Mass General Brigham Health Plan
(formerly Allways Health Partners)
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By Whitney Kline, Personal Benefits Manager
Reviewed by Leslie Jablonski – Fact checked by Lou Spatafore – Updated 1/25/2024
Mass General Brigham Health Plan (formerly Allways Health Partners) is a regional health insurance provider based in Massachusetts that serves over 100,000 members in Massachusetts, New Hampshire, and Maine.
The company offers a range of health insurance products, including HMOs, PPOs, and high-deductible health plans. They focus on providing affordable coverage for individuals, families, and employers.
About Mass General Brigham Health Plan
The Mass General serves both commercial members and Medicaid beneficiaries via My Care Family, a Medicaid accountable care organization.
For more than 30 years, the Mass General Brigham Health Plan has been delivering value and peace of mind to members and innovation to the health care system.
As a member of the Mass General Brigham Health System, the Health Plan is advancing a highly integrated model of value-based care with one of the world’s leading healthcare systems.
The company enjoys solid ratings on NCQA, and has established a solid reputation in the three New England states it serves.
Mass General Brigham Health Plan Advantages
A Broad Network of Providers
Mass General has one of the broadest networks of healthcare providers in the region, including over 70 hospitals and 25,000 doctors and specialists.
This ensures that members have access to a wide range of medical services and can choose the providers that best meet their needs.
Innovative Digital Tools and Services
The company has invested in a range of digital tools and services to enhance the member experience. These include telemedicine services, online appointment scheduling, and mobile apps for managing health and wellness.
These features make it easier for members to access care and stay on top of their health.
Competitive Pricing
Their Health Plan is known for its competitive pricing, particularly for its HSA-compatible high-deductible health plans. This makes it an attractive option for individuals and families who are looking for affordable coverage.
Emphasis on Preventive Care
The company places a strong emphasis on preventive care, offering a range of wellness programs and resources to help members stay healthy and prevent chronic diseases. This can help members avoid costly medical treatments and improve their overall quality of life.
Mental health services
The company is in the process of rolling out expanded access to mental health care through Lyra Health.
Strong Customer Service
Mass General has received high marks for its customer service, with a dedicated team of representatives available to answer member questions and resolve issues. This can help members feel more confident in their coverage and make the insurance process less stressful.
Mass General Brigham Health Plan Disadvantages
Limited Geographic Coverage
Mass General only operates in three states, which may not be sufficient for individuals or employers with employees in other regions. This can limit the company’s appeal for those who require more extensive coverage.
Limited Plan Options
While Mass General offers a range of health insurance products for both individuals/families and employers, the options may be more limited compared to larger national insurers. This may make it harder for members to find the plan that best meets their needs.
Limited Pharmacy Network
The Health Plan has a smaller pharmacy network compared to some other insurers. This can make it harder for members to find convenient and affordable prescription drug coverage.
Products Offered by Mass General Brigham Health Plan
HMO Plans
Mass General Brigham offers HMO plans, which require members to choose a primary care physician (PCP) and obtain referrals to see specialists. These plans typically have lower out-of-pocket costs but limit members to a network of providers.
PPO Plans
The company also offers PPO plans, which allow members to see any provider within the network without referrals. These plans typically have higher out-of-pocket costs but offer greater flexibility in choosing providers.
High-Deductible Health Plans (HDHPs)
Mass General Brigham offers HDHPs, which feature lower monthly premiums but higher deductibles.
These plans allow current members to make pre-tax contributions to health savings accounts, which are a fantastic way to accumulate money to spend tax free on qualified medical expenses.
And because deductibles are higher, you can also save money on premiums compared to standard health insurance policies.
HDHPs can be a good option for individuals or families who are generally healthy and don’t expect to require extensive medical treatment.
Employee Group Plans
Mass General Brigham offers employee group plans for both large and small employers, which can provide cost-effective coverage for employees and their families.
Medicare Advantage Plans.
The company offers Medicare Advantage plans, which provide comprehensive health coverage for seniors enrolled in Medicare, including prescription drug coverage, dental, and vision benefits.
Summary
Overall, the Mass General Brigham is a strong regional health insurance provider that offers a range of affordable coverage options and emphasizes preventive care and customer service.
While the company may have some limitations in terms of geographic coverage and plan options, it can be a good choice for individuals and employers who are looking for a reliable health insurance provider with deep roots in the New England area.
