UniCare State Indemnity Plan/PLUS
View member materials for current plan year ending June 30, 2021
Annual Enrollment 2021
Annual enrollment is April 7 – May 5, 2021. We know that choosing a health plan is a big decision. You want to be sure to select the health plan that's best for you and your family.
Here is some information to help you decide which UniCare plan is right for you so you can enroll with confidence.
We'd also like to share a message from UniCare's general manager on what we're doing to improve the lives and health of our members and the communities we serve.
What's New Starting July 1, 2021
If you're a renewing UniCare member, it's always a good idea to check out the plans and see what's changed since last year. Here's what will change on July 1 for the PLUS plan:
- You will have no member cost for your first three telehealth visits with a contracted behavioral health provider each plan year.
- The fitness reimbursement is expanding. In addition to fitness clubs, you will also be eligible to receive reimbursement of up to $100 per family per plan year on other fitness activities such as yoga and Zumba classes, personal trainers, and sports teams.
- Our new Whole Health, Whole You program gives you tools to help you engage with your health, work on lifestyle changes, and connect with specialized health professionals and health coaches, no matter where you are.
- You can access your Whole Health, Whole You benefits from your mobile device with our new Sydney Health mobile app, where you can find everything you need to know about your health plan – personalized and all in one place. You can quickly check your benefits and claims, and view and use your digital member ID card. You can also track fitness activity and explore health topics and wellness programs that spark your interest. Download the Sydney Health app on your mobile device to register. (The Sydney Health mobile app will replace the current Mobile Health Consumer on July 1, 2021.)
The tiers for specialty group practices in Massachusetts will not change on July 1, 2021. So if your doctor stays at the same group practice, his or her tier will remain the same for the new plan year. There will also be no tier changes for Massachusetts hospitals for PLUS plan members on July 1.
Our virtual annual enrollment kit
This kit includes materials to help you learn about UniCare's three non-Medicare plans: Basic, PLUS, and Community Choice, so you can decide which one best fits your needs.
Our short video can also help you choose the plan that's right for you.
Ready to Enroll in UniCare? Here's How.
Your deadline to enroll is May 5, 2021. Enroll in one of our plans on the GIC's website. Use myGICLink to complete and submit your digital enrollment form.
Important! If you're a current UniCare member and would like to stay in the same UniCare plan, you don't have to take any action. Your coverage will continue automatically in the same plan on July 1, 2021.
Benefits:
Provider Listings:
- Find a medical provider
- Find a contracted behavioral health provider
- Acute Care Medical Hospitals in Massachusetts – shows you the tier designations for Massachusetts hospitals
Member Resources:
- Whole Health/Whole You – Our new Whole Health, Whole You program gives you tools to help you engage with your health, work on lifestyle changes, and connect with specialized health professionals and health coaches, no matter where you are.
- Sydney Health App – You can access Whole Health/Whole You from Sydney Health, your personalized app for UniCare resources and plan communications, using a mobile device.
- Mass4YOU Employee Assistance Program (EAP) for active state and municipal employees and their dependents – Check out the many free resources available to you.
- SpecialOffers member discounts – Save on products and services that promote health and well-being.
- How We Tier Specialists – Your office visit copay with specialists depends on the specialist's tier. All specialists within a group practice have the same tier. You can look up your doctor's tier in our Find a Doctor tool.
Also see your GIC Benefit Decision Guide for information, or contact your GIC Coordinator for assistance.
Questions?
Call UniCare Member Services toll free at 877-633-6396 or email us at contact.us@anthem.com.
Benefits Materials
- Member handbook – Detailed information about your plan benefits
- When to Get Preapproval – How and when you need to notify UniCare if you are admitted to the hospital or receive certain healthcare services
- Benefits Summary – Shows you the benefits for many medical and behavioral health services
- Summary of Benefits and Coverage (SBC) – Gives you an easy-to-understand breakdown of your coverage.
- Understanding Your Member Costs – Helpful information about your deductible, copays, coinsurance, and out-of-pocket maximum
- Preventive Care Schedule
- Useful Tips about Your Health Plan – Quick tips on important topics
- Express Scripts National Preferred Formulary List for MA GIC Members – List of drugs included in your prescription drug plan
Providers
- Find a medical doctor
- Find a contracted behavioral health provider
- Acute Care Medical Hospitals in Massachusetts
- LiveHealth Online – Telehealth option that lets you speak with a doctor 24/7 through your smartphone, tablet, or computer with internet access and a camera. During the COVID-19 health emergency, you have no member cost for telehealth services.
- Firefly Health – Virtual-first alternative to traditional primary care for PLUS members in Massachusetts. Visit with your doctor online through video chats and in-app messaging.
Plan Resources
Check our Member Resources page to learn about UniCare resources that offer you convenience support, and savings.
Member Forms
Visit our Member Forms page to download forms such as our fitness club reimbursement form and other health insurance form.
We're here to help
If you have questions about your plan, here's how to contact us.
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