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
PPO Plus
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 name | Annual Individual Deductible | Family Deductible | Office Visit Copay - PCP | Office Visit Copay - Specialist | Plan 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.
| Complete HMO $0 | Plan overview | Benefit details |
| Plan name | Annual Individual Deductible | Family Deductible | Office Visit Copay - PCP | Office Visit Copay - Specialist | Plan documents |
| Complete HMO 12000 | $12,000 | $24,000 | Visits 1- 3: $35 Visits 4+: (D) | (D) |
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
| Diabetes
| Asthma
|
Read information about 2027 rate increases here.