Compare Qualified Health Plans

To see which Qualified Health Plans you may qualify for, you need to first check your eligibility with the Massachusetts Health Connector. You can then choose your plan name below for more information. 

Plan Name Annual Deductible
Individual / Family
Annual Max Out-of-Pocket
Individual / Family
Office Visits
PCP/Specialist
per visit
Prescriptions
Tiers 1/2/3
(30-day supply)
ER
Waived if admitted
Inpatient Hospitalization
Per admission
Platinum
$0/$0* $3,000/$6,000
(Medical, Pharmacy, & Pediatric Dental*)
$20/$40 $10/$25/$50 $150 per visit $500
Gold
$1,000/$2,000* $5,000/$10,000
(Medical, Pharmacy, & Pediatric Dental*)
$25/$45 $20/$30/$50 $150 per visit after deductible

$500 after deductible
Low Gold $2,000/$4,000 (Medical)

$250/$500*
(Pharmacy)
$5,500/$11,000 
(Medical, Pharmacy, & Pediatric Dental*)
$30/$50 $25/$50 after deductible/$100 after deductible  $350 $750 after deductible
Silver A $2,000/$4,000* $7,900/$15,800 (Medical, Pharmacy, & Pediatric Dental*) $30/$55 $25/$50/$75 after deductible $300 per visit after deductible $1000 after deductible
Silver A II
$2,000/$4,000* $7,900/$15,800 (Medical, Pharmacy, & Pediatric Dental*) $30/$55 $25/$50/$75 after deductible $300 per visit after deductible $750 copayment after deductible
Silver B
$3,000/$6,000* $7,900/$15,800 (Medical, Pharmacy, & Pediatric Dental*) $30/$55 $30 copay/35%/35% coinsurance (all after deductible)
$500 per visit after deductible 30% coinsurance after deductible
Bronze $2,750/$5,500* $7,900/$15,800 (Medical, Pharmacy, & Pediatric Dental*) $25/$50 after deductible  $25/$50 after deductible/$100 after deductible  $250 per visit after deductible $750 copayment
per admission after deductible

All preventive services are covered in full. Our plans meet the state mandate for health insurance coverage and offer a variety of cost sharing options to employers.

*See plan document for more information.


$2,000/$4,000*

We're Here to Help

Contact Us