alignment dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1672759559974" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1672759559974_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h2>Helpful healthcare resources</h2> <h3>Health tools</h3> <ul> <li><a href="https://www.healthwise.net/massgeneralbrighamhealthplan" target="_blank" rel="noopener">Interactive Health Library and Medication interaction Information</a></li> <li><a href="https://medlineplus.gov/druginformation.html" rel="noopener" target="_blank">Drug, Herb, and Supplement information from Medline</a></li> <li><a href="https://www.healthcare.gov/sbc-glossary/" rel="noopener" target="_blank">Health care glossary</a></li> <li><a href="https://youtu.be/O57YYXfM2-I" rel="noopener" target="_blank">Understanding your cost sharing (video)</a></li> </ul> <h3>Local resources</h3> <ul> <li><a href="https://www.findhelp.org/" rel="noopener" target="_blank">Find free community resources and social services</a></li> <li><a href="https://mass211.org/" rel="noopener" target="_blank">Get help finding healthy living resources in Massachusetts</a></li> </ul></span></div> </div> </div> </div> </div> </div> </div> <div class="row-fluid-wrapper row-depth-1 row-number-3 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-4 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620464037" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1668620464037_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h2>Contact the nurse advice line</h2> <p>Call the customer service number on the back of your member ID card to contact a Registered Nurse 24/7 to get nursing advice on any subject. There’s no limit on calls or emails. Contact them as often as you need. Nurses speak English and Spanish, and translation services are available for other languages too. Your call, your health records, and what you discuss with the nurse are all private.</p></span></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row5"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1672759801622" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1672759801622_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h2>Download a form</h2> <p><span>Below you'll find links to download our member forms. Note that reimbursement forms can be filled out online at </span><a href="https://member.massgeneralbrighamhealthplan.org" target="_blank" rel="noopener noreferrer">Member.MassGeneralBrighamHealthPlan.org</a><span> or through the </span><a href="/memberapp" rel="noopener">Mass General Brigham Health Plan Member app</a><span>.</span></p> <p> </p></span></div> </div> </div> </div> <div class="row-fluid-wrapper row-depth-1 row-number-3 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668620870213" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="accordion widget_1668620870213" id=""> <ul> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Bike helmet reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>When you buy safety helmets for toddlers, children, and adults, Mass General Brigham Health Plan will reimburse 50% of the purchase price of one new helmet, per member, per calendar year up to a $15.00 reimbursement.</span></p> <p><br><a href="https://resources.massgeneralbrighamhealthplan.org/member/BIKEHELMETREIMBURSEMENTREQUESTFORM.pdf" rel="noopener noreferrer" target="_blank">Bike Helmet Reimbursement Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Breastfeeding support form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Breastfeeding support classes are also available free of charge at many primary care sites and hospitals. These classes are a support group for pregnant women, and they provide information about the benefits of breastfeeding, along with helpful tips, resources, and ways to manage common breastfeeding challenges.</span><br><br><span>Speak to the provider caring for you during your pregnancy, or the facility where you plan to deliver, about enrolling. If they do not offer a breastfeeding support program, Mass General Brigham Health Plan will reimburse you for the full cost of these classes. A Breastfeeding Support Form must be submitted to obtain the reimbursement.</span><br><a href="https://resources.massgeneralbrighamhealthplan.org/member/BREASTFEEDINGSUPPORTREIMBURSEMENTREQUESTFORM.pdf" rel="noopener noreferrer" target="_blank">Breastfeeding Support Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Childbirth education reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Childbirth education classes, plus parenting and infant CPR classes, are available to you and your partner or support person free of charge at many primary care sites and hospitals.</span><br><br><span>Speak to the provider caring for you during your pregnancy or the facility where you plan to deliver about enrolling. If they do not offer a childbirth education program, Mass General Brigham Health Plan will reimburse you for the cost of these classes up to $130 per pregnancy. You can combine multiple classes up to the $130 limit per pregnancy. A Childbirth Education Form must be submitted to obtain the reimbursement.