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New for 2021

Learn about the 2021 Complete HMO for GIC members plan. This fact sheet provides an overview of AllWays Health Partners and the value we offer to GIC members. 

Download fact sheet 

For a quick overview of the value AllWays Health Partners brings to GIC members, watch this brief video.

2021 Complete HMO for GIC Members

  • The smart choice
    • Coverage that is equal to—or better than—other plans
    • Provider network that competes with other local carriers and includes world-class doctors, specialists, and hospitals
    • With our new member welcome program, switching to AllWays Health Partners is easy
    • AllWays Health Partners is one of the first health plans in the country to have peer recovery coaches on staff
  • Plan overview (effective July 1, 2021)
    Benefit* Cost sharing
    Medical Deductible
     
    $500/$1,000
     
    Maximum Out-of-Pocket
    (includes medical, pharmacy, and behavioral health)
     
    $5,000/$10,000
     
    Primary Care Provider Office
    Visit Copay
     
    $20
     
    Specialist Office Visit Copay
     
    $30/$60
     
    Emergency Room (emergency care covered at any hospital
    emergency room)
    $100 and then deductible
    Inpatient Medical Care
     
    $275 and then deductible
     
    Outpatient Surgery at a Freestanding
    Ambulatory Care Center
    (for non-preventive colonoscopies, endoscopies,
    and eye surgeries)
     
    $150 copayment and then deductible
     

    Outpatient Surgery
    (plus hospital based
    non-preventive colonoscopies, endoscopies, and eye surgeries)

    $250 and then deductible
     
    High-tech Imaging
     
    $100/scan and then deductible
     
    Virtual Urgent Care / On Demand $15
    Telemedicine through PCP or Specialist $15 or $30/$60
    New in 2021! Telemedicine for Mental Health Care or Substance Use Care copay $0 member cost sharing for
    first three vists, then $15

    Benefit information good through June 30, 2022

    *Benefits must be received by a participating provider unless otherwise indicated
  • Network information

    To look up specific providers, check our DoctorSmart search tool.

    Our network competes with other Massachusetts-based GIC plans. The AllWays Health Partners network includes world-class hospitals like Massachusetts General Hospital, Beth Israel Deaconess Medical Center, MetroWest Medical Center, Brigham and Women’s Hospital, Lahey Hospital and Medical Center, Saint Vincent Hospital, Beth Israel Deaconess Hospital-Plymouth, UMass Memorial Medical Center, and many more throughout the state.

    Optum, the largest behavioral health network in the U.S., is AllWays Health Partners’ behavioral health partner.

  • Programs available to GIC members
    • iHeart Champion program helps members reduce their bad cholesterol, blood pressure, and risk of heart attacks-all without the need for office visits.
    • A full suite of healthy living programs, including live interactive webinars, videos, a health library, blogs, online communities, and more
    • Access to health coaches by phone or email at no additional cost
    • Fitness benefit of up to $150 for the subscriber and up to $150 for another covered family member — now with virtual fitness subscriptions — and includes SplitFit. SplitFit offers instructor-led live virtual training featuring top fitness instructors. Terms and conditions apply. See splitfit.com/allwayshealth for offer details.
    • Special programs for babies and expecting moms
    • Childbirth education classes, breastfeeding classes, and a free breast pump
    • Eyewear discounts powered by EyeMed
    • Quit for Life nicotine cessation program with 1x1 support from a tobacco treatment specialist
  • Download resources

    2021 GIC Fact Sheet

    Printable copy of our Coordinator Resource Guide - Everything you need to talk to your members about the AllWays Health Partners Complete HMO - Coming soon!

    Virtual 2021 health fair kit – for GIC members interested in learning about AllWays Health Partners.


    Schedule of Benefits

    Download Schedule of Benefits (PDF)

    New Schedule of Benefits effective July 1, 2021 coming soon


    Summary of Benefits and Coverage

    Download Summary of Benefits and Coverage (PDF)
    New Summary of Benefits effective July 1, 2021 coming soon


    Member handbook

    Download current member handbook
    New Member handbook effective July 1, 2021 coming soon

  • Mental health resources available to GIC members

    Getting help in times of uncertainty and crisis

    GIC members have resources available through the Mass4YOU employee assistance program benefit. Learn more.

Get answers about our GIC plan

Call our dedicated GIC Customer Service number at 866-567-9175. We’re open Monday through Friday from 8:00 AM to 6:00 PM and Thursday from 8:00 AM to 8:00 PM.

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