ConnectorCare in Massachusetts, Do I Qualify?

ConnectorCare plans are Qualified Health Plans, however, they have a year-round enrollment. The plans qualify for the Affordable Care Act (ACA) premium tax credits funded by the federal government but are also subsidized by the state, ensuing in a lower premium and out-of-pocket costs for suitable residents. The plans are available now to members with incomes of 300% of the poverty level, and there are 3 different plan tiers depending on the member’s income level.

ConnectorCare Health insurance plans are presented by 5 of the Massachusetts Connector insurers:

  1. Boston Medical Center HealthNet Plan
  2. Fallon Health,
  3. Health New England,
  4. AllWays / Neighborhood Health Plan
  5. Tufts Health Plan Direct.

Even though enrollment in MassHealth is available now year-round to any applicant who is qualified for coverage. If the enrollee is recently eligible (did not qualify for ConnectorCare in the past) or not before applied, ConnectorCare health insurance is just available outside of open enrollment.

People who have ConnectorCare plans through the Massachusetts Health Connector no longer have to pay copays whether they require outpatient substance abuse medications or treatment, including Suboxone and Methadone.

What Kind of Coverage Do You Get with ConnectorCare?

ConnectorCare Health Insurance Massachusetts plans provide great coverage with essential advantages such as doctor visits, emergency care, prescription drugs, and so on. The plans have no deductibles, low monthly premiums, and low co-pays. There are various types of ConnectorCare plans, which are totally based on your current income. All plans opened for each type of plan will have similar advantages as well as copayments for covered services. You can see the copayments for the various services on the next page chart.

ConnectorCare plans are provided by a few of the most important insurers in Massachusetts. Each insurer’s plan may have various doctors or hospitals in its provider networks. If the providers you want and the prescriptions you need are covered in the plan’s network, use the online tools to see before you enroll.  Read more!

Who Can Qualify for a ConnectorCare Plan?

For ConnectorCare Health Insurance Massachusetts plans, people with household incomes that are up to 300 percent of the Federal Poverty Level or less can qualify. You will not qualify for a ConnectorCare plan if your income is more than 300 percent of the Federal Poverty Level. But you can get tax credits to help lower the rate of your monthly premiums. You must meet the following requirements to qualify for a ConnectorCare plan:

  1. Live in Massachusetts
  2. Be a U.S. citizen, national, or immigrant legally present in the USA.
  3. Not having access to comprehensive and affordable health insurance from an employer
  4. Not be in prison or jail
  5. Not qualify for Medicare, MassHealth, or other public health insurance programs.

The new rules and regulations don’t apply to people who pay full price for their coverage, or to people with incomes between 300% and 400% of the poverty level, who qualify only for Affordable Care Act subsidies, but not for ConnectorCare. However, more than three-quarters of Massachusetts Health Connector private plan enrollees are in ConnectorCare Health Insurance plans. You can know more at

Do I Have To Get Insurance in Massachusetts

Understanding the health insurance Massachusetts laws can be a bit confusing. While health insurance is no longer a federal requirement (as of 2019), the state of Massachusetts abides by different laws. For instance, if you live in the state, you will be required to have some sort of health insurance coverage, unless you’re exempt from this. As a result, you may be penalized and have to pay a penalty fee if you’re over the age of eighteen, reside in Massachusetts, and don’t have insurance. Fortunately, MCC (or minimum creditable coverage) may be enough to avoid state penalties. So, what sort of coverage do you need, and is it a necessity?

Meeting MCC Requirements

If you live in Massachusetts, you will be required to have health insurance. Fortunately, finding affordable health insurance Massachusetts and meeting the minimum creditable coverage requirements is easier than you believe. If you have Medicaid or Medicare, you will meet the necessary requirements and should avoid a penalty. Plans purchased from a Massachusetts insurance provider or the Health Connector will also meet criteria, along with student health plans and HDHP.

  • AmeriCorps
  • Peace Corps
  • Indian Or Tribal Health Service Plans
  • Federal Employee Health Plans
  • National Civilian Community Corps Coverage

These additional plans will also meet the minimum insurance coverage required in the state of Massachusetts. Finding health insurance Massachusetts is important and there are many providers to consider. Of course, it’s easier to find affordable insurance when your household budget doesn’t have restrictions. However, that doesn’t mean to say you can’t find good insurance providers or decent health insurance policies either. Click here!

Are There Exemptions To The Rule?

You may be exempt from facing state penalties. For instance, if you can actually afford to purchase insurance but don’t, then it’s more likely you’ll receive a penalty. However, there are exemptions if you really can’t afford coverage or your income is very low; income exceptions vary so you’ll need to research this carefully. You may also be exempt from receiving a penalty if your religious beliefs prevent you from using health insurance. You may have to prove this, however. Also, if you can prove a financial hardship then you shouldn’t face a penalty. The state actively encourages people to find affordable health insurance Massachusetts. Sometimes, it’s easier to get minimum coverage to protect yourself and avoid a penalty.

Do You Need Insurance?

There are reasons why health insurance has become a vital tool for many. Whether you live in the state of Massachusetts or elsewhere, it’s a safety net if you fall ill. Even if you’re exempt from penalties, it can still be a great idea to get some level of coverage. Remember, medical costs are expensive and they can leave you bankrupt. That’s why health insurance Massachusetts can be so important.

Don’t Get Caught – Out Get Affordable Health Insurance Massachusetts

Health insurance mightn’t seem important to you, especially if you rarely visit the doctor’s office, yet, it’s necessary. In Massachusetts, you could face a fine if you don’t have sufficient coverage so it’s essential to get affordable coverage, even if you exempt. You need insurance should you fall ill as medical costs could reach tens of thousands of dollars. Health insurance Massachusetts is necessary and affordable policies are out there – you just need to find them. For more details, visit: