Our GIC coordinator fact sheet is now available.
Click here to download.
The Complete HMO for GIC members
For more than 35 years, the plan your coworkers trust.
Your health plan for every day's moments
Open enrollment is here. It's time to choose a health plan that fits your life. Learn more about the benefits of the Complete HMO plan and how it can help you live happier and healthier.
Search providers and tiers
A broad provider network helps you get the care you need, when and where you want it. It includes more than just Mass General Brigham providers.
Covered benefits and services
- Schedule of Benefits (PDF)
- Summary of Benefits and Coverage (PDF)
- Member Handbook (PDF)
2025 virtual health fair kit
Need help with the transition of your care?
If you’re receiving care for a certain condition, have plans to see a specialist later this summer, or need prescriptions that require authorization (including for infusions or durable medical equipment), we can help ensure you continue to receive ongoing care.
Let us know as soon as possible if you or a family member have care that needs to continue with your new plan by completing and sending this form (also available en español) to us by email, mail, or fax. You can also call us at 866-567-9175 (TTY users call 711).
Complete HMO for GIC members plan overview (effective July 1, 2025)
| Benefit | Cost sharing |
| Medical deductible | $500 Individual/$1,000 Family |
| Out-of-pocket maximum (includes medical, pharmacy, and behavioral health) | $5,000 Individual/$10,000 Family |
| Primary care provider office visit | $10/$20/$40 copay |
| Specialist office visit | $30/$60/$75 copay |
| 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 three visits) |
Benefit information good through June 30, 2026
Benefits must be received by a participating provider unless otherwise indicated.
GIC coordinators
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company