GIC MEMBERS

Welcome

Welcome members of the Commonwealth of Massachusetts Group Insurance Commission (GIC). Here you can find important information about your health plan from Health New England.

Centered Care

A program that seeks to improve health care coordination and quality while reducing costs. Primary Care Providers play a critical role in helping their patients get the right care at the right place with the right provider.

Why must you choose a Primary Care Provider?

Choosing a Primary Care Provider (PCP) is the first and most important decision you must make when you join Health New England. Your PCP is the first person you should call when you need medical care. Your PCP is responsible to coordinate all of your non-emergency health care needs. Having a PCP can give you a trusting, ongoing relationship with someone that will be involved in your care for a long time.

As a member of GIC, you are required to select a PCP. Here are two options to help you select a new PCP:
  1. Visit the Member Portal to access your account or to register if you haven’t already done so. Search our Provider Directory and select a new PCP online in the Member Portal. 
    • If you already have a PCP, please log in to the Member Portal to add your PCP’s information.
    • If you don’t have a PCP yet, please select one from our Provider Directory in the Member Portal.
  2. Call Member Services at (413) 787-4004 or (800) 310-2835 (TTY: (800) 439-2370), Monday - Friday, 8:00 a.m. to 6:00 p.m. Our representatives can provide up-to-date information on PCPs in your area.

Semi-Annual Notice of Changes

Health New England is making some changes to your Plan. This amendment outlines changes to certain benefits and programs that are part of the standard benefit plan. Please read the information carefully and keep it with your membership materials for future reference.

Summary of Benefits Documents

Employees/Retirees without Medicare

Member Handbook (Effective 7/1/16)
Member Handbook (Effective 7/1/17)
Chart of Benefits (Effective 7/1/16)
Chart of Benefits (Effective 7/1/17)
Summary of Benefits and Coverage (Effective 7/1/16)
Summary of Benefits and Coverage (Effective 7/1/17)

Medicare Enrolled Retirees

Member Handbook (Effective 7/1/16)
Member Handbook (Effective 7/1/17)
Chart of Benefits (Effective 7/1/16)
Chart of Benefits (Effective 7/1/17)

Tier 3 Formulary

Abbreviated Tier 3 Formulary