Effective July 1, 2014

As required by federal health care reform, this document provides a summary of a GIC plan’s benefits and cost-sharing requirements.  View and print all GIC SBCs.

Fallon Health Direct Care doc format of    Fallon_Direct_sbc_FY15

Fallon Health Select Care doc format of    Fallon_Select_sbc_FY15.doc

Harvard Pilgrim Independence Plan doc format of    HPHC_Independence_SBC_FY15.doc

Harvard Pilgrim Primary Choice Plan doc format of    HPHC_PC_SBC_FY15.doc

Health New England doc format of    Health New England Active Handbook FY15

NHP Care Neighborhood Health Plan doc format of    NHP Care Neighborhood Health Plan

Tufts Health Plan Navigator doc format of    Tufts_navigator_sbc_FY15.doc  pdf format of Tufts_navigator_sbc_FY15.pdf

Tufts Health Plan Spirit doc format of    Tufts_spirit_sbc_FY15.doc  pdf format of Tufts-spirit_sbc_FY15.pdf

UniCare State Indemnity Plan/Basic with CIC doc format of    FY15_SBC_UniCare_Basic_withCIC.doc  file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic with CIC doc format of    fy14sbcunicarebasiccicpool2.doc  file size 2MB – GIC RMTs (Retired Municipal Teachers) and EGRs

UniCare State Indemnity Plan/Basic without CIC doc format of    FY15_SBC_UniCare_Basic_withoutCIC.doc  file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC doc format of    fy14sbcunicarebasicnocicpool2.doc  file size 2MB – GIC RMTs (Retired Municipal Teachers) and EGRs

UniCare State Indemnity Plan/Community Choice doc format of    FY15_SBC_UniCare_CC.doc  file size 2MB

UniCare State Indemnity Plan/PLUS doc format of    FY15_SBC_UniCare_PLUS.doc  file size 2MB