Call the customer service number on the back of your member ID card to contact a Registered Nurse 24/7 to get nursing advice on any subject. Mental health and substance use services offered in partnership with Optum. Will you notify my employees about this change. Important notice: These plans provide access to networks that are smaller than AllWays Health Partners full commercial HMO provider network. Also, Medicare Balance pays the entire balance on member deductibles and coinsurance costs for services charged at the Medicare-allowed amount. Prohibits balance billing for qualifying items or services provided by an out-of-network provider at an in-network facility unless a patient provides consent via the process required by CMS. By signing up for an account atliveandworkwell.com, youll have access to: To create an account, clickhereto go to theLive and Work Well website. If you have questions or need help with any of the resources on this page, we are here to help. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 AllWays Health Partners d/b/a Mass General Brigham Health Plan. Will you be providing new member ID cards? AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Information specific to your account, including your claims information. Consuming less saltEnglish | Espaol COVID-19. Helpful forms Call 1-855-860-4949 to learn more. We will build on our series of value-based programs, including, Allies, Path to Lifestyle Change, and Down Syndrome Clinic to You. Medical: AllWays Health Partners network and non-contracted providers in Massachusetts, Medical: Non-contracted providers outside of Massachusetts. See form for details and instructions. AllWays Health Partners Provider Service: 855-444-4647 Payer ID: 04293 Paper Claims: PO Box #323 Glen Burnie, MD 21060 See form for instructions. Log in to our secure member portalto see everything you need to manage your plan, any time of day. AllWays Health Partners d/b/a Mass General Brigham Health Plan. Medicare Balance members don't need a referral to see a specialist. Log in to your secure member portal, allwaysmember.org, toview plan documents, track your cost sharing, search for doctors, and more. With MinuteClinic, costs 40% less than urgent care. For AllWays Health Partners members, except My Care Family and Massachusetts General Brigham employees, drugs on this list must be administered in the home setting. Assisted Reproductive Services/Infertility Services, Assisted Reproductive Services/Infertility Services (Effective Date: January 1, 2023), Autologous Chondrocyte Implantation in the Knee, Enteral Nutrition Formulas and Supplements, Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea, Intravenous Ketamine for Treatment-Resistant Depression, Neuromodulation for Overactive Bladder and Fecal Incontinence, Non-Emergency Medically Necessary Transportation, Oral and Maxillofacial Surgery and Procedures, Phototherapy & Photo Chemotherapy for Dermatologic Conditions, Pylarify and Gallium Ga-68 PSMA-11 Imaging for Patients with Prostate Cancer, Radiofrequency Ablation to Treat Uterine Fibroids, Specialty Medication Administration Site of Care, UVB Home Phototherapy Units for Skin Disease, Vitamin D Screening and Testing in Adults. AllWays Health Partners is proud to provide MassHealth insurance coverage to members of My Care FamilySM. Find a My Care Family doctor CVS Caremark manages pharmacy benefits for AllWays Health Partners plans with prescription drug coverage. We're putting your clients' needs first with our innovative programs, huge network of doctors and hospitals, and exceptional customer service. June 29, 2022 (SOMERVILLE, MA) AllWays Health Partners, a member of Mass General Brigham, announced today that it will change its name to Mass General Brigham Health Plan to reflect and advance the systems unique provider-payer integration that is improving health outcomes, reducing costs, and transforming the healthcare experience.The change will take Please refer to the current AllWays Health Partners provider manual for a definition of medical necessity. Criteria may be amended or rescinded at any time by AllWays Health Partners and AllWays Health Partners shall have the exclusive right to interpret and enforce its terms. You can register for the AllWays Broker Portal by completing our AllWays Health Partners Broker Agreement Form and W-9 Form. AllWays Health Partners Broker Agreement Form, Allies Choice HMO Plans for Merged Market, Choice Easy Tier HMO and PPO Plus Plans for Merged Market, Complete PPO Plus Plans for Merged Market, Allies Choice HMO Plans for Intermediary Small Group, Complete and Choice Easy Tier Plans for Large Employers (effective 1/1/22), Allies Choice HMO Plans for Merged Market(effective 11/1/22), Allies Choice HMO Plans for Merged Market (effective 6/1/22), Choice Easy Tier HMO and PPO Plus Plans for Merged Market (effective 1/1/22), Complete HMO Plans for Merged Market (effective 1/1/22), Complete PPO Plus Plans for