How To Get Health Insurance In Ma
The cheapest health insurance plan for most people in Massachusetts is the BMC HealthNet Plan Silver A II, which is the cheapest Silver policy in 71% of the state's counties.
Find Cheap Health Insurance Quotes in Massachusetts
If you are looking for individual health insurance in Massachusetts, you can purchase cheap coverage through the state's online exchange. In the marketplace, you may be able to find a policy that fits your financial situation and provides adequate coverage for your medical needs.
- Cheapest health insurance coverage by metal tier
- Short-term health insurance
- Health insurance companies in Massachusetts
- Cheapest Silver plan by county
To help you find the best health insurance in Massachusetts, we compared health plans offered in the largest counties to find the most affordable option for each metal tier of coverage.
The average cost of health insurance in Massachusetts is $532 per month for a 40-year-old.
When a health insurance provider calculates your monthly premium, a key determinant will be your age. As you can see from the graph below, for every metal tier, the monthly premium gets progressively more expensive as your age increases.
Find Cheap Health Insurance Quotes in Massachusetts
For example, for a Silver policy, a 40-year-old will pay on average 18%, or $80, more per month than a 21-year-old. The difference is even larger for a 60-year-old who pays 70%, or $371, more per month than a 40-year-old.
The table below shows the cheapest plan available along with the monthly premium for a 40-year-old, in addition to the deductible and out-of-pocket maximum. These plans should be used as an initial evaluation of which metal tier might fit your individual needs.
| Metal tier | Cheapest plan | Deductible | Maximum out-of-pocket | Monthly cost for a 40-year-old |
|---|---|---|---|---|
| Bronze | BMC HealthNet Plan Bronze | $3,600 | $7,000 | $271 |
| Silver | BMC HealthNet Plan Silver A II | $2,000 | $8,550 | $344 |
| Gold | BMC HealthNet Plan Low Gold | $2,250 | $5,800 | $409 |
| Platinum | BMC HealthNet Plan Platinum | $0 | $3,000 | $536 |
Gold and Platinum plans are the most expensive policies offered, but they have the lowest or nearly the lowest deductibles available. For example, the Gold plan has a premium that is $138 more per month for a 40-year-old than the premium for the Bronze policy. The Bronze plan is the most affordable because it has the highest deductible amount among all health plan tiers offered in Massachusetts.
Finding the best health insurance coverage in Massachusetts
The best health insurance coverage for you will be determined by your level of income and expected medical costs. Both of these factors will directly affect what plans will be affordable and appropriate for the medical services you require.
Massachusetts has adopted the expanded version of Medicaid. This allows anyone with a household income of less than 138% of the federal poverty level to enroll in Medicaid. If you are not eligible for this program, then you can purchase an individual health insurance policy through the Massachusetts state marketplace.
To aid you in choosing a tier level that fits your needs, we have detailed each level of coverage and who it works best for.
Start with Silver plans
We recommend beginning your health insurance search with Silver metal tier plans. These policies have modest premiums and deductibles. For instance, the cheapest Silver plan has a monthly premium that is $73 more expensive than the cheapest Bronze plan but a deductible that is $1,600 less.
In some situations, a Silver plan can be the most cost-effective health policy due to cost-sharing reductions. These reductions decrease the amount you pay in deductibles, coinsurance and copays. However, you will only be eligible for cost-sharing reductions if your household income falls below 250% of the federal poverty level.
Gold and Platinum plans: Great if you have expensive medical costs
Gold and Platinum plans are the most expensive plans on the Massachusetts marketplace in terms of monthly premiums, but they do have the lowest deductibles and shared costs. For this reason, these policies are best if you expect to have a lot of medical expenses and will use your health insurance often. One such example is if you have an illness and need a costly prescription refilled on a monthly basis.
Bronze: Best if you are young and healthy
Bronze plans are the most affordable policies but have the highest deductibles and out-of-pocket expenses. Due to the deductible level, you could end up spending a lot on smaller medical expenses before coverage kicks in.
Therefore, Bronze is best for young, healthy individuals who want emergency protection in case of an extremely expensive medical issue.
Short-term health insurance in Massachusetts
Short-term health insurance is not available for purchase in Massachusetts, and it is illegal under Massachusetts law for any company to offer one of these products. The main reason for this is the state's strict guaranteed-issue and rating requirements for all health insurance products. Short-term plans do not meet the guaranteed-issue standard since they are medically underwritten.
Find Cheap Health Insurance Quotes in Massachusetts
Best cheap health insurance companies in Massachusetts
There are currently nine health insurance providers on the Massachusetts exchange.
Massachusetts health insurance companies
- Tufts Health Plan Direct
- Health New England
- BMC HealthNet Plan
- Harvard Pilgrim Health Care
- Blue Cross Blue Shield of Massachusetts
- AllWays Health Partners
- Tufts Health Plan Premier
- Fallon Health
- UnitedHealthcare
We found that BMC HealthNet Plan offers the most affordable health insurance plans in Massachusetts.
It is important to consider the company that you purchase a plan from, as some companies may provide more member benefits for policyholders or have better customer service. Although all of these companies sell policies in Massachusetts, a particular insurer may not be available in your county.
Cheapest Silver plan by county
The availability of health insurance, as well as the cost, will be affected by the county that you live in. For instance, for a 40-year-old, the BMC HealthNet Plan Silver A II is the cheapest Silver plan in Essex County with a monthly premium of $347. However, in Nantucket, the same Silver plan is $569 — a difference of $222 per month.
| County | Cheapest plan | Age 40 | Couple, age 40 |
|---|---|---|---|
| Hampden | BMC HealthNet Plan Silver A II | $364 | $727 |
| Hampshire | BMC HealthNet Plan Silver A II | $364 | $727 |
| Worcester | BMC HealthNet Plan Silver A II | $364 | $727 |
| Berkshire | Tufts Health Direct Silver 2000 II | $376 | $753 |
| Franklin | BMC HealthNet Plan Silver A II | $364 | $727 |
| Middlesex | BMC HealthNet Plan Silver A II | $409 | $817 |
| Essex | BMC HealthNet Plan Silver A II | $347 | $694 |
| Plymouth | BMC HealthNet Plan Silver A II | $354 | $708 |
| Norfolk | BMC HealthNet Plan Silver A II | $354 | $708 |
| Bristol | BMC HealthNet Plan Silver A II | $344 | $687 |
| Suffolk | BMC HealthNet Plan Silver A II | $354 | $708 |
| Barnstable | Tufts Health Direct Silver 2000 II | $374 | $747 |
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Sample rates are based on monthly premiums from counties in Massachusetts.
Methodology
We gathered health insurance rates for shoppers in Massachusetts using the state's exchange. Using the premiums, averages were determined for a variety of variables such as metal tier, age, family size and county.
How To Get Health Insurance In Ma
Source: https://www.valuepenguin.com/best-cheap-health-insurance-massachusetts
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