Member benefits

The cardiac care management program is designed to help members living with or at risk for congestive heart failure, heart failure, coronary artery disease, or high blood pressure (hypertension). You'll get disease-specific education by a Cardiac RN who can help coordinate your care.

Our specialized disease management programs provide comprehensive support, education, and outcomes measurement for several conditions and diseases that frequently affect our members like arthritis, cancer, Crohn’s disease, cystic fibrosis, fibromyalgia, injuries, kidney disease, lupus, or multiple sclerosis.
 
Members with these conditions are identified and offered the opportunity to voluntarily participate in unique programming to meet the needs of individuals living with these conditions. Mass General Brigham Health Plan clinicians with expertise in these programs work to develop tools and materials to help Members achieve improved health status and quality of life.

There are many forms of lung conditions that are defined as COPD that affect members. If you have one of these conditions, you may benefit from the extra care and education that our COPD care management program provides. COPD care managers work with network providers and reach out to members considered to be at-risk for respiratory-related complications by providing education and support.

The diabetes care management program provides members living with or at risk for type 1 or 2 diabetes support from a Certified Diabetes Educator.

Healthier You^SM program. Healthier You is a year-long program for our members who are looking to lose weight, become more active, and reduce the risk of conditions such as diabetes and heart disease. Download the Healthier You flyer.
 
Fitness and weight-loss reimbursements. Many Mass General Brigham Health Plan plans include fitness and weight-loss benefits that reimburse members for subscriptions, programs, or activities at qualifying fitness facilities, and up to six months of membership fees at a qualified weight-loss program.

For help achieving your wellness goals, like eating healthier, getting more sleep, and de-stressing after work, our health coaches are here to help.

Learn more about talking with a health coach.

Elektra Health is a virtual platform that can help empower women navigating their menopause journey. It includes tailored, evidence-based education, a private community, and 1:1 guided support. Members are eligible to join this program if they are on a fully insured commercial plan through their employer.

Join Elektra

Mental health is a key part of your overall well-being, and we're here to help you get the support you need to manage your mental health care.
 
Find more mental health resources
 
Substance use
Our on-staff recovery coaches are available for members who are recovering from addiction. Coaches have personal experience with substance use disorder and can guide and support members before, during, after, and instead of treatment.

Maternal health app. Poppy Seed Health provides on-demand emotional and mental health support for pregnancy, postpartum, and loss​. This subscription comes with 24/7 live chat with advocates that include certified and licensed doulas, midwives, and nurses​. You'll also get online community support and evidence-based education tailored to your reproductive health journey. This subscription is available to our members on commercial fully insured individual or employer sponsored plans. Learn how to get started with Poppy Seed Health.

Pediatric care savings. This parent/wallet-friendly benefit covers the first 3 sick primary care provider visits and 3 behavioral health visits for members age 18 and younger at no member cost sharing, per benefit period.
 
Maternal & child health care management. This program offers a wide range of services to help provide access to great care throughout pregnancy, after childbirth, and at every stage of childhood.
 
Childbirth education reimbursement. If the facility where you plan to deliver does not offer a childbirth education program, Mass General Brigham Health Plan will reimburse you for the full the cost of these classes up to $130 per pregnancy.
 
Breastfeeding support reimbursement. If the facility where you plan to deliver does not offer breastfeeding support classes, Mass General Brigham Health Plan will reimburse you for the full cost of these classes.

For plans that include prescription drug coverage through Mass General Brigham Health Plan, our FlexRx^SM pharmacy program helps you save on certain prescriptions and makes it easy to get your medications by mail or in person.

See what’s covered

For members looking to quit tobacco we offer telephonic counseling with a Certified Tobacco Treatment Specialist (CTTS).

Learn how to start a quit plan with the Quit for Life program.
 

Built on the understanding that there’s more than one way to solve a problem, Care Complement gives members the flexibility to try alternatives to opioid painkillers and new treatments for managing chronic conditions.
 
Care Complement benefits offer $0 cost for services that help members manage pain and other chronic conditions. Some of the services covered under this benefit include:

• Your first 6 visits to a chiropractor, acupuncturist (20 visit limit), and physical or occupational therapist

• Services to help you manage your diabetes
• Medication-assisted therapy office visits and prescriptions to treat substance use
• 11 common prescription medications to treat depression, heart conditions, and high blood pressure

On Demand offers convenient, high-quality virtual urgent care services for minor illnesses and injuries—and it’s available anytime and anywhere in the United States. Members (adults and children age 3 and older) connect to providers through a secure, interactive video visit on the web or mobile device.
 
On Demand is not for medical emergencies. For medical emergencies, call 911.