</span><br><a href="https://resources.massgeneralbrighamhealthplan.org/member/CHILDBIRTHEDUCATIONREIMBURSEMENTREQUESTFORM.pdf" rel="noopener noreferrer" target="_blank">Childbirth Education Reimbursement Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Continuity of care at cancer and pediatric facilities notification form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Members newly enrolled through a small employer group who began an active course of treatment for a serious illness prior to enrolling in an Easy Tier Hospital Network plan may be eligible to continue treatment at the lowest member cost sharing tier (Tier 1). </span><a href="https://resources.massgeneralbrighamhealthplan.org/member/CONTINUITYOFCAREATCANCERANDPEDIATRICFACILITYELIGIBILITYNOTICE.pdf" rel="noopener noreferrer" target="_blank">Click here</a><span> to determine if you are eligible.</span><br><br><span>If eligible, the </span><a href="https://resources.massgeneralbrighamhealthplan.org/member/CONTINUITYOFCAREATCANCERANDPEDIATRICFACILITIESFORM%20.pdf" rel="noopener noreferrer" target="_blank">Continuity of Care at Cancer and Pediatric Facilities Notification Form (PDF)</a><span> must be submitted prior to the start of treatment in the tiered network plan.</span></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Fitness benefit reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>The fastest way to submit a reimbursement request for your fitness benefit is on the member portal, </span><a href="http://member.massgeneralbrighamhealthplan.org/" rel="noopener noreferrer" target="_blank">Member.MassGeneralBrighamHealthPlan.org</a><span>. You can also download the form below and follow the instructions to submit your reimbursement request. The fitness benefit varies by plan. Please check <a href="http://member.massgeneralbrighamhealthplan.org/" rel="noopener noreferrer" target="_blank">Member.MassGeneralBrighamHealthPlan.org</a></span><span> for details about your plan.</span></p> <p><br><a href="http://resources.massgeneralbrighamhealthplan.org/member/fitness-reimbursement-form.pdf" rel="noopener noreferrer" target="_blank">Fitness Benefit Coverage Form and Instructions (PDF)</a><br><span> </span></p> <h4>Qualifying fitness facilities, programs/subscriptions or activities</h4> <p>The list includes, but is not limited to the following:</p> <div> <div> <ul> <li>Abington Athletic Club</li> <li>Anytime Fitness</li> <li>Beachbody On Demand</li> <li>Beverly Athletic Club</li> <li>Boost Fitness</li> <li>Boston Athletic Club</li> <li>Boston Sports Club</li> <li>Bowflex Subscriptions</li> <li>Cambridge Athletic Club</li> <li>Choice Fitness</li> <li>ClassPass memberships </li> <li>Club eX Fitness & Nutrition</li> <li>Core Yoga Subscriptions</li> <li>Crossfit</li> <li>Curves</li> <li>DDP Yoga Subscriptions</li> <li>Equinox</li> <li>Get in Shape for Women</li> <li>Gold’s</li> <li>GymIt</li> <li>Healthtrax Fitness & Wellness</li> <li>Healthworks Fitness</li> </ul> </div> <div> <ul> <li>KoKo Fitclub</li> <li>LA Fitness </li> <li>Latitude Sports Club</li> <li>Mike’s Fitness</li> <li>Mirror Subscriptions</li> <li>Orange Theory</li> <li>Peloton Subscriptions</li> <li>Planet Fitness</li> <li>Pro-Fitness Plus</li> <li>Quincy Athletic Club </li> <li>Salem Fitness Center</li> <li>Shipley Fitness Center</li> <li>SplitFit</li> <li>The Clubs at Charles River Park</li> <li>Title Boxing Club </li> <li>Today’s Fitness</li> <li>VIP Fitness </li> <li>Weymouth Club</li> <li>Women’s Fitness of Boston</li> <li>Work Out World</li> <li>Worlds Gym</li> <li>YMCA</li> </ul> </div> </div> <p><span>Please note: Aerobic exercise studios (Pilates, yoga, Zumba, etc.) and virtual fitness subscriptions are also included in this benefit.</span><br><br><span>Non-eligible facilities, programs or activities include, but are not limited to, country clubs and social clubs, spas, and 1 on 1 sessions. DVDs, equipment, and YouTube subscriptions are not covered.</span></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Medical release of records authorization request </a> <div class="accordion-content"> <div class="accordion-item__body"> <p>Use this form to authorize Mass General Brigham Health Plan to release your Protected Health Information (PHI) to a designated recipient.</p> <p><a href="https://resources.massgeneralbrighamhealthplan.org/member/Authorization_to_Release_PHI.pdf" rel="noopener" target="_blank">Authorization to Release Protected Health Information (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Member behavioral health reimbursement claim form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p>Use the Member Reimbursement Claim form to file an eligible behavioral health reimbursement. See form for details and instructions.