MassHealth MCO Managed Care Health Plans
NOTE: Glossary words are highlighted. Click on any glossary word to see its definition.
What is an MCO managed care health plan?
An MCO (Managed Care Organization) health plan is a group of doctors and other health care providers who work together to provide health care for their members. The doctors and other health care providers agree to follow certain rules about how they provide services. When you enroll in an MCO, you select a primary care doctor who is part of that MCO to do your checkups, provide basic care, and make referrals. If you need to see a specialist, you see a specialist who is part of your MCO.
Most people who are approved for MassHealth must choose a either a a primary care clinician (PCC) plan, or a MassHealth MCO managed care plan. See What health plan choices do I have?
MassHealth members who want to enroll in an MCO have four plan choices:
Each MassHealth MCO offers all of the benefits of MassHealth, plus some extra benefits. If you enroll in an MCO, you will get a health insurance card from your MCO.
You can learn more about these MCOs by calling their customer service numbers, visiting their web sites, or speaking to a MassHealth Benefits Advisor at 1-800-841-2900 (TTY: 1-800-497-4648).
Boston Medical Center (BMC) HealthNet Plan
Boston Medical Center (BMC) HealthNet Plan is a managed care plan that serves more than 240,000 MassHealth and Commonwealth Care members in over 270 cities and towns in Massachusetts. BMC HealthNet has administrative offices in Boston, New Bedford, Springfield, and Pittsfield. The plan was started in 1997 by the Boston Medical Center.
Telephone numbers:
- Member Services Call Center: 1-888-566-0010 (1-800-421-1220 - hearing impaired)
Monday through Friday, 8:00 AM to 6:00 PM
- Mental health services: 1-888-217-3501
- Dental services: 1-800-685-9971
- Vision services: 1-800-615-1883 (VSP Vision Service Plan)
Web site links:
Fallon Community Health Plan (FCHP)
Fallon Community Health Plan is a non-profit health maintenance organization that was started in 1977. Fallon physicians and hospitals are located throughout Massachusetts.
Telephone numbers:
- Customer Service: 1-800-868-5200 (TDD/TTY: 1-877-608-7677)
Monday through Friday, 8 AM to 6 PM
- Mental health services: 1-888-421-8861 (Beacon Health Strategies)
- Dental services: 1-800-868-5200
- Vision services: 1-800-868-5200
Web site links:
Neighborhood Health Plan (NHP)
Neighborhood Health Plan is a non-profit health maintenance organization that serves MassHealth members throughout Massachusetts. NHP was started in 1986 by the League of Community Health Centers and the Greater Boston Forum for Health Action. Mental health and substance abuse services for NHP are managed by Beacon Health Strategies.
Telephone numbers:
- Customer Care: 1-800-462-5449 (toll-free); 1-800-655-1761 (TTY)
Monday through Friday, 8:30 AM to 6:00 PM
- Mental health services: 1-800-414-2820 (Beacon Health Strategies)
- Dental services: 1-800-685-9971
- Vision services: 1-800-462-5449
Web site links:
Network Health
Network Health is a managed care plan that was started by the Cambridge Health Alliance in 1997. Network Health's service area includes Cambridge, Somerville, Fitchburg, Gardner, Holyoke, Springfield, Lawrence, Lowell, Southbridge, Springfield, Worcester, as well as other Massachusetts cities and towns.
Telephone numbers:
- Member Services: 1-888-257-1985 (toll-free); 888-391-5535 (TTY)
- Mental health services: 1-888-257-1986
- Dental services: 1-888-257-1985
- Vision services: 1-888-257-1985
Web site links:
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