Mass General Brigham Health Plan featured in Newsweek for women’s health support
In this issue:
- Mass General Brigham Health Plan featured in Newsweek for women’s health support
- Upcoming customer feedback survey
- 2024 Medical Loss Ratio (MLR) rebate information
- Rx Savings Solutions: Help members save money on prescriptions
- Mass General Brigham Health Plan and Edward M. Kennedy Community Health Center spotlighted for community partnership
- Toolkit: Share these resources with your clients
Mass General Brigham Health Plan featured in Newsweek for women’s health support
As part of our comprehensive coverage, Mass General Brigham Health Plan is pleased to offer access to innovative solutions to support women’s health needs at every stage of life—from pregnancy and postpartum to menopause and pelvic health. This includes access to Elektra Health’s virtual platform with evidence-based education, a private community, and 1:1 guided support through all phases of menopause.
Upcoming customer feedback survey
At Mass General Brigham Health Plan, we strive to provide our customers with the best healthcare coverage and experience. With that goal in mind, we are excited to once again conduct a survey with our broker and employer customers. It’s an effective way for us to better understand how we are doing and develop new initiatives that offer real value to you, your clients, and their employees.
As in the past, you and your clients will soon receive an email from our Customer Experience Team (healthplanexperiencesurveys@mgb.org) with a link to the survey. Please be on the lookout for it. This survey will collect feedback on various aspects of your experience with Mass General Brigham Health Plan. Your feedback is greatly appreciated, though optional, and will not have any impact on your relationship with Mass General Brigham Health Plan services. Thank you in advance for your support!
2024 Medical Loss Ratio (MLR) rebate information
Mass General Brigham Health Plan will provide MLR rebates for fully insured plans offered to individuals and small employer groups for 2024.
Our rebates reflect changes to the administration of the risk adjustment program under the Affordable Care Act. These changes required us to recognize risk adjustment payments from previous years in calendar year 2023, which is part of the three-year average considered in our 2024 filing. This resulted in our MLR being below the threshold in Massachusetts and led to rebates for CY2024, to be paid in 2025.
Mass General Brigham Health Plan met the minimum threshold for large employer group plans, so no rebates are required.
As you know, many of our small employers purchase their insurance directly through Mass General Brigham Health Plan. Small employers and individuals can also purchase their Mass General Brigham Health Plan insurance through intermediaries such as HSA Insurance (HSA) and the Small Business Service Bureau (SBSB) or through the Massachusetts Health Connector. Here is how rebates will be provided:
- Rebate premium credits will be provided by Mass General Brigham Health Plan to small employer groups who purchase their coverage directly from Mass General Brigham Health Plan.
- Rebate checks will be provided by Mass General Brigham Health Plan to individuals and small employer groups who purchase their coverage through the Health Connector.
- Rebate checks will be provided by the Small Business Service Bureau (SBSB) to individuals and small employer groups who purchase their coverage through the SBSB.
- Premium credits will be provided by HSA Insurance (HSA) to individuals and small employers who purchase their coverage through HSA and are active clients.
- Rebate checks will be provided by HSA Insurance (HSA) to individuals and small employers who purchase their coverage through HSA but terminated their coverage.
Notices to subscribers and employers will be mailed by September 15, 2025.
Please visit MGBHP.org/mlr for more information and direct any questions to your sales or account executive.
Mass General Brigham Health Plan has partnered with Rx Savings Solutions (RxSS) to help members find the lowest-price options for prescription drugs. To make things even easier, RxSS has a dedicated team of pharmacy experts waiting to help. We’re not talking about a phone maze with a robot on the other end of the line. RxSS hires certified pharmacy technicians with real-world experience working at retail pharmacies. They’ve seen the struggle, confusion, and sticker shock people can experience when filling their prescriptions.
Members can call 1-800-268-4476 or visit Member.MGBHP.org/singlesignon/rxss to get started. If they have not yet created a Member Portal account, they can do so by clicking on Not Registered Yet?
This program is available to fully insured employers. To activate their RxSS account, members need to be registered on the Mass General Brigham Health Plan member portal. Their RxSS account is accessible at any time from the Mass General Brigham Health Plan Member Portal.
3 reasons to contact RxSS:
- Getting started: They’ll help a member activate their RxSS account over the phone—then explain options they may have to reduce out-of-pocket costs.
- One-on-one consultations: Since RxSS is connected to Mass General Brigham Health Plan, their team can answer questions about a member's insurance coverage, medication history, and more.
- Simple switches: Changing to a more affordable medication is easy with RxSS. Members can give them a call and they can get their healthcare provider’s approval and handle any prescription transfers.
Members can access their RxSS account online anytime, to see all their prescription drug options. Just go to Member.MGBHP.org/singlesignon/rxss today!
Mass General Brigham Health Plan and Edward M. Kennedy Community Health Center spotlighted for community partnership
Mass General Brigham Health Plan is pleased to announce the success of a multi-year grant to the Edward M. Kennedy Community Health Center that expanded timely access to dermatology services for communities in central Massachusetts.
"Mass General Brigham Health Plan is proud to expand access to care and continue to support exceptional healthcare experiences at community health centers," said Steve Tringale, President, Mass General Brigham Health Plan.
Read more on the MetroWest Daily News website.
Tips for sharing these articles and resources
- Include in an email blast to your clients
- Post on your social media or blog
Articles and resources for your clients
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- Blog: Lung cancer: not just a smoker’s disease
Suggested text to share with clients: "Did you know that, according to the American Cancer Society, about 80% of lung cancer deaths are the result of smoking? So, what about the other 20% that rarely gets discussed? Lung cancer is more than just a smoker’s disease. It can affect anyone, regardless of whether you have a history of smoking. So let’s talk about it. Read more." - Blog: Soap vs. sanitizer: The truth about hand hygiene
Suggested text to share with clients: "The COVID-19 pandemic drastically shifted the way we approach hand hygiene. What was once a basic, everyday habit became an essential practice in protecting our health. For many it’s now second nature to wash our hands frequently – but do we truly understand the importance of doing it correctly? Read more."
- Blog: Lung cancer: not just a smoker’s disease
