- Lower-cost, limited-network plan — save on your premium.
- Available if you live in Massachusetts (excluding Martha’s Vineyard, Barnstable County and Nantucket residents).
- Choose a Primary Choice PCP to deliver and arrange for your care, including referrals to specialists.
Make sure your providers and hospitals participate; many – but not all –of Harvard Pilgrim’s providers and hospitals participate in the Primary Choice network.
Some Primary Choice providers have admitting privileges at more than one hospital, including hospitals that do not participate in the Primary Choice network. Before any tests or appointments, you must make sure any providers and hospitals you go to for care participate in the Primary Choice network. If you go to a non-participating provider or hospital (except in medical emergencies), you will not be covered and the plan will not pay for your care.
About the Primary Choice Plan
effective July 1, 2019
- What you need to know
- Summary of Benefits
- Schedule of Benefits
- Benefit Handbook
- Summary of Benefits and Coverage (SBC)
- Enrollment area
Prescription Drug Coverage
The GIC provides prescription drug coverage through Express Sctipts. Visit www.express-scripts.com/gicrx or call (855) 283-7679 for more information.