Scope of the Guide
Scope of this Guide
This Guide is about ConnectorCare, private insurance plans available through the Health Connector with both premiums and cost sharing subsidized for people with income not over 300% of the federal poverty level (FPL). The Health Connector also offers other plans besides ConnectorCare plans. Check the citations in each Q & A to see whether the rule or policy described may also apply to a Health Connector plan that is not a ConnectorCare plan.
ConnectorCare by the numbers in April 2019
- ~211,000 enrolled
- 24% of enrollees have income at or under 150% FPL; 76% have income over 150% FPL but at or under 300% FPL
- 52% were enrolled in Tufts Health Direct; 38% in BMC Health Net & 10% in one of the three other ConnectorCare Health Maintenance Organizations (HMOs)
Basic information about ConnectorCare
- The Connector’s 2-page ConnectorCare Overview including benefits and copays, income limits, minimum premium contributions, and participating plans for the year is in Appendix 3.
- MLRI’s Table entitled “MassHealth & Other Health Programs: Upper Income Levels” showing the current annual income limits for ConnectorCare by Plan Type is in Appendix 1.
- The Connector’s map showing ConnectorCare premium contributions by HMO and by Region for 2019. https://www.masslegalservices.org/system/files/library/ConnectorCare%20Enrollee%20Contribution%20by%20Region%202019.pdf