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As a PLUS Plan member, you can use any Massachusetts hospital or doctor you choose. PLUS members can also use contracted medical providers in other New England states (with a Tier 2 level copay) at the same benefit level as with Massachusetts providers. When you use contracted providers, you won't be balance billed. You can also avoid balance billing by using a behavioral health network provider in any state.

You have nationwide coverage with contracted providers for medical care while you travel, plus coverage for your dependents who attend out-of-state schools full time. These contracted providers will not balance bill you for charges over UniCare’s allowed amount.

New Mobile Health app and enhanced member services for July 1, 2018

  • Mobile Health – Our new secure Mobile Health app for smartphones and tablets will help you get the answers you need in real time, on the go. You can easily check the status of your claims, assess your health, get benefits and wellness information, estimate your costs for a procedure, and lots more. When you complete your health assessment in Mobile Health, the app becomes your personalized one-on-one guide to UniCare health and well-being resources, plan communications, and your health. You can use Mobile Health on your computer, too.
  • Enhanced member services – With our new approach to member support, you’ll get personalized help and answers from a health guide when you call UniCare Member Services. This personal approach comes at no extra cost to you – it’s part of your health coverage. Our health guides will listen and work with you to help resolve your issues as quickly as possible, and can connect you to more resources when needed. You can also work with a primary nurse to get one-on-one support to help you reach your health goals, like eating healthier, quitting smoking, or dealing with a health condition.

The value of having a PCP

As with all of our plan options, you don’t need to select a PCP (primary care provider) – but it’s a smart idea. Primary care is designed to keep you well, not just to deliver care when you’re sick or hurt. Your PCP can also help you stay healthy and help you identify possible health issues at an early stage. He or she can coordinate services if you need more extensive care. Because your PCP knows you and your health history, he or she can make decisions and offer guidance based on what’s best and works for you. Learn more.

Learn more about the PLUS plan

Summary of Benefits and Coverage (SBC) – Check the PLUS plan SBC to get an easy-to-understand breakdown of your coverage.

Compare our plans – For help with deciding which of our non-Medicare plans (Basic, PLUS or Community Choice is right for you:

Get an overview of the UniCare State Indemnity Plan and our four health plan options.

PLUS hospital listing – Check this listing to find the tier assignment of a Massachusetts acute care hospital. You pay lower copays when you use a Tier 1 or Tier 2 hospital.

Save with patient-centered primary care providers (PCPs) – You have the freedom to see any primary care provider, but you’ll pay a lower copay ($15) for visits to Massachusetts PCPs who participate in UniCare’s Patient-Centered Primary Care program. The copay for all other PCPs is $20.

Save with Tier 1 and Tier 2 specialists – Basic members can see any primary care provider or specialist. You'll have lower office visit copays for specialty care when you see Tier 1 and Tier 2 specialists in Massachusetts. Get details on our physician tiering program for Basic and our other non-Medicare plans.

View all provider listings for the PLUS plan.

View member handbook for the PLUS plan.


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For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2018 UniCare