Merged Market (effective 1/1/22), Allies Choice HMO Plans for Intermediary Small Group (effective 6/1/22), HMO Plans for Intermediary Small Group (effective 1/1/22), Complete and Choice Easy Tier Plans for Large Employers (effective 1/1/21), Choice Easy Tier HMO and PPO Plus Plans for Merged Market (effective 1/1/21), Complete HMO Plans for Merged Market (effective 4/1/21), Complete PPO Plus Plans for Merged Market (effective 4/1/21), HMO Plans for Intermediary Small Group(effective 4/1/21). Payer ID numbers and addresses for submitting medical and behavioral health claims. Join us and bring your unique talents to our team as we strive to create a world where all people live healthier lives. For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. If you would like to exercise this right, please complete and return this form to us. We continue to enhance our services and develop new ways to address these issues. Our home care services include telecare, home nursing care, therapy services, veteran care, infusion services, Alzheimer's Care, respite care, hospital to home care or individualized care. All behavioral health providers should submit claims to Optum. Member Behavioral Health Reimbursement Claim Form, Use the Member Reimbursement Claim form to file an eligible behavioral health reimbursement. Source: Urgent Care Association, "2018 Benchmark Report." AllWays Health Partners network providers in all states and non-contracted providers in Massachusetts should submit claims directly to AllWays Health Partners. There will not be any changes to your benefits as a result of our new brand name. Learn more about this change and how it reflects our goal to improve health outcomes, reduce costs, and transform the healthcare experience. AllWays Health Partners (Mass General Brigham Health Plan) HMO. For more information about our medical policies or about your plan, please call the Customer Service number on the back of your member ID card or emailcustomerservice@allwayhealth.org. A summary of information included in your Member Handbook and details on how to use the Provider Directory. Amendment One to Covered Services and Handbook effectiveJuly 1, 2020, Amendment Two to Covered Services and Handbook effective September 1, 2022, Select or change your primary care provider, Submit eligible expenses (like fitness reimbursement). Allies Choice HMO Plans for Intermediary Small Group (effective 6/1/22) The Mass General Brigham Plus and Mass General Brigham Value plan is administered by AllWays Health Partners and encompasses a very large and comprehensive network of top hospitals located throughout New England, including BWH! Please call us at866-414-5533, or at the number on the back of your member ID card. AllWays Health Partners, which will become Mass General Brigham Health Plan on January 1, 2023, serves commercial and Medicaid members. My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Use the Prescription Drug Reimbursement Form to file an eligible prescription drug claim reimbursement. Yes, we will be communicating to our members regarding the change in the coming months, especially as we approach the January 1, 2023, effective date. Partners HealthCare Employee Plan Requests 800-364-6331. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Its easy to register. Providers who are outside of AllWays Health Partners provider network can now submit medical authorization requests online. For over 30 years, AllWays Health Partners has delivered value to our members and worked to improve access to care and coverage. The DASH dietEnglish| Espaol What youre entitled to if you have a mastectomy. All deductions are pre-tax and extend to you, your family, eligible dependents, and same-sex domestic partners. Browse by Category Browse by Category: Find results using these care categories MemberhandbookEnglish | Espaol We are available to help on Monday through Friday from 8:00 AM to 6:00 PM and Thursday from 8:00 AM to 8:00 PM. We are available Monday through Friday, 8:00 AM to 6:00 PM, Thursdays 8:00 AM to 8:00 PM. To request other, medically necessary sites of care, please submit a prior authorization through NovoLogix. The AllWays Health Partners medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered. Nurses speak English and Spanish, and translation services are available for other language. AllWays Health Partners will comply with regulatory guidance to ensure Hospitals are reimbursed for behavioral health crisis evaluations and stabilization services provided in the Emergency Department in response to the ED Boarding crisis. Call 1-855-300-6915. When your child should have preventive care and whats covered. Onallwaysprovider.org you can check eligibility, add or remove providers from your practice, and more. If you have a legal or ethical question or believe that another member of the AllWays Health Partners community has violated a legal or ethical responsibility, you can contact the Compliance Hotline at 1-844-556-2925 or allwayshealthpartners.ethicspoint.com for confidential and anonymous reporting. You can browse the medical policies to see the coverage criteria for a specific condition. When you should have preventive care and whats covered. