Massachusetts Health Connector plans

It's time for a health plan with benefits like common sense. Find the right plan for you based on costs and network.

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 2027 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.

View 2026 Health Connector plans.

 

Plan nameAnnual Individual DeductibleFamily DeductibleOffice Visit Copay - PCPOffice Visit Copay - SpecialistPlan documents
Complete HMO 25/45$0$0$25$45
Complete HMO 1000 20/45$1000$2000$20$45
Complete HMO 1000 30/50 35%$1000$2000$30$50
Complete HMO 2000 30/60/500 II*$2000$4000$30$60
Complete HMO 2000 30/60/500**$2000$4000$30$60
Complete HMO HSA 3000 30/60 Enhanced FlexRx**$3000$6000(D) $30(D) $60
Complete PPO Plus 2000 30/60/500**$2000$4000$30$60
Complete HMO 3000 30/65$3000$6000(D) $30(D) $65
Complete HMO ConnectorCare 5/20*$0$0$5$20
Complete HMO ConnectorCare 10/25*$0$0$10$25

(D) = Deductible must be met first, then copayment or coinsurance may apply.

*Available to individuals and families

**Available to small groups

Select HMO and Select ConnectorCare plans for individuals and families can be found here.

Zero cost sharing plan for American Indians and Alaska Natives with incomes up to 300% FPL

Complete HMO $0 Plan overviewBenefit details

Catastrophic plan for individuals under thirty (30) years of age or with certain exemptions

 
Plan nameAnnual Individual DeductibleFamily DeductibleOffice Visit Copay - PCPOffice Visit Copay - SpecialistPlan documents
Complete HMO 12000$12,000 $24,000 Visits 1- 3: $35
Visits 4+: (D)
(D)

Search for covered drugs in our Formulary

See the 6-Tier drug list here.

ConnectorCare members will have the chronic condition medications listed below covered at no cost-sharing.

Hypertension/Coronary artery disease

  • Amlodipine tablets
  • Atorvastatin tablets
  • Hydrochlorothiazide tablets
  • Hydrochlorothiazide/lisinopril tablets
  • Lisinopril tablets
  • Metoprolol succinate ER tablets

Diabetes

  • Metformin hydrochloride 1000 MG tablet
  • Metformin hydrochloride 500 MG tablet
  • Dapagliflozin tablets
  • Select insulin products

Asthma

  • Albuterol inhalation solution
  • Budesonide inhalation solution
  • Montelukast tablets
  • Fluticasone Diskus
  • Fluticasone propionate HFA (0-11 years old
  • Arnuity Ellipta
  • Qvar Redihaler

Information about 2027 rate increases

Read information about 2027 rate increases here.

 

Member handbooks