Understanding Mass General Brigham Health Plan (AllWays) Coverage for Rehabilitation: Benefits and How to Access It
Wondering if Mass General Brigham Health Plan (AllWays) covers rehab? Learn what’s included, how tiers work, and how to access treatment affordably.
Did you know that over 28% of individuals diagnosed with mental illness are uninsured? These individuals avoid seeking treatment due to high out-of-pocket costs, lack of awareness, and limited coverage.
ForrestBH and Mass General Brigham Health Plan have joined forces to offer clarity on this, and bring forth a package that not only offers you access to care but also covers mental health treatment, substance use disorder services, rehabilitation care, and ongoing recovery support.
Let’s discuss more about it:
About Mass General Brigham Health Plan
Formerly known as AllWays Health Partners, Mass General Brigham Health Plan is a health plan with integrated provider-payer system. This means that it enables its members to get improved health outcomes, reduced costs, and enhanced patient experience.
This plan is built with a focus on value-based care that prioritizes quality over quantity by offering flexible access to care for in-person, community-based, and virtual settings.
Tiered Rehabilitation Coverage:
Mass General Brigham Health Plan follows a two-tiered network access structure designed to support rehab patients through their treatment and recovery. Tier 1 is the general facilities, such as inpatient care, outpatient therapy, PHP programs, and access to our renowned Spaulding Rehabilitation Hospital.
Tier 2 is the network of in-network providers outside of the system. These include ForrestBH, ResilienceBH, and many more hospitals that offer insurance coverage. This tier offers broader access to care to patients.
Coverage and Comprehensive Support:
With MGB, you can accept coverage of essential mobility aids, medical equipment, supplies, and assistive devices. If you sign up for our direct care management, our rehabilitation specialists also work closely with care managers to offer coordinated care for recovery. In case you choose one of our in-network providers, such as ForrestBH, we also offer care coordination, equipment support, and social services to help relieve barriers to recovery.
Benefits of Using Mass General Brigham Health Plan for Rehab
When you sign up to ForrestBH for treatment, and then pick Mass General Brigham Health Plan for rehabilitation, it means more than just insurance coverage. It means you gain access to a thoughtfully designed system that is built to support you through every stage of recovery. Some of the benefits include:
Lower Out-of-Pocket Costs:
As a member of MGB, you can expect access to reduced copays, deductibles, and overall expenses when receiving treatment from your chosen in-network facility. Whether you are part of tier 1 or tier 2, MGB ensures that the care you receive is high-quality and evidence-based with cost transparency.
Integrated, Coordinated Care:
With the provider-payer model, you sign up for coordinated care, which means you gain access to multidisciplinary care teams, rehabilitation specialists, and dedicated care managers who work together to create customized treatment plans for you. These plans are well-coordinated, personalized, and ensure your recovery journey is as seamless as possible.
Access to High-Quality Facilities:
MGB members gain access to nationally recognized hospitals, like ForrestBH, that offer specialized rehabilitation programs with experienced clinicians, evidence-based therapies, and advanced treatment models. Thus, you can expect care that prioritizes your long-term recovery.
Care Beyond the Clinic:
The provider of your choice, along with MGB, offers flexible care options such as inpatient rehabilitation programs, outpatient therapy, structured PHP, and IOP services. Depending on your needs, our clinical specialists recommend the most appropriate treatment plan for you. These services also include community-based support and virtual care.
Comprehensive Behavioral Health Support:
Not only do we cover mental health treatment, but we also cover substance use disorder, anxiety, and depression. On top of that, we also cover dual diagnosis, which is basically mental health conditions, substance use disorders, and behavioral health challenges at once.
Broad Range of Rehab Services:
Our rehabilitation services not only cover mental health and addiction treatment, but also a broad range of rehab therapy services. These include speech therapy, physical therapy, occupational therapy, and chronic condition management, which all work together to support recovery and offer you care with continuity.
How to Access Mass General Brigham Health Plan’s Coverage
The process to access rehabilitation coverage with MGB Health Plan is pretty straightforward. Here’s how you can get started:
Check Your Eligibility:
You have to check for your eligibility for MGB Health Plan through your employer or fellowship. Remember, coverage often gets updated due to qualifying life events, so reviewing your plan details is essential. Also, double-check to ensure ForrestBH is an in-network provider.
Pick the Right Plan:
MGB Health Plan offers multiple options such as Select and Plus. These plans differ in terms of network flexibility and cost-sharing. So first check with ForrestBH and then your insurance provider to ensure you are choosing the correct option based on your treatment needs.
Connect for Your First Appointment:
Prepare for the intake process and contact the intake team at ForrestBH to set up your first behavioral health appointment. This process will include a comprehensive assessment of your mental and behavioral health needs, treatment goals, and personalized guidance on the most suitable care plan for you.
Begin Coordinated Care and Treatment:
Once you sign up, your care team will work closely with MGB to provide you coordinated rehabilitation services. They will manage ongoing care needs so that you can fully focus on recovery without any stress of administration.
Final Words
Choosing the right insurance coverage can make all the difference in your recovery journey. With Mass General Brigham Health Plan, in particular, not only do you gain peace of mind and access to care with a value-driven system, but you also get the assurance of high-quality treatment, personalized support, and cost-effective, coordinated solutions.
ForrestBH perfectly complements this approach by offering evidence-based, compassionate, and patient-centered care that is aimed at long-term, sustainable healing for you.
Are you exploring treatment options and want to understand your insurance options better? Worry no more, call ForrestBH’s team at (781) 570-5781 to speak with a specialist who will answer all your queries, tell you about the available coverage, verify your benefits, and help you choose the plan that best fits your needs.
