Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
Standard High Gold: HNE Gold A
Health New England · 2027 plan year
Gold
- Ind. deductible
- $1,000
- Family deductible
- $2,000
- Ind. OOP max
- $7,500
- Family OOP max
- $15,000
Other cost-sharing reduction variants for this plan:
More Health New England plans in MA
Monthly premiums by age
Rating Area 1
| Age | Individual |
|---|---|
| Under 15 | $444 |
| 21 | $700 |
| 30 | $762 |
| 40 | $824 |
| 50 | $1,030 |
| 60 | $1,400 |
| 64 and over | $1,400 |
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 | $20.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $45.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $250.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $500.00 Copay per Stay after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | $45.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $25.00 |
| Non-Preferred Brand Drugs | $75.00 Copay after deductible |
| Preferred Brand Drugs | $45.00 |
| Specialty Drugs | $75.00 Copay after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $500.00 Copay per Stay after deductible |
| Mental/Behavioral Health Outpatient Services | $20.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | $250.00 Copay after deductible |
| Acupuncture | $20.00 |
| Allergy Testing | $45.00 |
| Bariatric Surgery | $250.00 Copay after deductible |
| Basic Dental Care - Child | 25.00% Coinsurance after deductible |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | $20.00 |
| Delivery and All Inpatient Services for Maternity Care | $500.00 Copay after deductible |
| Dental Check-Up for Children | No charge |
| Diabetes Education | $45.00 |
| Dialysis | No charge |
| Durable Medical Equipment | 20.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | No charge |
| Eye Glasses for Children | No charge |
| Habilitation Services | $45.00 |
| Hearing Aids | No charge |
| Home Health Care Services | No charge |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | $200.00 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 |
| Laboratory Outpatient and Professional Services | $25.00 Copay after deductible |
| Major Dental Care - Child | 50.00% Coinsurance after deductible |
| Massage | No charge |
| Nutritional Counseling | No charge |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $20.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $250.00 Copay after deductible |
| Outpatient Rehabilitation Services | $45.00 |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 20.00% Coinsurance after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | $500.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $45.00 |
| Rehabilitative Speech Therapy | $45.00 |
| Routine Eye Exam (Adult) | No charge |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $45.00 |
| Skilled Nursing Facility | $500.00 Copay per Stay after deductible |
| Substance Abuse Disorder Inpatient Services | $500.00 Copay per Stay after deductible |
| Substance Abuse Disorder Outpatient Services | $20.00 |
| Transplant | $500.00 Copay after deductible |
| Treatment for Temporomandibular Joint Disorders | $250.00 Copay after deductible |
| Weight Loss Programs | No charge |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $35.00 Copay after deductible |
Service area
This plan covers 70 geographic areas. 67 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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