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Plan benefits and coverage

Our plans come with added-value benefits and features, including: access to leading doctors and community hospitals across the state, dental exams, eye exams, chiropractic care, and mental health and substance abuse counseling. This chart shows only some of the plans we offer.

Plan Monthly premium Routine physical exams Primary care visits Specialist visits  Prescriptions Emergency room Inpatient hospital Deductible

Premium Saver 2000/500 I

$ Direct Care network

$ Select Care network

$$$ Preferred Care network

$0 $25 $40 $10 tier 1
$50 tier 2
$100 tier 3
$100 $500 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 $20 $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 I

$$$ 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 I

$$$$ 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