Member Resources
Popular Tasks & Tools
What's Covered
See what services and extras are covered by your plan.
Renew Coverage
Stay on top of renewal dates and deadlines.
Get Prescriptions
Find a pharmacy and see what drugs are covered.
Documents & Forms
Find important plan documents and forms.
Member Portal
Log in to our member portal to check benefits, request an ID card, and more.
Member Portal
- Order ID cards
- Complete your health survey
- Check claims
- Chat with a nurse, and more
Things You Should Know
MassHealth ACO
Learn more about your new MassHealth options with our MassHealth ACO plans.
How to Renew
Find out when and how you need to renew your health insurance coverage.
Age 65+?
Visit our Senior Care Options website at SeniorsGetMore.org for member information.
Key Dates
Mar 1 - June 30 | MassHealth Plan Selection Period |
Nov 1 - Jan 23 | Health Connector Open Enrollment |
Dec 23 | Health Connector Payment for January Plans |
Jan 23 | Health Connector Payment for February Plans |
Fresh Produce Event Schedule
See the schedule of fresh fruit and vegetable event offerings from BMC HealthNet Plan. There will be four per year in each region. We hope to see you there.
See Schedule of Events
Member FAQS
Save yourself some time and get answers to the most frequently asked member questions here.
- Doctor visits for your routine healthcare
- Visits with specialists (doctors who have extra training in an area of medicine)
- Emergency room visits
- Screenings for diabetes, allergies, heart disease, etc.
- Extra help for special conditions like asthma and diabetes
- Mental health and substance abuse services
- Prescriptions
- Money back for participating in Weight Watchers® or a qualifying health club
Generally, any doctor or hospital that you visit must be chosen from a list of providers who work with BMC HealthNet Plan and accept your plan type. They are also called “in-network” providers. Your doctor will refer to you other doctors or hospitals on our approved list to make sure that your medical visit is covered by insurance (there are some exceptions). See a list of doctors and hospitals you can use.
For a complete list of the services covered by BMC HealthNet Plan, read the Covered/Excluded Services List. This is the most important document you have, since it tells you what BMC HealthNet Plan will or will not cover. Your Covered/Excluded Services List should have come in the mail, or you can find your plan's list here.
In general, you must get all your healthcare services from BMC HealthNet Plan network doctors and providers. The only four exceptions are:
- If you need emergency care (or treatment at the closest emergency room for serious illness or injury in a life-threatening situation)
- If you need urgent care when you are traveling outside our service area
- If you need family planning services
- If BMC HealthNet Plan (or Beacon Health Strategies for behavioral health services) gives prior approval, also called prior authorization, for you to get care from an out-of-network provider
We partner with Beacon Health Options to manage Behavioral Health services. Call Beacon for help finding a provider for Behavioral Health services. You can also access their online provider directory here.
- MassHealth members: 888-217-3501 toll-free, 24-hour Behavioral Health telephone line
- ConnectorCare/Qualified Health Plan members: 877-957-5600 toll-free, 24-hour Behavioral Health telephone line
- beaconhealthoptions.com
Remember, you can call Member Services, Monday-Friday 8:00 a.m.- 6:00 p.m. for help with any of the items above and much more.
MassHealth members:
- 888-566-0010 (English and other languages)
- 888-566-0012 (Spanish)
- 711 (TTY)
ConnectorCare / Qualified Health Plan members:
- 855-833-8120 (English and other languages)
- 711 (TTY)