The 2017-2018 plan year for Harvard Pilgrim and the Group Insurance Commission’s (GIC’s) Primary Choice HMO and Independence Plan POS begins on July 1, 2017. Any updates to provider tier assignments for these products will take effect on that date.
For the 2017-2018 plan year, Harvard Pilgrim made some changes to our physician tiering methodology, performing tiering at the physician group level for our GIC plans. Previously, tiering was performed at the individual provider level. This change creates greater consistency for patients receiving care from PCPs and specialists within the same provider group.
For additional product details, please refer to the GIC Primary Choice HMO and GIC Independence Plan POS product pages in Harvard Pilgrim’s online Provider Manual. For provider tiering information, please visit our provider GIC 2017-2018 Plan Year webpage.