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.

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

More Health New England plans in MA

Monthly premiums by age

Rating Area 1

AgeIndividual
Under 15$305
21$480
30$522
40$565
50$707
60$960
64 and over$960

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

Pharmacy

BenefitIn-network
Generic Drugs$30.00
Non-Preferred Brand Drugs$150.00 Copay after deductible
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
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
Eye Glasses for ChildrenNo charge
Habilitation Services$50.00 Copay after deductible
Hearing AidsNo charge
Imaging (CT/PET Scans, MRIs)$1000.00 Copay after deductible
Infertility Treatment$1000.00 Copay after deductible
Infusion TherapyNo Charge after deductible
Inpatient Physician and Surgical ServicesNo 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%
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

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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