| Plan |
Monthly premium |
Routine physical exams |
Primary care visits |
Specialist visits |
Prescriptions |
Emergency room |
Inpatient hospital |
Deductible |
| Premium Saver 65/35 |
$ Direct Care network
$ Select Care network |
$0 |
$25 |
$40 |
$10 tier 1
$30 tier 2
$50 tier 3 |
$150 |
35% coinsurance |
Not applicable |
| Care Choice 2000 |
$ Direct Care network
$ Select Care network
$$$ Preferred Care network |
$0 |
$20 after deductible |
$20 after deductible |
$10 tier 1
$25 tier 2
$50 tier 3 after deductible |
$100 after deductible |
Covered in full after deductible |
$2000 individual/$4000 family |
|
Premium Saver 2000 w/ $500 inpatient copayment |
$ Direct Care network
$ Select Care network
$$$ Preferred Care network |
$0 |
$25 |
$40 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$100 |
$500 after deductible |
$2000 individual/
$4000 family |
|
Care Choice 1250 |
$ Direct Care network
$$ Select Care network
$$$$ Preferred Care network |
$0 |
$20 after deductible |
$20 after deductible |
$10 tier 1
$25 tier 2
$50 tier 3 after deductible |
$100 after deductible |
Covered in full after deductible |
$1250 individual/
$2500 family |
|
Premium Saver 2000 |
$ Direct Care network
$$$ Select Care network
$$$$ Preferred Care network |
$0 |
$20 |
$20 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$100 |
Covered in full after deductible |
$2000 individual/
$4000 family |
|
Premium Saver 1000 |
$$ Direct Care network
$$$ Select Care network
$$$$ Preferred Care network |
$0 |
$20 |
$20 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$100 |
Covered in full after deductible |
$1000 individual/
$2000 family |
|
Premium Saver Basic II |
$$ Direct Care network
$$$ Select Care network
$$$$ Preferred Care network |
$0 |
$25 |
$40 |
$10 tier 1
$50 tier 2
$100 tier 3 |
$100 |
$1000 |
Not applicable |
|
Premium Saver 500 |
$$ Direct Care network
$$$$ Select Care network
$$$$ Preferred Care network |
$0 |
$20 |
$20 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$100 |
Covered in full after deductible |
$500 individual/
$1000 family |
|
Premier Saver Value II |
$$ Direct Care network
$$$$ Select Care network
$$$$$ Preferred Care network |
$0 |
$30 |
$35 |
$10 tier 1
$50 tier 2
$100 tier 3 |
$75 |
$500 |
Not applicable |
|
Premium Saver Basic I |
$$ Direct Care network
$$$$ Select Care network
$$$$ Preferred Care network |
$0 |
$25 |
$40 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$100 |
$1000 |
Not applicable |
|
Premium Saver Value I |
$$$ Direct Care network
$$$$ Select Care network
$$$$$ Preferred Care network |
$0 |
$20 |
$35 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$75 |
$500 |
Not applicable |
|
Premium Saver |
$$$ Direct Care network
$$$$ Select Care network
$$$$$ Preferred Care network |
$0 |
$15 |
$15 |
$10 tier 1
$25 tier 2
$50 tier 3 |
$50 |
$250 |
Not applicable |
| Premier Value |
$$$ Direct Care network
$$$$ Select Care network
$$$$$ Preferred Care network |
$0 |
$15 |
$25 |
$10 tier 1
$25 tier 2
$45 tier 3 |
$75 |
$100 |
Not applicable |
|
Premier |
$$$$ Direct Care network
$$$$$ Select Care network
$$$$$ Preferred Care network |
$0 |
$10 |
$10 |
$10 tier 1
$25 tier 2
$45 tier 3 |
$50 |
Covered in full |
Not applicable |
| Young adult plan (ages 18-26) |
The new health care reform laws have raised the dependent age for insurance to 26, so you may be eligible for health insurance through your parents. But if you're on your own and looking for health insurance, you can choose any of the plans above. If you don't see what you're looking for here, you can also purchase FCHP's customized plan for young adults which is sold exclusively through the Commonwealth Health Insurance Connector. For more information, call us at 1-888-PWR-FCHP (TDD/TTY: 1-877-608-7677). |
| Commonwealth Care (income at or below 300% of FPL) |
If you meet certain income guidelines, you may be eligible for Commonwealth Care, a program run by the Commonwealth Health Insurance Connector. Commonwealth Care is a state program that helps Massachusetts residents get health insurance and helps them pay for it. FCHP offers a plan (Commonwealth Care FCHP Direct Care) that's available through the Commonwealth Care program.
Learn more about Commonwealth Care |