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.
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.
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.