Your Guide to Massachusetts Health Insurance

massachusetts health insurance

Before we jump right into Massachusetts health insurance and everything you need to know, let’s start with a little background information. In 2010, the Affordable Care Act (a.k.a “Obamacare” or ACA) was passed with the goal of getting all Americans access to affordable health insurance. To meet this goal, one measure Obamacare took was to create the ACA health insurance marketplaces, or health exchanges: one-stop shops where Americans can choose from a range of standardized, government-regulated health care plans. Health exchanges are also where eligible people can get subsidies, which lower the cost of their health plans.

States were given the option to run their own local exchange, take part in a multi-state exchange, or use the federal exchange. States that run their own exchanges get to customize many elements, including the time frame during which their residents can sign up for a plan. Several states decided to operate their own state exchanges and continue to do so to this day. Massachusetts is one of those states.

Massachusetts’ Health Insurance Landscape: Then and Now

The Massachusetts health insurance exchange is called Massachusetts Health Connector. Before the ACA, 6.3 percent of Massachusettsan were uninsured. Since the introduction of Massachusetts Health Connector, the percent of Massachusettsan without health insurance has dropped to 2.5! 274 thousand people have enrolled for health insurance through Massachusetts Health Connector, and Massachusetts has the lowest uninsured rate in the country.

The Massachusetts Health Insurance Exchange

Massachusetts Health Connector is where eligible people throughout the state can find subsidized ACA plans. Open Enrollment for 2020 in Massachusetts began November 1 and ends January 23. If you sign up by December 23, your coverage will start January 1. However, if you sign up after December 23, you will have to wait until February 1 to use your plan. Lucky you – this sign up window is significantly longer than the window given on the federal exchange!

Massachusetts Health Connector uses an active purchaser model for their exchange. This means that Massachusetts Health Connector negotiates with health insurance carriers directly to get the best rates, networks, and benefits possible for you.

Like all other state exchanges, each plan on Massachusetts Health Connector covers 10 essential health benefits. These include things like prescription coverage, maternity and mental health care, and laboratory services.

Buying insurance with Massachusetts Health Connector involves four steps:

1. Create an account on Massachusetts Health Connector

2. Complete the online application form

3. Compare your options

4. Select your plan and enroll

In true health insurance fashion, each of these steps can be trickier than you expect. Many people need help navigating the website, estimating their income, figuring out if they are eligible for subsidies, and understanding what documents are needed for proof of income, citizenship, or identity. Luckily, you can find a navigator to help you with your application!

Massachusetts’ Health Connector Intricacies: What You Need to Know for 2020

Eight insurers are offering plans on Massachusetts Health Connector for 2020. These eight carriers include:

  • AllWays Health Partners (previously Neighborhood Health Plan)

  • Blue Cross Blue Shield of Massachusetts

  • Boston Medical Center HealthNet Plan

  • Fallon Community Health Plan

  • Harvard Pilgrim Health Care

  • Health New England

  • Tufts Health Plan

  • UnitedHealthcare

As of 2016, Neighborhood Health Plan, Tufts Health Plan, Harvard Pilgrim Health Care, and BMC HealthNet made up the majority of the Massachusetts health insurance market. Massachusetts residents are lucky because there is a wide variety of carriers participating in the exchange. This means you have a pretty good selection when choosing a plan.

Massachusetts still has the lowest average unsubsidized premiums in the country! That said, state authorities have announced that insurance plan prices are increasing slightly. This change depends on where in Massachusetts you live. On average, your monthly premium will increase by 4.5 percent if you keep your current health plan. Most health insurance shoppers can avoid rate increases entirely by switching to the cheapest plan within their metal tier. Not to mention, you will likely qualify for a health insurance subsidy, which can help make your plan more affordable; of the 274 thousand people enrolled through Massachusetts Health Connector, 79 percent received federal subsidies.

Certain plans, called ConnectorCare plans, are subsidized on both a federal and state level. These affordable plan options are available to Massachusetts residents with incomes below the 300 percent poverty level ($77,250 for a family of four).

If you live in Massachusetts, the start of Open Enrollment (the time of year when you can enroll in a new health plan) is here. Be sure to find your most affordable plan, and you’ll be well on your way for smarter, better savings all year long. And don’t forget – if you need help finding a subsidy or picking a plan, our experts are here to help!

Sydney FrazerComment