Save Money by Using Tier 1 and Tier 2 Physicians

This information applies to non-Medicare members only.

Our Basic, PLUS and Community Choice Plans offer you lower office visit copays when you use Massachusetts physicians who have been designated as "Tier 1" or "Tier 2."

To help you make more informed choices about your health care options and to control your premium costs, the Group Insurance Commission’s (GIC) Clinical Performance Improvement (CPI) Initiative includes a physician tiering program.

Under this program, Massachusetts physicians are assigned to tiers based on an evaluation of quality and/or cost-efficiency measures for physicians. Based on whether a physician has met certain quality benchmarks, as well as a comparison of a physician’s cost-efficiency score with that of his/her peers in the same specialty, individual physicians are assigned to one of three tiers.

Check Your Physician’s Tier Designation – Use our physician tier listing to find out if your physician is a Massachusetts Tier 1 or Tier 2 physician and search for Tier 1 and Tier 2 physicians in your area. Tier 1 physicians are indicated with three asterisks (***); Tier 2 physicians are indicated with two asterisks (**). You can see any physician; however, you will have lower office visit copays when you see Massachusetts Tier 1 and Tier 2 physicians.

View current physician tiering information.