Complete HMO is a health plan driven by resources that support your whole health.

Detailed plan information

  • 2023 virtual health fair kit

    Get to know Mass General Brigham Health Plan in the virtual health fair kit. You'll find information about:

    • The benefits of Complete HMO for GIC members 
    • Your plan at a glance, including how tiering works
    • A new virtual wellness website and mental health support platform
    • Covered preventive services, so you know what's covered at no cost

    Download the virtual health fair kit in one handy PDF.

  • Support in transition of care

    If you’re currently 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 care as you join us.

    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).

Resources for GIC members

If you're a new or soon-to-be Complete HMO member, you can find details about your plan below.

New plan overview (effective July 1, 2023)

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/scan 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, 2024

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

GIC Coordinators

Our 2023 GIC coordinator fact sheet is now available. Click here to download.