A health plan integrated with a world-renowned healthcare system

 

Mass General Brigham Health Plan Complete HMO is a health plan focused on members. We have proudly served GIC members and their communities for over 35 years. We leverage our expertise to offer members innovative care options that help them be their healthiest self.

The Complete HMO for GIC members includes:

  • Access to a broad provider network that includes world-class Massachusetts hospitals
  • A member welcome program that makes switching to Mass General Brigham Health Plan easy
  • Coverage for preventive and wellness services at $0 cost sharing
  • Behavioral health support that includes the Optum network and Lyra Health mental health support platform
  • Personalized support for healthy living goals through our wellness platform

Plan information

  • Network information

    To look up specific providers, access our provider search tool.

    Our network competes with other Massachusetts-based GIC plans. 

    World-class Massachusetts hospitals are in-network—giving members access to some of the nation’s leading academic medical centers and specialty hospitals. The network includes a vast list of providers outside of the Mass General Brigham system.

    Optum, one of the largest behavioral health networks in the U.S., is Mass General Brigham Health Plan’s behavioral health partner. Members also have access to Lyra Health, a mental health support platform with virtual and in-person options, including self-service tools, mental health coaching, therapy, and medication management.

  • Coverage for GIC members
    We want members to get the most value out of their plan. Here are some ways members can use their plan no matter what their level of health.
    • Fitness reimbursement up to $150 for individual coverage or $300 for family coverage per calendar year (terms and conditions apply) 
    • Discounted eyewear powered by EyeMed
    • Quit for Life nicotine cessation program with 1x1 support from a tobacco treatment specialist
    • Up to $130 reimbursement for childbirth education
    • Reimbursement for breastfeeding classes
    • Discounts or partial reimbursements on bike helmets
    • Free one-on-one health coaching available via phone or text
    • Care management programs for members who need a high level of support for complex care

Plan overview (effective July 1, 2024)













Benefit Cost sharing
Medical deductible $500 / $1,000
Out-of-pocket maximum (includes medical, pharmacy, and behavioral health) $5,000 / $10,000
Primary care provider office visit copay $10 / $20 / $40
Specialist office visit copay $30 / $60 / $75
Behavioral health office visit $10 copay
Emergency room (emergency care covered at any hospital emergency room) $100 copay then deductible (copay waived if admitted)
Inpatient acute medical care $275 copay then deductible / $500 copay then deductible / $1,500 copay then deductible
Outpatient surgery at a freestanding ambulatory surgical center (for non-preventive colonoscopies, endoscopies, and eye surgeries) $150 copay then deductible
Outpatient surgery (plus hospital based non-preventive colonoscopies, endoscopies, and eye surgeries) $250 copay then deductible
High-tech imaging $100 copay then deductible
Telemedicine through On Demand urgent care, PCP, or Specialist $10 copay
Telemedicine for mental health care or substance use care $10 copay (waived for first 3 visits)

Benefit information good through June 30, 2025

Benefits must be received by a participating provider unless otherwise indicated.

Get answers about your GIC plan

Call our dedicated GIC Customer Service number at 866-567-9175. (TTY users call 711.) We’re open Monday through Friday from 8 a.m. to 6 p.m. and Thursday from 8 a.m. to 8 p.m.