Massachusetts Health Insurance
Residents of Massachusetts can compare health insurance plans and companies online instantly at GoHealthInsurance. There are plenty of different plans available to find a plan for your health care needs.
Massachusetts has different health insurance laws, rules and regulations than in other states including an individual health insurance mandate. You find can information on the top health insurance companies in the state and public health insurance programs.
If you reside outside of Massachusetts, search health insurance by state here.
It’s always a good idea to compare the different plans and prices of several insurance providers. You can easily do that here by filling in the online form below to compare Massachusetts health insurance quotes.
Resources on this page
Massachusetts Health Insurance Stats
Massachusetts Residents: 6,526,000
Median Annual Household Income: $62,809
Massachusetts Health Care Expenditures (in millions): $61,162
Households with at least 1 full time worker: 3,091,000
Massachusetts Health Insurance Coverage based on Total Population (%):
- Employer: 58%
- Individual: 5%
- Medicaid: 20%
- Medicare: 12%
- Uninsured: 4%
Avg. Monthly Massachusetts Individual Premiums: $437
Total Massachusetts HMO Enrollment: 2,261,834
Massachusetts is unlike any other state and requires residents to purchase health insurance or pay a fine. The mandate to purchase Massachusetts health insurance passed in 2006 and the state has celebrated record low rates of uninsured residents since.
There is a Health Care Access Bureau that regulates oversight for small group and individual health insurance policies.
In every Massachusetts health insurance policy there are over three dozen mandated health services provided in the plans. Here are some required services:
- Screening for breast, cervical, prostate and colorectal cancer
- Contraceptive services
- Diabetes-related services and supplies
- Home health care and hospital care
- Coverage for speech, hearing and language disorders
- Maternity health care services
Massachusetts health insurance plans also include autism coverage and the most comprehensive coverage for infertility treatments in the nation.
There are many public Massachusetts health insurance programs that help low-income residents get health insurance coverage.
The MassHealth program in Massachusetts provides low-earning residents and disabled citizens health insurance coverage. To learn more about Medicaid in Massachusetts, visit here.
- Healthy Start
Healthy Start is a program for low-income pregnant women who do not have health insurance. This Massachusetts health insurance program provides prenatal care to improve the health of mothers and newborns. For more information visit http://www.mass.gov.
- Commonwealth Care
Commonwealth Care program is for families that make less than 300 percent of the federal poverty level and meet certain eligibility requirements. Visit the Commonwealth Connector for more information.
- Qualified Student Health Insurance Plans (QSHIP)
The Qualified Student Health Insurance Plans (QSHIP) program in Massachusetts requires students to sign up for health insurance while enrolled in classes. Visit here for more information on Massachusetts health insurance requirements for students.
Residents in Massachusetts with pre-existing conditions can get health insurance from the new high risk pools established by the Patient Protection and Affordable care Act.
The Pre-Existing Condition Insurance Plan (PCIP) will run similar to regular Massachusetts health insurance plans. The plans will require enrollees to pay affordable premiums and out-of-pocket costs.
People in Massachusetts with medical conditions will have coverage for emergency services, prescription drugs, doctor and hospital visits and more.
Individuals may apply for the Massachusetts program if they are a United States citizen, have been without health insurance for six months and have a medical condition.
For more information on the Massachusetts health insurance high risk pools visit http://www.healthcare.gov/index.html.
The following list of companies offer Massachusetts health insurance plans:
Assurant Health, headquartered in Milwaukee, has been offering quality insurance products and coverage to over 1 million members since 1982. Assurant is committed to providing health insurance plans that have broad coverage while providing valuable protection.
As a non-profit insurance company, BCBS of Massachusetts provides a wide variety of health insurance plans with superior customer service.
CeltiCare Healthplan of MA, established in 2009, is dedicated to providing Massachusetts residents with affordable and reliable quality health insurance coverage by tailoring plans to meet the needs of its members.
Fallon Community Health Plan is a health insurance company and healthcare provider to the residents of Massachusetts. They offer first-rate, cost-effective care to all of its members along with customizable plans made up of different networks of physicians.
Find the contact information for the Massachusetts health insurance and health departments at:
1000 Washington Street, Suite 810
Boston, MA 02118
Phone: (617) 521-7794
One Ashburton Place on the Eleventh Floor
Boston, MA 02108
Phone: (617) 573-1600