Your benefits

As a MassHealth member, you can:
  • See a doctor who will help coordinate all of your healthcare
  • See specialists (doctors with extra training in an area of medicine, such as cardiology, dermatology, or pediatrics)*
  • Have 24/7 access to speak with a nurse about your health questions
  • Get coverage for hospital treatments
  • Get prescriptions covered at your local pharmacy
  • Get access to behavioral health services, including crisis services and no-cost annual screenings
  • Get a routine eye exam*
  • Get extra help for special conditions such as asthma and diabetes

Select your plan below to see what’s covered – including your free extras. Use the Covered Services List to see what’s covered, what’s not covered, which services require prior authorization, and more.


Plan Name Covered Services List Member Handbook
WellSense Community Alliance
WellSense Mercy Alliance  
WellSense Signature Alliance
WellSense Southcoast Alliance  
East Boston Neighborhood Health WellSense Alliance
WellSense BILH Performance Network ACO
WellSense Boston Children’s ACO
WellSense Care Alliance 
WellSense Essential MCO

 

*Please see the MassHealth Member Handbook and MassHealth Covered Services List for additional information, including which benefits, services and medications are covered or noncovered on our plan and any restrictions or guidelines we must follow before providing them. You can find doctors and hospitals in our network here, see our privacy policies, and learn how we make sure you get the right care at the right time with our Utilization Management policy.