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 1 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 You can register for the AllWays Broker Portal by completing our AllWays Health Partners Broker Agreement Form and W-9 Form. MassHealth Reproductive Services member letter, Homemade Adobo recipe / Adobo casero sin sal. My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners. AllWays Health Partners d/b/a Mass General Brigham Health Plan. Employers will continue to determine coverage as plans come up for annual renewal. Submit claims for AllWays Health Partners members, Authorization request form for Aetna Signature, non-contracted, and PHCS providers, Authorizations request form for Optum providers. eviCore is committed to providing an evidence-based approach that leverages our exceptional clinical and technological capabilities, powerful analytics, and sensitivity to the needs of everyone involved across the healthcare continuum. For over 30 years, AllWays has delivered value to members and innovation to the health care system. Lower or control high blood pressure Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. Services not yet available in Alabama and Mississippi. So, you don't have to collect any out-of-pocket fees from your patients. Member Behavioral Health Reimbursement Claim Form. Breastfeeding support classes are also available free of charge at many primary care sites and hospitals. AllWays Health Partners d/b/a Mass General Brigham Health Plan. My Care Family Partners Use the Member Reimbursement Claim form to file an eligible medical reimbursement. We look forward to bringing more truly unique provider-payer collaborations to the marketplace. Use this form to request your member record from AllWays Health Partners. Explore our health plans and get started finding an option that works for your client. Your behavioral health benefits include counseling and treatment for: Substance use disorders; Depression and postpartum depression; Eating disorders Contact them as often as you need. Mass General Brigham Advantage is a new Medicare Advantage plan being offered by Mass General Brigham Health Plan (formerly AllWays Health Partners). AllWays Health Partners is not liable for any losses, damages, or uncovered charges as a result of using this provider search tool or as a result of receiving care from a provider listed in the provider search tool. Authorize a Personal Representative English |Espaol Examples include easier dosing, variety of dosage forms, better taste, ability to crush or divide doses and more flexible storage requirements. Home; Join the Networks; Meet AllWays Health Partners, an innovative health plan offering performance guarantees and a customer loyalty program, in addition to a growing network, easy-to-understand plans, and quick customer service. You can also log in toallwaysmember.orgto find personalized information about your covered benefits. Behavioral health support is a part of your health plan. Then, just email the documents along with a copy of your Agency's and/or individual MA Producer's license to brokers@allwayshealth.org or fax 617-526-1975. Urgent Care. However, the medical policies will not tell you whether a service or technology is covered under your plan. This policy begins January 15, 2022 and remains in effect for the duration of the federal public health emergency. The list includes, but is not limited to the following: Need to know if a service or treatment requires a prior authorization or referral? Find the right care in the right setting at South Shore Health. AgSafe Business Services We work with employers individually providing a variety of services, including company-specific training, program review along with safety and human resources safety audits. Any cost-sharing obligation must be based on median in-network provider rates. Read more on our COVID-19 resource center. Close IMPORTANT UPDATE: Members of AllWays Health Partners will have access to FDA approved at-home COVID-19 tests at no cost in accordance with new federal guidelines. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company To help you deliver the very best patient care, here are some resources where you can find practice guidelines for chronic or complex conditions. Find Primary Care. Build your knowledge of health care with articles on important health topics, the benefits of an AllWays Health Partners plan, and more. How to appeal a denial or submit a formal complaint. There you can: For questions about your coverage, call Customer Service at800-462-5449(TTY users: 711). As a forum member, well ask you to participate in both surveys and discussions to help AllWays Health Partners build better products, programs, communications and services for you and your clients. You can learn more about this federal requirement and your rights and protections as an AllWays Health Partners memberhere. Be ready to give your name, member ID number, and symptoms. Requires that patient cost-sharing (copayments, co-insurance, or a deductibles) for the services outlined above cannot be higher than if such services were provided by an in-network provider. See form for details and instructions. The fastest way to submit a reimbursement request for your weight loss benefit is on the member portal. You may have heard about the federal No Surprises Act. Mental health & substance use. