Compare 2021 ConnectorCare Plans

The Massachusetts Health Connector will tell you the ConnectorCare plan you have been assigned to based on the information that you submitted.

The chart below is a quick reference guide of what's covered under each plan. Click on your plan name 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
ConnectorCare Plan Type I $0/$0 $0/$0
(Medical)

$250/$500
(Pharmacy)
$0/$0 $1/$3.65/$3.65 $0 $0
ConnectorCare Plan Type II $0/$0 $750/$1,500
(Medical)

$500/$1,000
(Pharmacy)
$10/$18 $10/$20/$40 $50 per visit $50 copayment
ConnectorCare Plan Type III $0/$0 $1,500/$3,000
(Medical)

$750/$1,500
(Pharmacy)
$15/$22 $12.50/$25/$50 $100 per visit $250 copayment

All preventive services are covered in full.

 

*WellSense Health Plan is the lowest-cost ConnectorCare plan in 6 out of 7 regions in Massachusetts. Please see the current year's ConnectorCare Evidence of Coverage and Schedule of Benefits for additional information, including which benefits, services and medications are covered or noncovered on our plan and any restrictions or guidelines we must follow before providing them. You can find doctors and hospitals in our network here see our privacy practices, and learn how we make sure you get the right care at the right time with our Utilization Management policy.