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Benefits Information

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

Summary of Benefits and Coverage (for 2018-2019 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 2018-2019 – View information about your health plan benefits starting July 1, 2018, 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 2018) – Look up details about what's covered and other Plan information in your Member Handbook.

Benefit descriptions (Rev. July 2018) – View benefit descriptions of certain Plan benefits that members often ask about. These descriptions give you detailed information about benefits and coverage for these selected services available under the UniCare State Indemnity Plan, such as preventive care and durable medical equipment (DME).

View materials on understanding your member costs (copays, deductible and coinsurance), along with other helpful plan information.

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. © 2018 UniCare