Effective July 1, 2017

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 docx format of Fallon_Direct_FY18_SBC.docx

Fallon Health Select Care docx format of Fallon_Select_FY18_SBC.docx

Harvard Pilgrim Independence Plan docx format of HPHC_IndependencePOS_FY18_SBC.docx

Harvard Pilgrim Primary Choice docx format of HPHC_PrimaryChoiceHMO_FY18_SBC.docx

Health New England docx format of HNE_FY18_SBC.docx

Health New England pdf format of HNE_FY18_SBC.pdf
file size 1MB

NHP Prime Neighborhood Health Plan docx format of NHP_PrimeHMO_FY18_SBC.docx

Tufts Health Plan Navigator pdf format of Tufts_Navigator_FY18_SBC.pdf

Tufts Health Plan Navigator docx format of Tufts_Navigator_FY18_SBC.docx

Tufts Health Plan Spirit pdf format of Spirit SBC- FY18- Final_B.pdf

Tufts Health Plan Spirit docx format of SBC-Spirit-44799.docx

UniCare State Indemnity Plan/Basic with CIC docx format of FY18_SBC_UniCare_Basic_withCIC_FINAL.docx
 – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic with CIC pdf format of FY18_SBC_UniCare_Basic_withCIC_FINAL.pdf
 – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC docx format of FY18_SBC_UniCare_Basic_withoutCIC_FINAL.docx
– Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC pdf format of FY18_SBC_UniCare_Basic_withoutCIC_FINAL.pdf
– Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Community Choice docx format of FY18_SBC_UniCare_CC_V6_FINAL.docx

UniCare State Indemnity Plan/Community Choice pdf format of FY18_SBC_UniCare_CC_FINAL.pdf

UniCare State Indemnity Plan/PLUS docx format of FY18_SBC_UniCare_PLUS_FINAL.docx

UniCare State Indemnity Plan/PLUS pdf format of FY18_SBC_UniCare_PLUS_FINAL.pdf

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.