Effective July 1, 2016

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_FY17_SBC_Direct.doc

Fallon Health Select Care doc format of Fallon_FY17_SBC_Select.doc

Harvard Pilgrim Independence Plan docx format of HPHC_FY17_SBC_POS Independence.docx

Harvard Pilgrim Primary Choice docx format of HPHC_FY17_SBC_HMO Primary.docx

Health New England doc format of HNE_SBC_FY17.doc

Health New England pdf format of HNE_SBC_FY17.pdf

NHP Prime Neighborhood Health Plan docx format of NHP_FY17_SBC.docx

Tufts Health Plan Navigator docx format of TuftsNavigator_FY17_SBC.docx

Tufts Health Plan Navigator pdf format of TuftsNavigator_FY17_SBC.pdf

Tufts Health Plan Spirit docx format of TuftsSpirit_FY17_SBC.docx

Tufts Health Plan Spirit pdf format of TuftsSprit_FY17_SBC.pdf

UniCare State Indemnity Plan/Basic with CIC docx format of UniCareBasicCIC_FY17_SBC.docx
file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC docx format of UniCareBasic_noCIC_FY17_SBC.docx
file size 2MB – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Community Choice docx format of UniCareCommunityChoice_FY17_SBC.docx
file size 2MB

UniCare State Indemnity Plan/PLUS docx format of UniCarePLUS_FY17_SBC.docx
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.