Summary of Benefits and Coverage for Active and Retired State and Municipal Employees without Medicare

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

Effective July 1, 2017

Fallon

Fallon Health Direct Care

Fallon Health Select Care

Harvard Pilgrim Health Care

Harvard Pilgrim Independence Plan

Harvard Pilgrim Primary Choice

Health New England

Health New England (pdf)

Neighborhood Health Plan

NHP Prime Neighborhood Health Plan

Tufts Health Plan

Tufts Health Plan Navigator (pdf)

Tufts Health Plan Spirit (pdf)

UniCare

UniCare State Indemnity Plan/Basic with CIC (pdf) – Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Basic without CIC (pdf)– Employees, Retirees, and Survivors

UniCare State Indemnity Plan/Community Choice (pdf)

UniCare State Indemnity Plan/PLUS (pdf)

At-a-Glance Brochures

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

Health Plans Handbooks

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

Benefit Decision Guides

To help make an informed decision, view the benefit decision guides.

 

 

Feedback

Tell us what you think