</p> <p><a href="https://resources.massgeneralbrighamhealthplan.org/member/MemberReimbursementForm_BH.pdf" rel="noopener noreferrer" target="_blank" title="member reimbursement claim form">Member Behavioral Health Reimbursement Claim Form</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Member medical reimbursement claim form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p>Use the Member Reimbursement Claim form to file an eligible medical reimbursement. See form for details and instructions.</p> <p><a href="https://resources.massgeneralbrighamhealthplan.org/members/FRM_MemberReimbursementform_Medical.pdf" rel="noopener noreferrer" target="_blank" title="member reimbursement claim form">Member Medical Reimbursement Claim Form</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Member record request form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Use this form to request your member record from Mass General Brigham Health Plan.</span></p> <p><a href="https://resources.massgeneralbrighamhealthplan.org/member/MEMBERRECORDSREQUESTFORM.pdf" rel="noopener noreferrer" target="_blank">Member Record Request Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Prescription drug reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Use the Prescription Drug Reimbursement Form to file an eligible prescription drug claim reimbursement. See form for instructions.</span></p> <p><a href="https://resources.massgeneralbrighamhealthplan.org/member/OptumRx_Prescription_Reimbursement_Form.pdf" rel="noopener noreferrer" target="_blank">Prescription Drug Reimbursement Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Personal representative designation form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>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.</span></p> <p><strong>For Commercial members</strong></p> <p><span>Authorize a Personal Representative: </span><a href="https://resources.massgeneralbrighamhealthplan.org/member/PERSONALREPDESIGNATIONFORM.pdf" rel="noopener noreferrer" target="_blank">English</a> | <a href="https://resources.massgeneralbrighamhealthplan.org/member/PERSONALREPDESIGNATIONFORMSPANISH.pdf" rel="noopener noreferrer" target="_blank">Español</a></p> <p><strong>For MassHealth/Mass General Brigham ACO members only</strong></p> <p><span>Authorize a Personal Representative:</span><span> </span><a href="https://resources.massgeneralbrighamhealthplan.org/members/masshealth/FRM_MGB_ACO_DesignatedPersonalRep_ENG.pdf" rel="noopener" target="_blank">English</a><span> </span><span>| </span><a href="https://resources.massgeneralbrighamhealthplan.org/members/masshealth/FRM_MGB_ACO_DesignatedPersonalRep_ES.pdf" rel="noopener" target="_blank">Español</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Travel benefit reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><strong>Travel Benefit Reimbursement Form</strong></p> <p>This form can be used by members whose plans include a travel benefit from their employer. The travel benefit helps cover certain costs for members who need to travel in order to obtain services covered under their plan when state law does not allow a provider to administer such coverage in the state that the member resides.</p> <p><br>See form for details on eligibility and instructions for reimbursement.<br><br><a data-cke-saved-href="https://resources.massgeneralbrighamhealthplan.org/members/FRM_MGB%20Travel%20Reimbursement%20Form.pdf" href="https://resources.massgeneralbrighamhealthplan.org/members/FRM_MGB%20Travel%20Reimbursement%20Form.pdf" target="_blank" rel="noopener">Travel Benefit Reimbursement Form (PDF)</a></p> </div> </div> </li> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Weight loss reimbursement form </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>The fastest way to submit a reimbursement request for your weight loss benefit is on the <a href="http://member.massgeneralbrighamhealthplan.org" rel="noopener" target="_blank">Member portal</a> </span><span>or our <a href="/memberapp" rel="noopener" target="_blank">Member app</a></span><span>. You can also download the form below and follow the instructions to submit your reimbursement request. The weight loss benefit varies by plan. Please check <a href="http://member.massgeneralbrighamhealthplan.org/" rel="noopener">Member.MassGeneralBrighamHealthPlan.org</a> </span><span>for details about your plan.</span></p> <p><br><a href="https://resources.massgeneralbrighamhealthplan.org/members/weight-loss-reimbursement-form.pdf" rel="noopener noreferrer" target="_blank">Weight Loss Program Benefit Form and Instructions (PDF)</a><br><span> </span><br><span>Qualifying weight-loss programs</span></p> <ul> <li>Weight Watchers (WW)</li> <li>Jenny Craig</li> <li>Noom- Effective for 1/1/2022</li> </ul> <p><span> </span><br><span>Please note: The weight loss program benefit does not cover food, nutritional supplements, or enrollment/registration fees.