Member resources & forms

Welcome to the member resource center.
Get quick links to the tools and resources our members use most.

Mass General Brigham Health Plan is closely monitoring the closure of Compass Medical practices. We are committed to assessing the impacts to our members, and we will share more information as soon as it becomes available. While we wait to learn more from Compass Medical about transition plans to create continued access to their providers, we are supporting members who contact us with information about their benefits, coverage, and options for care. Compass Medical is continuing to update their website with more information, including how patients can access medical information and local urgent care resources. Patients are encouraged to check back regularly for the latest updates at www.compassmedical.net. Members are encouraged to contact us for assistance at 866-414-5533 or at the number on the back of your member ID card. You can also email us or 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.

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Log in to your Member portal account

Log in to your secure Member portal to view plan documents, track your cost sharing, search for doctors, and more.

New to Mass General Brigham Health Plan?

Visit the online transition center for answers to common questions we hear from new members. There, you can also find and fill out a Transition of Care Form if you need access to ongoing care during your switch to Mass General Brigham Health Plan.

Helpful healthcare resources

Health tools

Local resources

Contact the nurse advice line

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.

Download a form

Below you'll find links to download our member forms. Note that reimbursement forms can be filled out online at Member.MassGeneralBrighamHealthPlan.org or through the Mass General Brigham Health Plan Member app .

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.
Bike Helmet Reimbursement Form (PDF)

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.

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.
Breastfeeding Support Form (PDF)

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.

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.
Childbirth Education Reimbursement Form (PDF)

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). Click here to determine if you are eligible.

If eligible, the Continuity of Care at Cancer and Pediatric Facilities Notification Form (PDF) must be submitted prior to the start of treatment in the tiered network plan.

The fastest way to submit a reimbursement request for your fitness benefit is on the member portal, Member.MassGeneralBrighamHealthPlan.org . You can also download the form below and follow the instructions to submit your reimbursement request. The fitness benefit varies by plan. Please check Member.MassGeneralBrighamHealthPlan.org for details about your plan.
Fitness Benefit Coverage Form and Instructions (PDF)

Qualifying fitness facilities, programs/subscriptions or activities

The list includes, but is not limited to the following:

Please note: Aerobic exercise studios (Pilates, yoga, Zumba, etc.) and virtual fitness subscriptions are also included in this benefit.

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.

Use this form to authorize Mass General Brigham Health Plan to release your Protected Health Information (PHI) to a designated recipient. Authorization to Release Protected Health Information (PDF)

Use the Member Reimbursement Claim form to file an eligible behavioral health reimbursement. See form for details and instructions. Member Behavioral Health Reimbursement Claim Form

Use the Member Reimbursement Claim form to file an eligible medical reimbursement. See form for details and instructions. Member Medical Reimbursement Claim Form

Use this form to request your member record from Mass General Brigham Health Plan. Member Record Request Form (PDF)

Use the Prescription Drug Reimbursement Form to file an eligible prescription drug claim reimbursement. See form for instructions. Prescription Drug Reimbursement Form (PDF)

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. For Commercial members Authorize a Personal Representative: English | Español For MassHealth/Mass General Brigham ACO members only Authorize a Personal Representative: English | Español

Travel Benefit Reimbursement Form 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.
See form for details on eligibility and instructions for reimbursement.


Please note: The weight loss program benefit does not cover food, nutritional supplements, or enrollment/registration fees.