Standard High Bronze: Community Care Connector Bronze #1
Fallon Community Health Plan · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $3,000
- Family deductible
- $6,000
- Ind. OOP max
- $12,000
- Family OOP max
- $24,000
Compare with other Expanded Bronze plans in MA
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Fallon Community Health Plan plans in MA
Monthly premiums by age
Rating Area 2
| Age | Individual |
|---|---|
| Under 15 | $294 |
| 21 | $464 |
| 30 | $504 |
| 40 | $546 |
| 50 | $682 |
| 60 | $927 |
| 64 and over | $927 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $30.00 Copay after deductible |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $65.00 Copay after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $500.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1000.00 Copay per Stay after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | $65.00 Copay after deductible |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $30.00 |
| Non-Preferred Brand Drugs | $100.00 Copay after deductible |
| Preferred Brand Drugs | $65.00 Copay after deductible |
| Specialty Drugs | $100.00 Copay after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1000.00 Copay per Stay after deductible |
| Mental/Behavioral Health Outpatient Services | $30.00 Copay after deductible |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | $30.00 Copay after deductible |
| Allergy Testing | $65.00 Copay after deductible |
| Bariatric Surgery | $1000.00 Copay after deductible |
| Basic Dental Care - Child | 25.00% |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | $30.00 Copay after deductible |
| Delivery and All Inpatient Services for Maternity Care | $1000.00 Copay after deductible |
| Dental Check-Up for Children | No charge |
| Diabetes Education | $30.00 Copay after deductible |
| Dialysis | No Charge after deductible |
| Durable Medical Equipment | 20.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | No Charge after deductible |
| Eye Glasses for Children | No charge |
| Habilitation Services | $65.00 Copay after deductible |
| Hearing Aids | 20.00% Coinsurance after deductible |
| Home Health Care Services | No Charge after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | $400.00 Copay after deductible |
| Infertility Treatment | $250.00 Copay after deductible |
| Infusion Therapy | No Charge after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Nutritional Counseling | $30.00 Copay after deductible |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 Copay after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $500.00 Copay after deductible |
| Outpatient Rehabilitation Services | $65.00 Copay after deductible |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 20.00% Coinsurance after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | $1000.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $65.00 Copay after deductible |
| Rehabilitative Speech Therapy | $65.00 Copay after deductible |
| Routine Eye Exam (Adult) | No charge |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $30.00 Copay after deductible |
| Skilled Nursing Facility | $1000.00 Copay per Stay after deductible |
| Substance Abuse Disorder Inpatient Services | $1000.00 Copay per Stay after deductible |
| Substance Abuse Disorder Outpatient Services | $30.00 Copay after deductible |
| Transplant | $1000.00 Copay after deductible |
| Treatment for Temporomandibular Joint Disorders | $65.00 Copay after deductible |
| Weight Loss Programs | No charge |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $100.00 Copay after deductible |
| Laboratory Outpatient and Professional Services | $50.00 Copay after deductible |
| Major Dental Care - Child | 50.00% |
Service area
This plan covers 93 geographic areas. 93 of them are covered only in part, meaning specific ZIP codes rather than the whole county. The filing does not list which, so confirm with the insurer or on HealthCare.gov before enrolling.
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