ConnectorCare plans have $0 or low monthly premiums, low out-of-pocket costs, and no deductibles.
What kind of coverage do you get with ConnectorCare?
ConnectorCare plans offer great coverage with important benefits like doctor visits, prescription medications,
and emergency care. ConnectorCare plans have low monthly premiums, low co-pays, and no deductibles.
There are different ConnectorCare Plan Types, which are based on your income. All of the plans offered for
each Plan Type will have the same benefits and co-pays for covered services. You can see the co-pays for
different services in the chart on the next page. You can also see examples of the monthly premiums for each
Plan Type.
ConnectorCare plans are offered by some of the leading insurers in the state. Each insurer’s plan may have
different doctors or hospitals in their provider networks. Before you enroll, use our online tools to see if the
providers you want and the prescription drugs that you need are covered in the plan’s network. You can find
these tools at: PlanFinder.MAhealthconnector.org.
Who can qualify for a ConnectorCare plan?
People with household incomes that are at 300% of the Federal Poverty Level (FPL) or
lower may qualify for ConnectorCare. If your income is higher than 300% of the FPL,
you won’t qualify for a ConnectorCare plan. However, you may still be able to get tax
credits that help to lower the cost of your monthly premiums. To qualify for a
ConnectorCare plan, you will need to meet the following requirements:
Live in Massachusetts
Be a US Citizen, National, or lawfully present immigrant in the
United States
Not have access to an employer’s affordable, comprehensive health
insurance (including plans you are offered, but are not enrolled in)
Not be in jail or prison
Not qualify for Medicare, MassHealth (Medicaid) or other public health
insurance programs
Which ConnectorCare plan can you qualify for?
The cost of ConnectorCare plans differ depending on the health insurer and the Plan Type. The Plan Type you
qualify for is based on your income. The chart on the right shows the FPL ranges for different ConnectorCare
Plan Types.
There are different coverage options for American Indians and Alaska Natives. American Indians and Alaska Natives may qualify for
lower out-of-pocket costs through ConnectorCare plans and other Health Connector plans. Visit MAhealthconnector.org to learn more.
ConnectorCare Health Plans:
Affordable, high-quality coverage from the Health Connector
ConnectorCare Health Plans
Plan Type FPL Range
Plan Type 1
0 -100% FPL
Plan Type 2A
100.1-150% FPL
Plan Type 2B
150.1-200% FPL
Plan Type 3A
200.1-250% FPL
Plan Type 3B
250.1-300% FPL
Household
Size
300%
FPL
1 $37,470
2
$50,730
3
$63,990
4
$77,250
For each additional person in the
household, add $13,260
Lowest-cost ConnectorCare Plan Premiums in 2020
Plan Type 1 Plan Type 2A Plan Type 2B Plan Type 3A Plan Type 3B
Lowest Cost Plan
$0 $0 $45 $87 $130
ConnectorCare Benefits & Co-pays
Plan Type Plan Type 1 Plan Types 2A & 2B Plan Types 3A & 3B
Medical Maximum Out-of-Pocket
(Individual/ Family)
$0 $750/$1,500 $1,500/$3,000
Prescription Drug Maximum Out-of-Pocket
(Individual/ Family)
$250/$500 $500/$1,000 $750/$1,500
Preventive Care/Screening/Immunization $0 $0 $0
Primary Care visit to treat injury or illness
(exc. Well Baby, Preventive and X-rays)
$0 $10 $15
Specialist Office Visit $0 $18 $22
Mental/Behavioral Health and Substance Abuse
Disorder Outpatient Services
$0 $10 $15
Rehabilitative Speech Therapy $0 $10 $20
Rehabilitative Occupational and
Rehabilitative Physical Therapy
$0 $10 $20
Emergency Room Services $0 $50 $100
Urgent Care $0 $18 $22
Outpatient Surgery $0 $50 $125
All Inpatient Hospital Services
(including Mental/Behavioral Health and
Substance Abuse Disorder Services)
$0 $50 $250
High Cost Imaging (CT/PET Scans, MRIs, etc.) $0 $30 $60
Laboratory Outpatient and Professional Services $0 $0 $0
X-Rays and Diagnostic Imaging $0 $0 $0
Skilled Nursing Facility $0 $0 $0
Retail
Prescription
Drugs:
Generics
Preferred Brand Drugs
Non-Preferred Brand Drugs
Specialty High Cost Drugs
$1
$3.65
$3.65
$3.65
$10
$20
$40
$40
$12.50
$25
$50
$50
Questions?
• You can nd more information about ConnectorCare on our website at MAhealthconnector.org.
• Get free, in-person help. There are many places where you can get free, in-person help with applying
and enrolling. Everyone can get help—even if you don’t have low income. For a list of places to get help
near you, go to: www.MAhealthconnector.org/here-to-help
The Massachusetts Health Connector complies with applicable federal and state civil rights laws. We do not exclude or treat people
differently due to race, color, national origin or ancestry, sex, age, gender identity, sexual orientation, disability, health status or
condition, quality of life, or religious creed.
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