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Not yet a member? Call (844) 794-0231, TTY: 711
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Mass Advantage logo and a blue bar with the text 'A Medicare Advantage Plan'.

Not yet a member?
Call (844) 794-0231, TTY: 711

Request Information

Already a member? Call Member Services
For HMO Members: (844) 918-0114
For PPO Members: (844) 915-0234
TTY: 711

Calls to these numbers are free. From October 1 to March 31, you can call us 7 days a week from 8 am to 8 pm EST. From April 1 to September 30, you can call us Monday through Friday from 8 am to 8 pm EST. A messaging system is used after hours, weekends and on federal holidays.

ENROLL NOW MEMBER LOGIN PROVIDER LOGIN
  • Home
  • Provider/Pharmacy Lookup
  • Become a Member
    • Compare and Shop Our Plans
    • Meet With Us
    • New to Medicare
    • Request Information
  • For Members
    • Pharmacy Benefits
    • Vaccine Coverage
    • Additional Benefits
    • Documents and Forms
    • Meet with Us
    • Member Navigators
    • News and Updates
  • For Providers
    • Provider Manual
    • Forms and Resources
    • Benefits & Payment Policies
    • Updates and News
    • Join Our Network
  • For Brokers
    • Become a Broker
    • Broker Resources
    • Request Broker Materials
  • About Us
    • Meet the Team
    • Committed to Quality
    • Careers
  • Contact Us
  • Members
  • Become a Member
  • For Providers
  • For Brokers

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  3. Broker Resources

Broker Resources

Sales and enrollment documents, forms and resources for Mass Advantage brokers 

REQUEST BROKER MATERIALS
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Documents and Forms Library

All the Mass Advantage materials you need for successful selling and enrollments are right here.

View or Download These Materials

Benefits Information

Basic (HMO)

Mass Advantage Basic (HMO) Summary of Benefits

Mass Advantage Basic (HMO) Evidence of Coverage

Plus (HMO)

Mass Advantage Plus (HMO) Summary of Benefits

Mass Advantage Plus (HMO) Evidence of Coverage

Premiere (PPO)

Mass Advantage Premiere (PPO) Summary of Benefits

Mass Advantage Premiere (PPO) Evidence of Coverage

Extra (PPO)

Mass Advantage Extra (PPO) Summary of Benefits

Mass Advantage Extra (PPO) Evidence of Coverage

Quick Access to Forms and Documents

View complete Enrollment Kit

Scope of Sales Appointment Confirmation Form

Plan Comparison Guide

Enrollment Request Form

Pre-Enrollment Checklist

Members Documents and Forms Library

Broker of Record

Financial Materials

W-9 Form

Electronic Funds Transfer (EFT) Form

Questions?

We’re standing by to assist whenever you need support. 

brokers@MassAdvantage.com

(774) 701-1411

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Worcester, MA 01606

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Call (844) 794-0231, TTY:711
Calls are answered by licensed agents

Hours of Operation

October 1 to March 31, 7 days a week from 8 am to 8 pm EST. April 1 to September 30, Monday through Friday from 8 am to 8 pm EST.​

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Last Updated 10/06/2025