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company The fastest way to submit a reimbursement request for your fitness benefit is on the member portal, Find free community resources and social services, Get help finding healthy living resources in Massachusetts, Prescription Drug Reimbursement Form (PDF), Member Behavioral Health Reimbursement Claim Form, Childbirth Education Reimbursement Form (PDF), Continuity of care at cancer and pediatric facilities notification form, Continuity of Care at Cancer and Pediatric Facilities Notification Form (PDF), Weight Loss Program Benefit Form and Instructions (PDF), Fitness Benefit Coverage Form and Instructions (PDF), Medicare Advantage Prior Authorization and Notification Guidelines. When you buy safety helmets for toddlers, children, and adults, AllWays Health Partners will reimburse 50% of the purchase price of one new helmet, per member, per calendar year up to a $15.00 reimbursement. You can continue to access the healthcare you need with your current ID card. Additionally, we are actively working with government officials and our airport partners to advance system-wide initiatives. AllWays Health Partners works with the experts at Optum to provide comprehensive mental health and substance use services. You have the right to choose one or more persons to act on your behalf with respect to the protected health information that pertains to you. Save up to 85% at MinuteClinic vs. the ER for comparable services. Optum behavioral health may develop Clinical Criteria that describe the generally accepted standards of practice evidence, prevailing standards and guidance supporting determinations made regarding specific services. Thenclick on "Register" and fill out the form with your information, including your My Care Family Member ID. A list of care management programs offered by your plan. Clinical criteria do not certify coverage availability. Weve made it easy for you to do business with AllWays Health Partners by organizing popular forms and resources on one page. Contact Us. Learn how we can help plan your transition and create a welcoming experience for new members. We are available Monday through Friday, 8:00 AM to 6:00 PM and 8:00 AM to 8:00 PM on Thursdays. Theres no limit on calls or emails. You can check claims and eligibility 24/7 on our secure provider portal. Together with Mass General Brigham, AllWays Health Partners is creating a truly different health care experiencewith products and programs that put our customers at the center of everything we do. Medicare Balance provides secondary coverage to Medicare all members are required to have both Medicare Parts A and B.Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 There are no changes to our provider network as a result of our new name. Significant improvements in patient convenience, adherence, and satisfaction We review more favorably products with significant improvements in these areas. Members with pharmacy benefits through AllWays Health Partners plans and My Care Family are entitled to fill a 12-month supply of prescription contraceptives under Chapter 120 of the Acts of 2017, An Act Relative to Advancing Contraceptive Coverage and Economic Security in Read our press release, and stay tuned for more details before January 1. For the fastest service, please call the dedicated customer service line for your patients' plan or product. Competitive premiums and member access to a robust network of high-quality providers continually make us a popular choice in the market. Check theService Approval Guidelines (PDF). Homemade Adobo recipe / Adobo casero sin sal Read ourfrequently asked questionsfor more about this change and how it reflects our goal to improve health outcomes, reduce costs, and transform the healthcare experience. We plan to reissue member ID cards later this year for an effective date of January 1, 2023, and will provide more information on this transition in the coming months. Find a provider or covered medication Your behavioral health benefits include counseling and treatment for: You do not need a referral from your PCP to seek outpatient services. On January 1, 2023, we'll continue to advance our goal of transforming the patient and provider experience by becoming Mass General Brigham Health Plan. This new federal