October 9, 2025 (SOMERVILLE, MA) – Mass General Brigham Health Plan today announced that, beginning January 1, 2026, it will offer two Dual Eligible Special Needs Plans (D-SNP) for individuals eligible for both Medicare and Medicaid.
The Executive Office of Health and Human Services (EOHHS) approved Mass General Brigham Health Plan to provide dual-eligible coverage through the state’s One Care and Senior Care Options (SCO) programs. One Care mainly serves disabled adults aged 21 to 64 who require extensive community-based supports, focusing on recovery, behavioral health, and independent living. SCO mainly serves adults aged 65 or older, some of whom are disabled, emphasizing aging in place and chronic condition management through the coordination of long-term services and support.
“We are incredibly proud to enter the duals market in 2026 and build on our legacy of community-focused care,” said Steve Tringale, President, Mass General Brigham Health Plan. “The dual-eligible population is comprised of individuals with the greatest needs in our communities, and these plans allow us to meet them where they are and expand access to more comprehensive care.”
Dual-eligible individuals face a variety of barriers to accessing care, from coordination of complex medical support to needs for daily living, such as transportation. Furthermore, these individuals may not be aware of their eligibility for healthcare coverage through a managed care plan. Approximately 33% of Massachusetts residents eligible for both Medicare and Medicaid were enrolled in a D-SNP plan as of 2023, according to EOHHS data.
As part of an integrated healthcare system, Mass General Brigham Health Plan is working to expand education about eligibility and opportunities to access more coordinated care and support. This work also includes building integrated care models with the system’s population health team to extend the reach of primary care providers beyond the clinical setting through personalized care plans and extensive care management resources.
“We are collaborating to expand the ways that we can integrate care and services to improve health outcomes and quality of life for the dual-eligible population,” said Mallika L. Mendu, MD, MBA, Chief Population Health Officer, Mass General Brigham. “We have an incredible opportunity to deepen our support for these patients who are facing unique health and social challenges, and it is core to our mission to improve their care.”
Through Mass General Brigham Health Plan’s D-SNP coverage, enrollees can access a regional network of doctors and hospitals and extensive social supports. This includes Dukes and Nantucket counties, where D-SNP plans will be offered for the first time to eligible residents to expand care and coverage options.
"Collectively, people who are dual-eligible have complex needs and require a spectrum of services that address not only physical health but also behavioral health," said Ashley Hague, Senior Vice President, State Programs, Mass General Brigham Health Plan. "Our biggest goal is to help these individuals stay where they thrive, whether that's in the home or a community setting."
One Care and SCO plans by Mass General Brigham Health Plan will be available for selection during the Annual Enrollment Period from October 15–December 7, 2025.
About Mass General Brigham Health Plan
Mass General Brigham Health Plan (massgeneralbrighamhealthplan.org) serves commercial, Medicare Advantage, and Medicaid members. For almost 40 years, Mass General Brigham Health Plan has been committed to delivering exceptional member experiences. As a member of Mass General Brigham, we are advancing innovative solutions through value-based care models that center on the health needs of our members and enable seamless and affordable care.
