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Massachusetts Health Connector plans

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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

Explore plans

  • 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

Plan overview 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

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