requirement is intended to protect members of commercial health plans from surprise billing for certain services from an out-of-network provider. We will keep employers apprised of those communications. On the portal, you and others in your practice can: You can search our. Medicare Advantage plans offer patients affordable, accessible care and great benefits while allowing providers to deliver care more flexibly than in traditional Medicare. View current listings. Get quick links to the tools and resources our members use most. Allies Choice HMO Plans for Intermediary Small Group(effective 1/1/23) Our Nurse Advice Line is open 24/7. AllWays Advisor Forum is an exclusive opportunity to be part of a special advisory team for AllWays Health Partners. AllWays Health Partnersdoes not specifically reward providers or any organization reviewing our coverage decisions. Learn about perks that come with your plan like a fitness benefit, discounts on child safety products, and more. Review your plan documents A provider listing in the provider search tool is not an indication that the providers services are eligible for coverage. These classes are a support group for pregnant women, and they provide information about the benefits of breastfeeding, along with helpful tips, resources, and ways to manage common breastfeeding challenges. How will this impact your current and upcoming product offerings in the market? You can. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 Optums Live and Work Well website is the best place to go for behavioral health information. List of covered servicesEnglish | Espaol, MassHealth Reproductive Services member letter Childbirth education classes, plus parenting and infant CPR classes, are available to you and your partner or support person free of charge at many primary care sites and hospitals. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Discover healthcare payor and insurer cloud solutions to deliver trusted member experiences, optimize care management and health outcomes, accelerate workplace modernization and protect health information. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Learn about AllWays Health Partners (Mass General Brigham Health Plan) AllWays Health Partners (Mass General Brigham Health Plan) Handbook; Find an AllWays Health Partners (Mass General Brigham Health Plan) provider; Transparency In Coverage Files Sign in to the AllWays Broker Portal or reach out to your Account Executive. Both on the ground and in the air, Allegiant is Going the Distance for Health and Safety. Use these guides to help you test and setup electronic claims-related transactions with AllWays Health Partners. Designed with your practice in mind Our easy-to-use provider portal puts key information at your fingertips. This form is intended for: UnitedHealthCare Options PPO providers; MultiPlan PHCS network providers; Providers who are non-contracted with AllWays Health Partners; This form is NOT intended for: Call 1-855-860-4949. We are pleased to offer comprehensive medical and behavioral health benefits that support our members overall health and well-being. AllWays Health Partners staff is available at 855-444-4647 Monday-Friday (8:00 AM - 5:00 PM EST, closed 12:00 - 12:45 PM). We are committed to holding down costs, while improving health outcomes by developing innovative solutions. AllWays Health Partners network providers in all states and non-contracted providers in Massachusetts should submit claims directly to AllWays Health Partners. You can also contact our Broker & Account Services team viaemail at brokeraccountsupport@allwayshealth.org or call us at 866-643-8392. Do you have questions about your health plan? Virtual visits with a therapist who can evaluate and treat general mental health conditions. With over 30 years of experience, AllWays Health Partners comes from a tradition of innovation, value, and customer service created from the combined strengths of We are excited to incorporate our new brand name on our plan resources and materials, including member ID cards. AllWays Health Partners staff is available at 855-444-4647 Monday-Friday (8:00 AM - 5:00 PM EST, closed 12:00 - 12:45 PM). We are pleased to have a robust network of world-class doctors and hospitals that also extends outside of the Mass General Brigham system. Weve made it easy for you to do business with AllWays Health Partners by organizing popular forms and resources on one page. Lawrence General Hospital. Clinical criteria do not certify coverage availability. Find everything you need to grow your business with AllWays Health Partners. Main Line 781-624-8800; Patient Relations 781-624-8888; Home Healthcare. Non-contracted providers outside of Massachusetts should submit claims to UnitedHealthcare Shared Services. 2022 AllWays Health Partners | 399 Revolution Drive, Somerville, MA 02145 For Medicare Advantage members:Medicare Advantage Prior Authorization and Notification Guidelines (PDF). Will this have any impact to your plan premiums? AllWays Health Partners d/b/a Mass General Brigham Health Plan. