Massachusetts offers many options for its residents. There are eight health insurance carriers offering various plans on the state exchange, allowing for comparison shopping. Where you reside makes a big difference in Massachusetts, with the same plan costing different amounts around the state. The commonwealth does not allow short-term plans but does offer four tiers of coverage among the eight health insurers.
Highlights and Updates
- Costs for health insurance tend to vary greatly depending on the county of residence and other factors.
- The average monthly benchmark premium cost in Massachusetts is $363.
- Health insurance premiums have increased every year since 2017.
- Massachusetts has a total of eight health insurance carriers on the exchange.
- Open enrollment was extended through July 23, 2021, because of COVID-19 relief measures and will re-open for 2022 health insurance plans on November 1, 2021.
- Massachusetts is a leader in healthcare reform, boasting the lowest uninsured rate in the nation.
- Short-term plans are not available for purchase in Massachusetts.
How To Buy Health Insurance in Massachusetts
You can compare plans and purchase health insurance at www.healthcare.gov. Massachusetts has its own marketplace called the Massachusetts Health Connector.
How To Apply For Health Insurance in Massachusetts
Health Insurance Carriers In Massachusetts
There are eight8 health insurance carriers on the exchange in Massachusetts in 2021:
- AllWays Health Partners
- Blue Cross Blue Shield of Massachusetts
- Boston Medical Center/BMC HealthNet Plan
- Fallon Community Health Plan
- Harvard Pilgrim Health Care
- Health New England
- Tufts HMO, Tufts Health Public Plan
What Are The Cheapest Health Insurance Companies in Massachusetts?
For many Massachusetts residents, the Boston Medical Center plans end up being the cheapest. This varies depending on how old you are, where you live and other factors like how many people are in your family. Many residents qualify for subsidies to help lower health insurance costs.
How Has Obamacare Helped Massachusetts’ Uninsured?
Massachusetts has long been viewed as a leader in healthcare reform in the nation, with the commonwealth saying that most of its adult residents have carried individual health insurance since 2007. Obamacare was another success story for the state. According to the 2019 US Census, Massachusetts leads the country with the lowest uninsured rate at just 3%.
Massachusetts Health Insurance Costs Overview
There are four tiers of health insurance coverage available in Massachusetts – Platinum, Gold, Silver, and Bronze.
How Much Does Health Insurance Cost in Massachusetts?
The average benchmark monthly health insurance premium in Massachusetts for a 40-year-old is $363. Health insurance premiums have been increasing since 2017. However, it still has one of the lowest rates in the nation and remains well under the national average monthly cost of $452.
What Is the Cheapest Health Insurance Plan in Massachusetts?
Massachusetts’s cheapest health insurance plan is the BMC HealthNet Plan Bronze, which has a premium of $271, a deductible of $3600, and an out-of-pocket maximum of $7000.
Cheapest Massachusetts Health Insurance Coverage by Metal Tier
The most affordable Platinum Plan is BMC HealthNet Plan Platinum. The premium costs $536 per month, with a deductible of $0 and an out-of-pocket maximum of $3000.
The most affordable Gold Plan is BMC HealthNet Plan Low Gold. The premium costs $409 per month, with a deductible of $2250 and an out-of-pocket maximum of $5800.
BMC HealthNet Plan Silver A II is the cheapest silver plan of the silver plans with a premium of $344 per month, a deductible of $2000, and an out-of-pocket maximum of $8550.
The cheapest bronze plan is the BMC HealthNet Plan Bronze, which has a premium of $271, with a deductible of $3600. The out-of-pocket maximum is $7000.
Massachusetts Health Insurance Costs by Occupation
What Is the Average Cost of Health Insurance for a Student in Massachusetts?
College students in Massachusetts may purchase a student health plan if they are between 17 to 29 years old. They may also purchase an individual or family plan, remain on their parent’s policy (until the age of 26), or purchase a plan directly from their college or university. MassHealth also provides coverage for students – their program replaced the prior SHIP PA program that is no longer offered after 2020.
What Is the Average Cost of Health Insurance for the Self-Employed In Massachusetts?
Self-employed individuals may purchase a plan from the exchange in any of the available tiers. With eight different health insurers and four tiers of coverage, there is a plan to suit every self-employed person’s needs. Nationwide averages show self-employed people pay approximately $484 per month for individual coverage.
What Is the Average Cost of Health Insurance for Small Business Owners in Massachusetts?
Plans begin at $181 per month per employee for small business health insurance in Massachusetts. Business owners are penalized in Massachusetts if their employees need healthcare subsidies, creating a compelling reason for employers to offer affordable health insurance.
Massachusetts Health Insurance Costs by Number of Participants
What Is the Average Cost of Health Insurance for Families in Massachusetts?
Prices vary depending on your country, the county you reside in, as well as the size and makeup of your family. Because there are so many plans and insurers, researching and comparing your options is a smart idea.
What Is the Average Cost of Health Insurance for Individuals in Massachusetts?
In Massachusetts, the average benchmark price of health insurance for a 40-year-old individual is $363 per month.
What Is the Average Cost of Health Insurance for a Child in Massachusetts?
Children may be covered under their parent’s policy or, or they may qualify for Child Health Plus, which is administered under MassHealth.
Other Types of Massachusetts Health Insurance Coverage
Catastrophic Health Insurance in Massachusetts
Catastrophic health insurance plans are available in Massachusetts.
Short Term or Temporary Health Insurance in Massachusetts
Short-term health insurance plans are illegal in the state. These plans do not meet the state’s requirements and therefore cannot be purchased in Massachusetts.
Low-Income Health Insurance in Massachusetts
MassHealth is available for adults and children who qualify for the program. It is the state’s version of Medicaid and Children’s Health Plus combined into one program. Even if you purchase health insurance on the exchange, many people qualify for subsidies and tax credits to make health insurance coverage more affordable. Through its ConnectorCare program, Massachusetts offers subsidies to residents with income levels up to 300% of the federal poverty level.