What is a Qualified Health Plan?
A Qualified Health Plan (QHP) is a health insurance program available through the Massachusetts Health Connector. Qualified Health Plans meet minimum coverage standards and make it possible for Massachusetts residents to get quality, affordable health coverage for themselves and their families.
Depending on your income and family size, you may get help paying your monthly premium costs and the costs you pay for healthcare services.
To choose one of our Qualified Health Plans, you must live in the service area for that plan
Your choice of doctors and hospitals depends on where you live and which plan you pick.
- See service area map and provider listings for Silver plans.
- See service area map and provider listings for Bronze, Gold and Platinum plans.
What do BMC HealthNet Plan Qualified Health Plans cover*?
When you select a plan, you get access to BMC HealthNet Plan’s provider network for that plan. Your plan will cover:
- Doctor visits for preventive care
- Specialist visits
- Treatment at hospitals
- ER visits when you have an emergency
- Care before and after your baby is born
- Well-care for your child
- Extra help for special conditions like asthma and diabetes
- Mental health and substance abuse services
Our Member Extras
Our members can get and stay healthy by taking advantage of Member Extras including:
- Money back for participating in Weight Watchers® or a qualifying health club
- Discounts on eyewear
To learn more about what medical services are covered, review our policies.
*Please see the current year's Qualified Health Plan Evidence of Coverage and Schedule of Benefits for specific information on each plan, including your covered benefits; exclusions; any restrictions to services, benefits or the provider network; and a summary of pharmaceutical management procedures. Learn more about available providers or a summary of utilization management procedures. Please see Your Privacy for our privacy policies.
Are you an American Indian/Native Alaskan? If so, please click here.NEXT STEP: Learn how to apply
Care that helps you stay healthy, like flu shots and wellness visits or diabetes or cancer screening. Your doctor will help coordinate all your healthcare.Close
A doctor who has extra training in an area of medicine, such as cardiology, dermatology, or pediatrics.Close
Deductibles, copays, and coinsurance may be waived for American Indians/Native Alaskans if:
Annual income is at or below federal standards for cost-share waivers; or
Healthcare services are provided by a qualified Indian health care provider
If you are an American Indian/ Native Alaskan with an income that is at or below federal standards for cost-share waivers, click here to see what your benefits and the costs of services would look like.
Please note: If you are American Indian/ Native Alaskan who is NOT at or below the federal standards for cost share waivers, you can still have your cost-share waived if you get services from a qualified Indian healthcare provider.Close