With a focus on digital tools and resources, as well as competitive pricing and a strong network of providers, Mass General Brigham Health Plan is a solid option for those seeking comprehensive health coverage.
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Mass General Brigham Health Plan FAQs
What is the coverage area of Mass General Brigham Health Plan?
Mass General Brigham operates in three states, namely Massachusetts, New Hampshire, and Maine.
Does Mass General Brigham Health Plan offer Medicare Advantage plans?
Yes, Mass General Brigham offers Medicare Advantage plans, which provide comprehensive health coverage for seniors, including prescription drug coverage, dental, and vision benefits. Not every plan may be available in all areas.
Does Mass General Brigham Health Plan offer telemedicine services?
Yes, Mass General Brigham offers telemedicine services, which allow members to consult with healthcare providers remotely through phone or video calls.
What types of health insurance plans does Mass General Brigham Health Plan offer?
Mass General Brigham offers a range of health insurance plans, including HMOs, PPOs, and high-deductible health plans. They also offer employee group plans for both small and large businesses.
Does Mass General Brigham Health Plan offer coverage for mental health and substance abuse treatment?
Yes, Mass General Brigham covers mental health and substance abuse treatment services, including counseling, therapy, and medication management.
Does Mass General Brigham Health Plan offer wellness programs and resources?
Yes, Mass General Brigham offers a range of wellness programs and resources, including weight management, smoking cessation, stress reduction, and fitness programs.
Can I enroll in Mass General Brigham Health Plan outside of open enrollment?
You may be eligible to enroll in Mass General Brigham Health Plan outside of open enrollment if you have experienced a qualifying life event, such as losing your job, getting married, or having a baby. Contact an HSA for America Personal Benefits Manager to enroll, or to explore other options.
Need Help With a Mass General Brigham Health Plan
If you have questions on the plans offered by Mass General Brigham, we have a team of qualified Personal Benefits Managers who can help you. You can get an instant quote below to get started choosing a health insurance plan or you can give your Personal Benefits Manager a call 800-913-0172. Your Personal Benefits Manager will guide you through the process of obtaining the right coverage for you and your family.
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Mass General Brigham Health Plan Reviews Section
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Well-Rounded Experience with Room for Improvement
It delivers a solid experience with innovative wellness programs, top-notch customer service, and broad coverage. While the wellness programs offer great support, clearer communication about availability would improve the experience. Their customer service stands out for its knowledge, but occasional delays in issue resolution occur. Though their coverage is comprehensive, there are some gaps for specialized treatments. Overall, it’s a dependable healthcare option with room for improvement in communication and coverage.
Its okish!
Choosing Mass General Brigham Health Plan was one of the best decisions I’ve made for my healthcare. The coverage is comprehensive, the premiums are reasonable, and I appreciate the emphasis on innovation and value-based care.
Good if you need mental health care
Mental healthcare has been a big issue for me and my family for many years. A appreciate that the Mass General Brigham Health Plan gets us. They put a lot of emphasis on mental ehatlh care. And we’ve used the Lyra benefit a lot, which helped my brother stay out of the hospital.
Definitely much better then the other healthcare plans i’ve had.
Good, but make sure your doctor takes the plan
Mass General Brigham has been mostly great. Their coverage is comprehensive, and their customer service team has been responsive to my inquiries. However, there have been a few instances where finding in-network providers has been a bit challenging. Nonetheless, their online tools have been helpful in navigating the policy and claims process.
I Love Allways!
I’ve been with Allways (now Mass General Brigham) for years, and they’ve and always come through for us. When my husband had a heart attack recently (he’s ok, thank God) tthey paid almost $100,000 in medical bills no problem. Follow up has been great, and we’ve been able to see some excellent specialists.
Iv’e had other insurance companies before that had much narrower networks and I had a hard time finding specialists I could actually see. But Mass General has great coverage in the Boston/New England area. Would recommend, and I’m glad we switched to Mass General.
Not bad, as long as you stay local
I’ve got mixed reviews for this one:
The pros:
– They pay claims right away.
– The plans available are pretty good in terms of what they cover. And they are competitively priced compared to the bigger insurance compnaies.
The cons:
– It’s hard to find in-network specialists out here in Central/West MA for certain things. I had to drive to Boston for two specialists.
Also, if you need to speak with someone on the phone, the wait times are too long.
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