</span></p> </div> </div> </li> </ul> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row6"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668621835598" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1668621835598_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h2>More about Mass General Brigham Health Plan</h2> <h3>Service approval guidelines</h3> <p>Need to know if a service or treatment requires a prior authorization or referral? Check the <a href="https://resources.massgeneralbrighamhealthplan.org/utilizationmgmt/PAGuide.pdf?_ga=2.21359544.200422388.1668623068-752019540.1668623068" rel="noopener noreferrer" target="_blank">Service Approval Guidelines (PDF)</a>.<br>For Medicare Advantage members: <a href="https://resources.massgeneralbrighamhealthplan.org/utilizationmgmt/PA%20Grid%20MA.pdf?_ga=2.265645391.1388859496.1670874106-2027356131.1665699648" target="_blank" rel="noopener noreferrer">Medicare Advantage Prior Authorization and Notification Guidelines</a><span> </span>(PDF).</p> <p> </p> <h3>Information about surprise billing</h3> <p>You may have heard about the federal No Surprises Act. This new federal requirement is intended to protect members of commercial health plans from surprise billing for certain services from an out-of-network provider. You can learn more about this federal requirement and your rights and protections as a Mass General Brigham Health Plan member <a href="https://resources.allwayshealthpartners.org/members/DOC_No_Surprise_Billing_Notice.pdf" rel="noopener" target="_blank">here</a>.</p> <p> </p> <h3>Medical policies</h3> <p>The Mass General Brigham Health Plan medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered. You can browse the medical policies to see the coverage criteria for a specific condition. However, the medical policies will not tell you whether a service or technology is covered under your plan.<br><br>For more information about our medical policies or about your plan, please call the Customer Service number on the back of your member ID card or email <a href="mailto:healthplanCustomerService-Members@mgb.org" rel="noopener">healthplanCustomerService-Members@mgb.org</a><a href="mailto:customerservice@allwayshealth.org">.</a> You can also log in to <a href="http://Member.MassGeneralBrighamHealthPlan.org" rel="noopener" target="_blank">Member.MassGeneralBrighamHealthPlan.org</a> to find personalized information about your covered benefits.</p> <p> </p></span></div> </div> </div> </div> <div class="row-fluid-wrapper row-depth-1 row-number-3 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668621851033" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <style> .colorbutton-widget_1668621851033.colorbutton-widget_1668621851033 { background-color: #003A96; color: #FFFFFF; } .colorbutton-widget_1668621851033.colorbutton-widget_1668621851033:hover { background-color: #0077c8; color: #FFFFFF; } </style> <a class="button colorbutton-widget_1668621851033" href="https://massgeneralbrighamhealthplan.org/providers/medical-policies"> View medical policies </a></div> </div> </div> </div> </div> </div> </div> <div class="row-fluid-wrapper row-depth-1 row-number-4 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-5 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1695819817729" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_widget_1695819817729_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><h3>2022 disenrollment rates</h3> <p>Massachusetts law requires Mass General Brigham Health Plan to inform you of the following information: In 2022, 14% of members chose to leave their plan and 0.1% of members were involuntarily terminated by Mass General Brigham Health Plan. </p></span></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row7"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668622578667" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="accordion widget_1668622578667" id=""> <ul> <li class="accordion-item"> <a class="accordion-item__title" href="javascript:void(0)"> Member rights and reference information </a> <div class="accordion-content"> <div class="accordion-item__body"> <p><span>Please log in to</span> <a href="https://Member.MassGeneralBrighamHealthPlan.org" rel="noopener" target="_blank">Member.MassGeneralBrighamHealthPlan.org</a><span></span><a href="https://allwaysmember.org/" rel="noopener noreferrer" target="_blank"></a><span> for details about the information described below, or call the Customer Service number on the back of your Mass General Brigham Health Plan member ID card with any questions.</span><br><span> </span></p> <ul> <li><strong>Member rights and responsibilities</strong> <ul> <li>Your basic rights and responsibilities as a member.</li> </ul> </li> <li><strong>Availability of Member Handbook and Provider Directory</strong> <ul> <li>A summary of information included in your Member Handbook and details on how to use the Provider Directory.