Member Benefits
What We Cover
We cover everything that MassHealth Standard and Medicare plans cover. And on top of that, you pay nothing for these covered services as long as you follow our rules for getting care.
Services you can get at no cost to you
|
|
Plus, get FREE member perks:
Our members have the opportunity to get additional healthy benefits at no cost. To learn more about these extras, click on the extra benefit below.
Enhanced Vision Benefit
Money for Prescription Glasses or Sunglasses
Fitness Reimbursement
Get Money Back for Gym or Fitness Purchases
Healthy Rewards Card
Get Money for Everyday Items
Transportation
FREE Rides to Your Appointments and More
A complete list of covered services is located in your Summary of Benefits.
Some Services Require Approval Before You Can Get Them
You may need approval before getting certain care. Some services such as procedures, medications, or visits to doctors outside our network require approval from us before you can get them. This is sometimes called “prior authorization”. Covered services that need advanced approval are marked in your Summary of Benefits document in bold.
Need a service that is not listed? You can request that we cover a benefit that we don't typically cover. Learn how to request services that are not covered
Limitations and restrictions may apply. Benefits, formulary, pharmacy network and provider network may change on January 1 of each year. You will receive notice when necessary.
To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader* software on your computer.
*When you click this link, you will leave our website.