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.
Select HMO 3000 30/65
Mass General Brigham Health Plan, Inc · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $3,000
- Family deductible
- $6,000
- Ind. OOP max
- $12,000
- Family OOP max
- $24,000
Other cost-sharing reduction variants for this plan:
More Mass General Brigham Health Plan, Inc plans in MA
Monthly premiums by age
Rating Area 1 — the lowest-priced of the 7 areas this plan covers. Premiums differ by area.
| Age | Individual |
|---|---|
| Under 15 | $290 |
| 21 | $457 |
| 30 | $497 |
| 40 | $538 |
| 50 | $673 |
| 60 | $914 |
| 64 and over | $914 |
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 | $500.00 Copay after deductible |
| Allergy Testing | $100.00 Copay after deductible |
| Bariatric Surgery | $1000.00 Copay after deductible |
| Basic Dental Care - Child | 25.00% Coinsurance after deductible |
| Chemotherapy | $75.00 |
| 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 | $65.00 Copay after deductible |
| Dialysis | No charge |
| 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 | No charge |
| Home Health Care Services | No charge |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | $500.00 Copay after deductible |
| Infertility Treatment | $65.00 Copay after deductible |
| Infusion Therapy | No charge |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | $50.00 Copay after deductible |
| Major Dental Care - Child | 50.00% Coinsurance after deductible |
| Nutritional Counseling | $65.00 Copay after deductible |
| Orthodontia - Child | 50.00% Coinsurance after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 Copay after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $900.00 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 | $75.00 |
| 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) | $65.00 Copay after deductible |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $65.00 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 |
Service area
This plan covers 8 geographic areas.
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