</li> </ul> </li> <li><strong>Notice of Privacy Practices</strong> <ul> <li>Our policy for protecting your health information.</li> </ul> </li> <li><strong>Post-mastectomy benefits</strong> <ul> <li>What you’re entitled to if you have a mastectomy.</li> </ul> </li> <li><strong>Appeal and grievance process</strong> <ul> <li>How to appeal a denial or submit a formal complaint.</li> </ul> </li> <li><strong>Preventive care guidelines for children</strong> <ul> <li>When your child should have preventive care and what’s covered.</li> </ul> </li> <li><strong>Preventive care guidelines for adults</strong> <ul> <li>When you should have preventive care and what’s covered.</li> </ul> </li> <li><strong>Incentives statement</strong> <ul> <li>Mass General Brigham Health Plan does not specifically reward providers or any organization reviewing our coverage decisions.</li> </ul> </li> <li><strong>Utilization management</strong> <ul> <li>How to learn more about coverage requests, approvals, and denials.</li> </ul> </li> <li><strong>Do You Have a Health Care Proxy?</strong> <ul> <li>How to choose a representative to speak for you in case you can’t make your own medical decisions.</li> </ul> </li> <li><strong>Care management and disease management services</strong> <ul> <li>A list of care management programs offered by your plan.</li> </ul> </li> </ul> </div> </div> </li> </ul> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row8"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-1 dnd-section"> <div class="row-fluid "> <div class="span12 widget-span widget-type-cell dnd-column" style="" data-widget-type="cell" data-x="0" data-w="12"> <div class="row-fluid-wrapper row-depth-1 row-number-2 dnd-row"> <div class="row-fluid "> <div class="span12 widget-span widget-type-custom_widget dnd-module" style="" data-widget-type="custom_widget" data-x="0" data-w="12"> <div id="hs_cos_wrapper_widget_1668622606343" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="advanced-contnt" id=""> <div class="page-center"> <div class="table-wrapper"> <div class="table-wrapper__inner"> <div class="contnt_box" style="background-color:rgba(177, 228, 227, 1.0);border-bottom: solid 2px rgba(0, 156, 166, 1.0);"> <h2>Need help? Contact our Customer Service team</h2> <p>If you have questions or need help with any of the resources on this page, we are here to help. Please call us at <strong>866-414-5533</strong>, or at the number on the back of your member ID card.<br> <br>You can also email us at <u><strong><a href="mailto:healthplanCustomerService-Members@mgb.org" rel="noopener">healthplanCustomerService-Members@mgb.org</a></strong></u> or go to <u><a href="http://Member.MassGeneralBrighamHealthPlan.org" rel="noopener" target="_blank">Member.MassGeneralBrighamHealthPlan.org</a></u> to start a live chat with a Customer Service Professional. We are available Monday through Friday, 8:00 AM to 6:00 PM and 8:00 AM to 8:00 PM on Thursdays.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid home-row9"> <div class="row-fluid-wrapper"> <div class="row-fluid"> <div class="span12 widget-span widget-type-cell " style="" data-widget-type="cell" data-x="0" data-w="12"> </div> </div> </div> </div> </main> <div data-global-resource-path="Mass_General_Brigham_August_2022/templates/partials/footers/mgbhp-footer.html"><footer class="footer"> <div id="back-to-top" class="back-to-top"><a href="#">Back to Top</a></div> <div class="region r-footer-middle"> <div class="region__content r-footer-middle__content"> <section id="block-contactinfo" class="contact-info"> <div id="hs_cos_wrapper_footer_logo" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="custom-logo"> <a href="https://massgeneralbrighamadvantage.org/"> <img src="https://massgeneralbrighamhealthplan.org/hubfs/Mass%20General%20Brigham%20Health%20Plan/Logos/MGB_Health_Plan_horiz_rgb_rev.svg" alt="MGB Health Plan"> </a> </div></div> </section> <div id="block-footernavigation" class="footer-nav"> <div id="hs_cos_wrapper_ftr_menu" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <nav aria-label="Main menu" class="navigation-primary"> <ul class="submenu level-1"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/explore-plans" class="menu-link">Find a plan</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/find-provider" class="menu-link">Find a provider</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/pharmacy-2023" class="menu-link">Drug look-up</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/newsroom" class="menu-link">Newsroom</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us" class="menu-link">Meet us</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/careers" class="menu-link">Careers</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/meet-us/contact-us" class="menu-link">Contact