GIC Medicare Health Plan Options

Health New England MedPlus
Eligibility
Plan Contact Information
Plan Service Area

Plan Overview
Health New England MedPlus (formerly known as MedRate) is a Medicare HMO option that requires members to select of a Primary Care Physician (PCP) to manage their care; referrals to specialists are not required.  With an HMO, you receive care through the plan’s network of doctors, hospitals, and other providers.  There are no out-of-network benefits, with the exception of emergency and urgent care.   Contact the plan to see if your provider is in the network. 


Benefits

Physician Office Visit and Preventive Care
100% after $10 per visit

Outpatient Mental Health and Substance Abuse Care
100% after $10 per visit

Inpatient Hospital Care
100%

Inpatient and Outpatient Surgery
100%
:
Emergency Room
100% after $50 co-pay per visit (waived if admitted)


Prescription Drug Co-payments
Retail up to 30-day supply:                    Mail Order up to 90-day supply:
Tier 1: $10                                                  Tier 1:   $20
Tier 2: $20                                                  Tier 2:   $40
Tier 3: $40                                                 Tier 3:   $120

Eligibility
Retirees, Retired Municipal Teachers (RMTs), Elderly Governmental Retirees (EGRs), survivors, and their eligible dependents  with Medicare  Part A and Part B are eligible.  Members  must live in the plan’s service area.

Service Area
Health New England MedRate is available in the following Massachusetts counties:
Berkshire, Franklin, Hampden, Hampshire

Health New England MedRate is partially available in the following Massachusetts county:
Worcester

The Plan may not be available in every city and town in this county.  Call the plan for details.
                    
Monthly Rates as of July 1, 2008

Plan Contact Information
Contact the plan for additional information on participating providers and benefits.

Health New England MedRate
1.800.842.4464