Prospective members who are shopping for a plan
Depending on your income and your household size, you may qualify to get help paying for your health insurance. Learn more about our Massachusetts Health Connector Community Care plans.
To download a benefit summary, Summary of Benefits and Coverage (SBC) or Schedule of Benefits, click the "See more" link that corresponds to your plan's effective date below. For Evidence of Coverage (EOC) documents, click the links in the "Evidence of Coverage" box to the right.
Current members
You can view and download your specific plan documents by logging in to MyFallon.
The plan documents below are reflective of plans for individuals and employer groups with up to 50 employees.
Download the Glossary of Health Coverage and Medical Terms (pdf)
2022
Effective dates of January 1, 2022 and beyond
Connector plans - individuals and families
| Community Care network (HMO) |
| Connector Platinum
|
| Connector High Gold
|
| Connector Low Gold
|
| Connector High Silver II
|
| Connector Bronze #1
|
Connector plans - small group
| Community Care network (HMO) |
| Connector Platinum
|
| Connector High Gold
|
| Connector Low Gold
|
| Connector High Silver
|
| Connector Low Silver HSA
|
| Connector Bronze #1
|
ConnectorCare (subsidy) plans
| Community Care network (HMO) |
| ConnectorCare I
|
| ConnectorCare II
|
| ConnectorCare III
|
2021
Effective dates of January 1, 2021 and beyond
| Copay: affordable options that include inpatient copayments at premium savings |
| Direct Care network (HMO) |
Select Care network (HMO) |
| Copay 1000
|
Copay 1000
|
| Deductible: plan designs that provide premium savings by offering deductibles for inpatient services and diagnostic testing |
| Direct Care network (HMO) |
Select Care network (HMO) |
Preferred Care network (PPO) |
| Deductible 1250
|
Deductible 1250
|
|
|
Deductible 2000 Low
|
Deductible 2000 Low
|
Deductible 2000 Low
|
| Deductible 2000 High
|
Deductible 2000 High
|
|
| Deductible 3000 High
|
Deductible 3000 High
|
|
| Deductible 5000 Low
|
Deductible 5000 Low
|
|
| Bronze Deductible 3000
|
Bronze Deductible 3000
|
|
| Bronze Deductible 5000
|
Bronze Deductible 5000
|
|
| QHD: qualified high deductible plans that may be partnered with a Health Savings Account (HSA) |
| Direct Care network (HMO) |
Select Care network (HMO) |
Preferred Care network (PPO) |
| QHD 2000 HSA
|
QHD 2000 HSA
|
QHD 2000 HSA
|
| QHD 3000 HSA
|
QHD 3000 HSA
|
|
Connector plans - individuals and families
| Direct Care network (HMO) |
Select Care network (HMO) |
Community Care network (HMO) |
| Connector Platinum
|
Connector Platinum
|
|
| Connector High Gold
|
Connector High Gold
|
|
| Connector Low Gold
|
Connector Low Gold
|
|
| Connector High Silver Connector II
|
Connector High Silver Connector II
|
Connector High Silver Connector II
|
| Connector Bronze #1
|
Connector Bronze #1
|
|
| Connector Catastrophic
|
|
|
Connector plans - small group
| Direct Care network (HMO) |
Select Care network (HMO) |
Community Care network (HMO) |
Preferred Care network(PPO) |
| Connector Platinum
|
Connector Platinum
|
|
|
| Connector High Gold
|
Connector High Gold
|
|
|
| Connector Low Gold
|
Connector Low Gold
|
|
|
| Connector Silver
|
Connector Silver
|
Connector Silver
|
|
| Connector Low Silver HSA
|
Connector Low Silver HSA
| |
|
| Connector Bronze #1
|
Connector Bronze #1
|
|
|
| |
|
|
Deductible 2000 Low
|
ConnectorCare (subsidy) plans
| Community Care network (HMO) |
| Wrap Type I
|
| Wrap Type II
|
| Wrap Type III
|
Direct Care is a plan with a limited provider network. This plan provides access to a network that is smaller than Select Care. In this plan, members have access to network benefits only from the providers in Direct Care. Please visit our Find a Doctor tool or consult the Direct Care provider directory to determine which providers are included in Direct Care. A paper copy can be requested by calling our Customer Service Department at 1-800-868-5200.