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 1-855-444-4647 and follow the prompts. Resources on topics like mental health, caregiving and parenting, and more. You can also email us atcustomerservice@allwayshealth.orgor go toallwaysmember.orgto start a live chat with a Customer Service Professional. Find a Provider. All Ways Caring HomeCare provides affordable expert home care services from caregivers you can trust. Your call, your health records, and what you discuss with the nurse are all private. How to choose a representative to speak for you in case you cant make your own medical decisions. You can browse the medical policies to see the coverage criteria for a specific condition. When deciding coverage, the members specific benefits must be referenced. Submit behavioral healthclaims to Optum. AllWays Health Partners d/b/a Mass General Brigham Health Plan. To verify services under a specific plan or to ask about guidelines not listed here, simply contact Provider Services at 800-462-5449. COVID-19 information Get answers to frequently asked questions about COVID-19: COVID-19 Commercial FAQ; My Care Family COVID-19 FAQ; If you are a Producer with an agency, please call1-877-853-4160or emailbrokers@allwayshealth.orgto confirm if your agency is already registered. AllWays Health Partners d/b/a Mass General Brigham Health Plan. Greater Lawrence Family Health Center Welcome to the provider resource center. AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company Not a member yet? Browse a curated collection of vaccine information for your patients on our COVID-19 vaccine resources page. Many AllWays Health Partners plans include fitness and weight-loss benefits that reimburse members for subscriptions, programs, or activities at qualifying fitness facilities, and up to six months of membership fees at a qualified weight-loss program. Ban balance billing for emergency services, air ambulance, and certain professional services provided by an out-of-network provider at an in-network facility. South Shore VNA; Request a Call; AllWays Health Partners works with the experts at Optum to provide comprehensive mental health and substance use services. In Allies HMO plans, members have access to network benefits only from the providers in the Allies HMO network. HMO Plans for Intermediary Small Group (effective 1/1/23), Allies Choice HMO Plans for Intermediary Small Group(effective 11/1/22) HMO Plans for Intermediary Small Group (effective 1/1/22). The Member Services team is here for you. Cost-sharing for these services must be determined on an in-network basis. Emphasis on products essential to health. Non-Emergency Medically Necessary Ground Transportation Form, Psychological and Neuropsychological Assessment Supplemental Form, Prior authorization form Specialty and Non-Specialty (PDF), Hepatitis C Medications Prior Authorization Form (PDF), MassHealth Notification of Birth Form (NOB-1), Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents, Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts, HIV/AIDS Treatment Information Service Guidelines, Offering Information on HIV/AIDS Treatment, Prevention, and Research, Perinatal Care Guidelines - Massachusetts Health Quality Partners, Adult Preventive Care Guidelines - Massachusetts Health Quality Partners, Pediatric Preventive Care Guidelines - Massachusetts Health Quality Partners, Information for Aetna Signature, PHCS, non-contracted, and Optum providers, uthorization request form for Aetna Signature, non-contracted, and PHCS providers, Information for out-of-network providers: the 2021 No Surprises Act, more information from Clear Health Strategies here, 270/271 Eligibility Benefit Inquiry & Response, 278 Heath Care Services Review Request for Review and Response. Fitness Reimbursement AllWays Health Partners includes AllWays Health Partners, Inc, and AllWays Health Partners Insurance Company The AllWays Health Partners medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered. To contact Optum, call the number on the back of your member ID card. Your basic rights and responsibilities asa member. Look up a covered medication Then, just emailthe documents along with a copy of your Agency's and/or individual MA Producer's license to brokers@allwayshealth.org or fax 617-526-1975. > About Us; Classes & Events; Give; MyChart; Careers; Get Care Today. Our policy for protecting your health information. How to learn more about coverage requests, approvals, and denials. Credit, debit, health savings accounts (HSA) and some insurance accepted. Members newly enrolled through a small employer group who began an active course of treatment for a serious illness prior to enrolling in an Easy Tier Hospital Network plan may be eligible to continue treatment at the lowest member cost-sharing tier (Tier 1). 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