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Massachusetts Health Connector plans

It's time for a health plan with benefits like common sense

Find the right plan for you based on costs and network.

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Network guide: HMO vs. PPO

To help you make the right choice for you and your family, here's a quick guide to the differences between our HMO and PPO Plus plans.

HMO

In-network coverage only
Premiums may be lower with HMO plans
Your PCP coordinates your care
You need referrals for specialty care and certain services

PPO Plus

In- and out-of-network coverage
Premiums may be higher with PPO plans
PCP is recommended but not required
No referrals necessary for specialty care

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Complete plans
Complete plans provide full access to our world-class HMO or PPO Plus networks. To view PPO Plus cost sharing for out-of-network providers (PCPs and specialists), check plan details.

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(D) = Deductible must be met first, then copayment or coinsurance may apply.
* = Only available to individuals and families
** = Only available to small groups
ConnectorCare Plans
ConnectorCare plans are high-quality, affordable plans for families and individuals who qualify for subsidized insurance.

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Zero cost sharing plan for American Indians and Alaska Natives with incomes up to 300% FPL

Complete HMO $0

Benefit details

Search for covered drugs in our Formulary

See the 6-Tier drug list here

Looking for 2019 plans?

See plans here

Information about 2020 rate increases

Read information about 2020 rate increases here.

Member Handbooks