Effective July 1, 2015

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 FY16FallonDirectSBC.doc

Fallon Health Direct Care pdf format of FY16FallonDirectSBC.pdf

Fallon Health Select Care doc format of FY16FallonSelectSBC.doc

Fallon Health Select Care pdf format of FY16FallonSelectSBC.pdf

Harvard Pilgrim Independence Plan doc format of HPHC_POS_SBCFY16.doc

Harvard Pilgrim Primary Choice Plan doc format of HPHC_HMO_SBCFY16.doc

Health New England doc format of HNESBCfy16.doc

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

Tufts Health Plan Navigator doc format of Tufts_Navigator_SBCFY16.doc

Tufts Health Plan Navigator pdf format of Tufts_Navigator_SBCFY16.pdf

Tufts Health Plan Spirit doc format of Tufts_Spirit_SBCFY16.doc

Tufts Health Plan Spirit pdf format of Tufts_Spirit_SBCFY16.pdf

UniCare State Indemnity Plan/Basic with CIC doc format of UniCareBasicwithCICSBCfy16.doc
file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC doc format of UniCareBasicwithoutCICSBCfy16.doc
file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Community Choice doc format of UniCareCommunityChoiceSBCfy16.doc
file size 2MB

UniCare State Indemnity Plan/PLUS doc format of UniCarePLUSSBCfy16.doc
file size 2MB

At-a-Glance Brochures

To view GIC health plans side by side, see the GIC At-a-Glance brochures.

Health Plan Handbooks

For health plan handbooks, see the individual health plan page.


This information provided by the Group Insurance Commission.