HEALTH REFORM – CURRENT AND UPCOMING PRODUCTS

There are three categories of Massachusetts Health Reform related plans available now or in the near future.

Commonwealth Care:
(Subsidized by the State)
Available now.

To qualify for Commonwealth Care, individuals must:

• Be a U.S. Citizen, qualified alien or legal immigrant
• Have income up to 300% of the Federal Poverty Level (i.e., $60,000 annual income for a family of 4).
• Not have access to employer-sponsored coverage or subsidized insurance, including MassHealth or Medicare.

Plans are offered through the Connector* by the four Medicaid Managed Care Organizations:

• Neighborhood Health Plan
• Network Health
• BMC HealthNet
• Fallon Community Health Plan

Commonwealth Choice:
(Unsubsidized Plans)
Available in May 2007 for coverage effective July 1st.

• For any individuals with income above 300% of the Federal Poverty Level who do not have access to employer- sponsored coverage and for employers with 50 or fewer employees.
• Offered through the Connector and in the general market by private insurers such as Blue Cross Blue Shield, Harvard Pilgrim and Tufts.

Young Adult Plans:
Available in May 2007 for coverage effective July 1st.

• For young adults 19 - 26 years old.
• Offered only through the Connector.

*To contact The Commonwealth Health Insurance Connector Authority (The Connector) call 1-877-623-6765 or 1-877-MA-ENROLL.

-Adapted from materials developed by Pragya Rizal, Partners Health Care, Community Benefits

3/07