Your Benefits

Select your plan below to see what's covered — including your free extras.

Covered Services

Learn how to take full advantage of your plan benefits — check your benefit documents to see what's covered.

Plan Type Plan Type
Member Handbook  List of Covered and Excluded/Limited Services*
BMC HealthNet Plan Community Alliance Accountable Care Organization Member Handbook Standard
CarePlus
Family Assistance
BMC HealthNet Plan Mercy Alliance
Accountable Care Organization
Member Handbook
Standard
CarePlus
Family Assistance
BMC HealthNet Plan Signature Alliance
Accountable Care Organization
Member Handbook
Standard
CarePlus
Family Assistance
BMC HealthNet Plan Southcoast Alliance
Accountable Care Organization
Member Handbook
Standard
CarePlus
Family Assistance
BMC HealthNet Plan MassHealth MCO Managed Care Organization Member Handbook
Standard (including Special Kids Special Care)
CarePlus
Family Assistance

*These lists are considered part of your Member Handbook.

Covered Services

Learn how to take full advantage of your plan benefits — check your benefit documents to see what's covered.

ConnectorCare Plan Type I Evidence of Coverage Schedule of Benefits
Summary of Benefits and Coverage
ConnectorCare Plan Type II
Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
ConnectorCare Plan Type III
Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
ConnectorCare Zero & Limited Cost Share Select Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
ConnectorCare Zero & Limited Cost Share Silver Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage

You can now estimate costs for common procedures using our Treatment Cost Estimator. This tool shows you the costs covered by your health plan and the portion you would pay based on your plan benefits. This information will help you work with your doctor to make informed decisions about your treatment plan.

Log in to the Member Portal to see treatment costs.

You can also call us at 855-833-8120 (TTY: 711) for a cost estimate, or print the Cost Estimate Worksheet to fill out with your provider. Once the form is completed, you or your provider will need to send it to us for a cost estimate

If you qualify as an American Indian/Native Alaskan you may be eligible to have your cost share (deductible, copay and coinsurance) waived if you:
  • Have an income that is at or below federal standards for cost-share waivers; or
  • Are using a qualified Indian health care Provider for your healthcare services – in which case cost share may be waived when obtaining services from that Provider.

Covered Services

Learn how to take full advantage of your plan benefits — check your benefit documents to see what's covered.

QHP Bronze Evidence of Coverage Schedule of Benefits
Summary of Benefits and Coverage
QHP Silver A Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
QHP Silver A II Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
QHP Silver B Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
QHP Low Gold Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
QHP Gold Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage
QHP Platinum Evidence of Coverage
Schedule of Benefits
Summary of Benefits and Coverage

You can now estimate costs for common procedures using our Treatment Cost Estimator. This tool shows you the costs covered by your health plan and the portion you would pay based on your plan benefits. This information will help you work with your doctor to make informed decisions about your treatment plan.

Log in to the Member Portal to see treatment costs.

You can also call us at 855-833-8120 (TTY: 711) for a cost estimate, or print the Cost Estimate Worksheet to fill out with your provider. Once the form is completed, you or your provider will need to send it to us for a cost estimate

If you qualify as an American Indian/Native Alaskan you may be eligible to have your cost share (deductible, copay and coinsurance) waived if you:
  • Have an income that is at or below federal standards for cost-share waivers; or
  • Are using a qualified Indian health care Provider for your healthcare services – in which case cost share may be waived when obtaining services from that Provider.

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