2021 Connector Group Plan Documents

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HMO Bronze

With this plan you will pay the lowest monthly premium. However, you will pay higher out-of-pocket costs for medical care.

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Bronze 2 HDHP Connector PDF PDF PDF N/A
HMO Thrive Bronze Connector PDF PDF PDF N/A
HMO Catastrophic Plan Connector PDF PDF PDF N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO ConnectorCare

ConnectorCare plans are affordable health insurance plans offered only through the Massachusetts Health Connector. They have low monthly premiums and low out-of-pocket costs, with no deductibles. Only people with household incomes that are at 300% of the Federal Poverty Level (FPL) or lower may qualify for a ConnectorCare Plan.

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Connector Care 1 PDF PDF PDF N/A
HMO Connector Care 2 PDF PDF PDF N/A
HMO Connector Care 3 PDF PDF PDF N/A
HMO ConnectorCare AIAN PDF PDF PDF N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Gold

Gold plans usually have higher monthly premiums than the Silver plan and lower monthly premiums than the Platinum plans. Your out-of-pocket costs for medical care will be lower than you would have with the Silver plan and higher than you would have the Platinum plans.

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Gold Connector PDF PDF PDF N/A
HMO Gold 2000 Connector PDF PDF PDF N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Platinum

With Platinum plans you will have the highest monthly premiums, but you will have the lowest out-of-pocket costs for medical care.

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Platinum A Connector PDF PDF PDF N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Silver

The monthly premium for this plan is lower than premiums for the Bronze plans. With this plan your out-of-pocket costs for medical care will be moderate.

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Silver A Connector PDF PDF PDF N/A
HMO Silver A II Connector PDF PDF PDF N/A
HMO Silver 2000 HDHP Connector PDF PDF PDF N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

PPO Gold

Our only PPO plan offered on the Connector is a Gold plan featuring an extended National Network. The plan has two levels of cost sharing for services received in-network or out-of-network.

Plan Name Benefit Summary SBC EOC Rx Rider
PPO Essential 1000 National Connector PDF PDF N/A N/A

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage