bit.ly/gicforms. Password: Forgot Password? 1 0 obj PLAN/PLUS TUFTS HEALTH PLAN NAVIGATOR FALLON HEALTH SELECT CARE HARVARD PILGRIM INDEPENDENCE PLAN PRODUCT TYPE INDEMNITY PPO-TYPE POS HMO POS PCP Designation Required? Tufts Health Plan Spirit and Tufts Navigator retiring As we've detailed in our Point32Health Integration FAQ , Tufts Health Plan's Commercial members have begun migrating to Commercial Harvard Pilgrim products as Point32Health's Commercial markets move toward a more unified product portfolio, with transitions occurring on products . You pay lower copayments for office visits to specialists and for inpatient hospital care when you use Tier 1 providers in the Spirit network. Tufts Medical Center $500 endobj 3 0 obj This Member Handbook describes the Spirit Health Plan and the benefits Spirit Members have for Covered Services. Remember My Email ? We are not able to remove special requirements in all cases, but each . %PDF-1.7 Spirit by Tufts Health Plan ("Spirit"). Overall rating 3.9 Based on 404 reviews 3.8 We are pleased you have chosen this Preferred Provider Option (PPO) plan. @!N>;d5+neuu'>_K9]KWlb|_6-o9:8h\O?~QK+k7~#mnRn"Z7|/s+O{zr :[ e&J[2anFk'b/kVJTy[)Gqt%p~z,%?'!?t\^; D@p R/]Q |i6A-e[J\ ^O_dbO$7pDRU[i3cVh?n/sn`+Vv]^W"%be+1C{ pXMH 'Mn/d _)n_xi]@DgoDw17fyEcwW/H0xR>!w2M^^n3_@t^;Z1cxcMmgyFZ9Xj4#|@Z(04 only health care services obtained within the Tufts Health Plan Spirit network are covered. <> In-network coverage onlythere are NO out-of-network benefits, except as described below under "How this plan works." 4 0 obj Forgot Email Address? Updated: February 2022 Cigna has a strategic alliance with Tufts Health Plan to offer CareLink, an Open Access Plan (OAP). You can also ask us to remove a special requirement by requesting an "exception". X9So>&veE?&+IB{xX3|8-n$l \/Y8^l/ vq/7Ux! sh. As communicated in the GIC Navigator and Spirit Plan Updates article, effective July 1, 2020, there will be no change to existing provider or hospital system tiers; however, any change to a provider or hospital . Please enter your Email Address so we can identify you. <> Your EOC includes information on how to request an exception. Provider Portal Account Login. Medical and Behavioral Health Plan - Tufts Health Plan administers Navigator, which provides the medical and behavioral health/substance use disorder benefits described in this Member Handbook. No No Yes Yes Yes Out-of-pocket Maximum Individual coverage Family coverage $5,000 $10,000 $5,000 $10,000 $5,000 $10,000 . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R 13 0 R 19 0 R 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> bit.ly/mygiclink. Provider Login. LOGIN. product's full name, such as "Tufts Health Plan Spirit" or "Tufts Health Plan Navigator," and not just "Tufts Health Plan." Your health insurance carrier is the best source for this information. <>/Metadata 943 0 R/ViewerPreferences 944 0 R>> Tufts Health Plan Spirit offers the same benefits as the Navigator plan, with several important differences: A lower premium than Navigatoryour monthly premium cost will be 20% lower. Tufts Health Plan scored higher in 10 areas: Overall Rating, Culture & Values, Diversity & Inclusion, Work-life balance, Senior Management, Compensation & Benefits, Career Opportunities, CEO Approval, Recommend to a friend and Positive Business Outlook. Password Forgot? Register Here. Don't have an account yet? 9x.\[HuQy`Qt/IlX2b8y=2#JnWQR/$HIRvSf-rB&@?0l|N7UHv SRZ#&q<>LSz\?.Uy"+ c3m^6Y)d'mfI*,(ppd2L=Ko5!T iMPr,pz?M5}Hz 3H&QHKM\N6VRV]J-SLRxE+,IQ4wVmxe(X0N bit.ly/gicturning65. Call Member Services or check your Evidence of Coverage (EOC) for details on what you can do to get coverage for the drug. bit.ly/gicnewhires. bit.ly/giclifeevents. No No Yes Yes Yes PCP Referral to Specialist Required? About This Plan's Deductible Annual deductible: Plan members must pay an annual deductible of $400 per . 2 0 obj Username Forgot? endobj Find information about the different non-Medicare health plans the GIC offers and choose the health plan that best fits your needs for benefits effective July 1, 2022 - June 30, 2023. Created 05/2020 1 GIC Navigator and Spirit Tiering Information . mass.gov/gic Your patients who have ID cards that display the CareLink logo are able to access care through the Tufts Health Plan network of providers in Massachusetts and Rhode Island. Email Address: This is the email address you used to sign up for your secure account. Learn more about GIC prescription drug benefits below. A network with fewer participating health care providers and hospitals. Tufts Health Plan Spirit offers the same benefits as the Navigator plan, with several important differences: A lower premium than Navigator A network with fewer participating health care providers and hospitals. % x][~7 }E;qs,i[{xaHJK nuU,,>/Y>?ryn}~q_\?a67OyO~[vOfY|| "cYUY5ye'WBmve[}/lO^iB({q?hh[Ef/Wb\z% }1!#jiBz/K(h\y|SU^W!=,.C{"oz}s-Wn/.:zeYp5H^COf?t~M}?Yc$|M+w,WKpZ/[G(!/_'3`|3sF1MpH[UybC Register here. stream endobj Not a registered member yet? All GIC non-Medicare health plans include prescription drug benefits. We look forward to working with you to help you meet your health care needs.

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