SimpliveraCoverage Companion

Non-Standard Bronze: HNE Thrive Bronze

Health New England · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$3,500
Family deductible
$7,000
Ind. OOP max
$10,800
Family OOP max
$21,600

Other cost-sharing reduction variants for this plan:

Standard Bronze Off Exchange PlanStandard Bronze On Exchange PlanZero Cost Sharing Plan Variation

More Health New England plans in MA

Standard Platinum: HNE Platinum AHNE CatastrophicStandard High Bronze HSA: HNE Bronze 2 HDHP

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$30.00 Copay after deductible

Specialist

BenefitIn-network
Specialist Visit$50.00 Copay after deductible

Hospital

BenefitIn-network
Inpatient Hospital Services (e.g., Hospital Stay)$1000.00 Copay per Stay with deductible
Emergency Room Services$750.00 Copay after deductible
Outpatient Surgery Physician/Surgical ServicesNo Charge after deductible
Urgent Care Centers or Facilities$50.00 Copay after deductible

Pharmacy

BenefitIn-network
Non-Preferred Brand Drugs$150.00 Copay after deductible
Generic Drugs$30.00
Preferred Brand Drugs$100.00 Copay after deductible
Specialty Drugs$200.00 Copay after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$1000.00 Copay per Stay with deductible
Mental/Behavioral Health Outpatient Services$30.00 Copay after deductible

Other

BenefitIn-network
Imaging (CT/PET Scans, MRIs)$1000.00 Copay after deductible
Infertility Treatment$1000.00 Copay after deductible
Infusion TherapyNo Charge after deductible
Laboratory Outpatient and Professional Services$100.00 Copay after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
MassageNo Charge after deductible
Nutritional CounselingNo charge
Orthodontia - Child50.00%
Inpatient Physician and Surgical ServicesNo Charge after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services$50.00 Copay after deductible
Hearing AidsNo charge
Home Health Care ServicesNo Charge after deductible
Hospice ServicesNo charge
Abortion for Which Public Funding is ProhibitedNo charge
Accidental Dental$750.00 Copay after deductible
Acupuncture$20.00 Copay after deductible
Allergy Testing$50.00 Copay after deductible
Bariatric Surgery$1000.00 Copay after deductible
Basic Dental Care - Child25.00% Coinsurance after deductible
ChemotherapyNo Charge after deductible
Chiropractic Care$20.00 Copay after deductible
Delivery and All Inpatient Services for Maternity Care$1000.00 Copay per Stay with deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education$50.00 Copay after deductible
DialysisNo charge
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/Ambulance$100.00 Copay after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)$30.00 Copay after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1000.00 Copay after deductible
Outpatient Rehabilitation Services$50.00 Copay after deductible
Prenatal and Postnatal CareNo charge
Prosthetic Devices20.00% Coinsurance after deductible
RadiationNo Charge after deductible
Reconstructive Surgery$1000.00 Copay per Stay with deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$50.00 Copay after deductible
Rehabilitative Speech Therapy$50.00 Copay after deductible
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$50.00 Copay after deductible
Skilled Nursing Facility$1000.00 Copay per Stay with deductible
Substance Abuse Disorder Inpatient Services$1000.00 Copay per Stay with deductible
Substance Abuse Disorder Outpatient Services$30.00 Copay after deductible
Transplant$1000.00 Copay per Stay with deductible
Treatment for Temporomandibular Joint Disorders$1000.00 Copay after deductible
Weight Loss ProgramsNo Charge after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$200.00 Copay after deductible

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