Compare Qualified Health Plans for 2019
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* (Medical) | $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 per visit after deductible | $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 after deductible/$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..