QHPs provide subsidized and unsubsidized coverage to eligible members, per the Patient Protection and Affordable Care Act (ACA). Members may purchase unsubsidized coverage directly from insurers or through the Commonwealth Health Insurance Connector Authority (Health Connector) in the Massachusetts state-based marketplace. Subsidized ConnectorCare plans are only available through the Health Connector, and provide eligible Massachusetts residents with access to state and/or federal premium and cost-sharing subsidies.
Members may be eligible for subsidies, depending on their income level
Available subsidies |
Member income |
Tufts Health Direct plan level |
-
Federal Premium Tax Credit
-
Federal cost-sharing reductions
-
State premium subsidies
-
State cost-sharing subsidies
|
0-250% of the federal poverty level (FPL)
|
ConnectorCare
|
|
250-300% of the FPL
|
ConnectorCare
|
|
300-400% of the FPL
|
Platinum
Gold
Silver
Bronze
|
|
More than 400% of the FPL
|
Platinum
Gold
Silver
Bronze
|
If your patient does not qualify for one of the above subsidies and they feel that the health care plans available to them are not affordable, please ask them to call the Health Connector at 877-MA-ENROLL to discuss their options.