Our HMO plans offer comprehensive coverage, and access to networks of the best local physicians and hospitals, and a wide range of choices in benefit design.
The two HMO networks available are:
To improve the quality and affordability of health care, we will be implementing several enhancements to our standard plan designs. Learn about the plan changes designed to make health care more affordable.
Select the correct chart for your business size to see the available product options.
Hospital Choice Cost Sharing Feature
Many of our standard plans for groups with 1-50 eligible employees now include the Hospital Choice Cost Sharing feature. With the feature, acute care hospitals in Massachusetts are grouped into two different cost sharing levels for members. This feature is optional for groups with more than 50 employees.
Plans that include this Feature will have the Hospital Choice Cost Sharing label within the tool below and on the cover of the Summary of Benefits.
Take advantage of our Hospital Cost Sharing feature
Hospital List with Cost Sharing Levels
These health plan options include a tiered network feature called Hospital Choice Cost Sharing. As a member in this plan, you will pay pay different levels of cost share (such as copayments and/or co-insurance) for certain services depending on the network general hospital you choose to furnish those covered services. For most network general hospitals, you will pay the lowest cost sharing level. However, if you receive certain covered services from some network general hospitals, you pay the highest network cost sharing level. A network general hospital's cost sharing level may change from time to time. Overall changes to add another network general hospital to the highest cost sharing level will happen no more than once each calendar year. For help in finding a network general hospital for which you pay the lowest cost sharing level, check the most current provider directory for your health plan option or download a printable network hospital list, or to access the provider search page.
Looking for an SBC/Summary?
If you need an SBC/summary of benefits that isn't listed, please contact us.