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Benefits Information

Health plan options – Get an overview of the UniCare State Indemnity Plan's different health plans.

Summary of Plan Benefits – These summaries show the plan benefits for many medical and behavioral health services. (For a complete and detailed description of benefits and Plan provisions, see your member handbook.)

Summary of Benefits and Coverage (for 2019-2020 coverage) – Federal Health Care Reform requires health plans to have a Summary of Benefits and Coverage (SBC) for each of its plans ready for members. This document gives you an easy-to-understand breakdown of your coverage. These standardized SBCs follow the same format, so you can easily compare plans side-by-side.

Member materials for 2019-2020 – View information about your health plan benefits starting July 1, 2019, and when you need to notify UniCare before you receive certain services. You’ll also find links to plan resources like our new Mobile Health app and member discounts, as well as member forms.

Member handbooks (Rev. July 2019) – Look up details about what's covered and other Plan information in your Member Handbook.

Ever feel confused by your health plan? (for non-Medicare members only) – Get help with understanding the difference between copays, deductibles and coinsurance and when you need to pay them.

Your member costs at a glance (for non-Medicare members only) – Find out your member costs for some common medical services.

Express Scripts National Preferred Formulary List for Massachusetts Group Insurance Commission – This formulary is the list of drugs included in the prescription drug plan for Basic, PLUS and Community Choice members. It does not apply to Medicare Extension members.

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For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2000-2020 UniCare.