Commonwealth Choice - Massachusetts
We participate in the Commonwealth Choice health insurance program which is administered by the Commonwealth Health Insurance Connector. Through Massachusetts’ new Commonwealth Choice program, we’ve designed affordable health insurance plans with some of the lowest monthly costs available for individuals and small businesses.
What's covered under your Commonwealth Choice plans and what will my copayments be?
| |
Gold |
Silver |
Bronze |
Young adult plan
(ages 18-26) |
| Annual checkup |
$0 |
$0 |
$0 |
$0 |
Office visit: primary care
physician |
$10 |
$20 |
$25 |
$25 |
| Office visit: specialist |
$10 |
$20 |
$40 |
$40 |
Prescriptions
(Tier-1/ Tier-2/Tier-3) |
$10/$25/$45 |
$10/$25/$50 |
$10/$50/$100
(You can also choose no prescription coverage to lower your premium.) |
$10/$50/$100
(You can also choose no prescription coverage to lower your premium.) |
| Emergency room |
$50 |
$100 |
$100 |
$100 |
| Dental care |
$10 |
$10 |
$10 |
$10 |
| Hospital stay |
$0 |
$0 after you meet your deductible |
$500 after you meet your deductible |
20% coinsurance after you meet your deductible |
| Same-day surgery |
$0 |
$0 after you meet your deductible |
$250 after you meet your deductible |
20% coinsurance after you meet your deductible |
Annual deductible
|
None |
$500 for individual
$1,000 for family |
$2,000 for individual
$4,000 for family |
$2,000 for individual
$4,000 for family |
| Out-of-pocket maximum |
None |
$2,000 for individual
$4,000 for family |
$4,000 for individual
$8,000 for family |
$5,000 for individual
$10,000 for family | |
Have questions or want to learn more about our Commonwealth Choice health insurance plans?
Call us at 1-888-PWR-FCHP (TDD/TTY: 1-877-608-7677).