us</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/interoperability" class="menu-link">Connect to third-party apps</a> </li> </ul> </nav></div> </div> <div class="footer-social"> <div id="hs_cos_wrapper_scl_links" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><div class="scl_liks"> <ul class="menu"> <li> <a href="https://www.facebook.com/MGBHealthPlan/" target="_blank" title="Facebook"></a> </li> <li> <a href="https://www.instagram.com/mgbhealthplan/" target="_blank" title="Instagram"></a> </li> <li> <a href="https://www.linkedin.com/company/mgbhealthplan" target="_blank" title="Linkedin"></a> </li> <li> <a href="https://www.youtube.com/channel/UChkuvuY5gEoHRMhA3maf2cA" target="_blank" title="YouTube"></a> </li> </ul> </div></div> </div> </div> </div> <div class="r-footer-last"> <div class="region__content r-footer-last__content"> <section id="block-copyright" class="copyright"> <div class="field-wrapper"> <div class="field__item"> <div id="hs_cos_wrapper_copyrgt" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module widget-type-rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"><span id="hs_cos_wrapper_copyrgt_" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_rich_text" style="" data-hs-cos-general-type="widget" data-hs-cos-type="rich_text"><p>© 2024 Mass General Brigham Health Plan, Inc. All Rights Reserved.<br>Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.<br>and Mass General Brigham Health Insurance Company</p></span></div> </div> </div> </section> <div class="copymenu"> <div id="hs_cos_wrapper_copy_menu" class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" style="" data-hs-cos-general-type="widget" data-hs-cos-type="module"> <nav aria-label="Main menu" class="navigation-primary"> <ul class="submenu level-1"> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://secure.ethicspoint.com/domain/media/en/gui/47250/index.html" class="menu-link">Report a compliance issue</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/nondiscrimination-notice" class="menu-link">Non-discrimination notice</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/nondiscrimination-notice-espanol" class="menu-link">Non-discrimination Spanish</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/privacy" class="menu-link">Disclaimer, privacy, and security</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://resources.massgeneralbrighamhealthplan.org/sales/pdfs/Mass_General_Brigham_Health_Plan_Notice_of_Privacy_Practice_Flyer.pdf" class="menu-link">Notice of privacy practices</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/web-accessibility-statement" class="menu-link">Web Accessibility Statement</a> </li> <li class="no-submenu menu-item hs-skip-lang-url-rewrite"> <a href="https://massgeneralbrighamhealthplan.org/alternate-language-assistance" class="menu-link">Alternate language assistance</a> </li> </ul> </nav></div> </div> </div> </div> </footer></div> </div>  <script defer src="/hs/hsstatic/content-cwv-embed/static-1.1293/embed.js"></script> <script src="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/template_assets/82085669408/1699282166046/Mass_General_Brigham_August_2022/js/main.min.js"></script> <script> var hsVars = hsVars || {}; hsVars['language'] = 'en'; </script> <script src="/hs/hsstatic/cos-i18n/static-1.53/bundles/project.js"></script> <script src="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82085669386/1660631129110/module_82085669386_Menu_Section.min.js"></script> <script src="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82090546779/1660631027605/module_82090546779_Site_Search.min.js"></script> <script src="https://massgeneralbrighamhealthplan.org/hs-fs/hub/5977230/hub_generated/module_assets/82111861570/1665685517646/module_82111861570_Accordion.min.js"></script>  <script type="text/javascript"> var _hsq = _hsq || []; _hsq.push(["setContentType", "standard-page"]); _hsq.push(["setCanonicalUrl", "https:\/\/massgeneralbrighamhealthplan.org\/members\/member-resources"]); _hsq.push(["setPageId", "88561667482"]); _hsq.push(["setContentMetadata", { "contentPageId": 88561667482, "legacyPageId": "88561667482", "contentFolderId": null, "contentGroupId": null, "abTestId": null, "languageVariantId": 88561667482, "languageCode": "en", }]); </script> <script type="text/javascript" id="hs-script-loader" async defer src="/hs/scriptloader/5977230.js?businessUnitId=0"></script>  <script type="text/javascript"> var hsVars = { render_id: "2255f64e-14e3-45a3-ac99-940bd4c65172", ticks: 1731914111588, page_id: 88561667482, content_group_id: 0, portal_id: 5977230, app_hs_base_url: "https://app.hubspot.com", cp_hs_base_url: "https://cp.hubspot.com", language: "en", analytics_page_type: "standard-page", scp_content_type: "", analytics_page_id: "88561667482", category_id: 1, folder_id: 0, is_hubspot_user: false } </script> <script defer src="/hs/hsstatic/HubspotToolsMenu/static-1.354/js/index.js"></script> </body></html>