Skip to main content
  • Home
  • Medicare
  • Employer
  • Broker
  • Provider
  • Careers
  • Health News
  • About Us
  • Menu
    • Find Care
      • Care Options

        • Find a Doctor
        • 24/7 Nurse Line
        • Video Doctor Visits
        • Look up a Medication
        • Care Management
        • Serious Illness
        • Care Decisions
        • Holistic Care
          • Find alternative care
          Close
        • Acupuncture
        • Team Blue
          • A Pledge to Make Meaningful Change
          Close
        Close
      Close
    • Your Health
      • Mental and Behavioral Health

        • Mental & Behavioral Health
        • Care Options
        • Articles & Videos
        • Substance Use Disorder
        Close
      • Conditions

        • Pregnancy
        • Diabetes
        • Asthma
        Close
      • Everyday Wellness

        • Coronavirus Resource Center
          • We Are Mighty, MA
          Close
        • Flu Resources
          • Flu FAQ
          • Flu Myths
          Close
        • Preventive Care
        • Healthy Living
        • Family Planning
        Close
      Close
    • Learn & Save
      • Plans & Benefits

        • Medical
          • Student Plan
          Close
        • Dental
        • Vision
        • Pharmacy
        • Deductible plans
        • Other Benefits
        • Health Connector Plans
        • Summary of Benefits and Coverage
        Close
      • Ways to Save

        • Health Financial Accounts
        • Fitness & Weight Loss
        • Breast Pump Savings
        Close
      • Insurance Basics

        • Transitioning to Medicare
        Close
      • Fast Forms
      • Glossary of Terms
      Close
    Close
  • Search
    • Search
    Close
  • Support
    • Team Blue Support
      • Call member service 1-800-262-2583
      • Talk to a nurse 1-888-247-2583
      • Video Doctor Visit
      • Send website feedback
      Close
    Close
  • Sign In
  • Menu
    • Home
    • Find Care
      • Care Options

        • Find a Doctor
        • 24/7 Nurse Line
        • Video Doctor Visits
        • Look up a Medication
        • Care Management
        • Serious Illness
        • Care Decisions
        • Holistic Care
          • Find alternative care
          Close
        • Acupuncture
        • Team Blue
          • A Pledge to Make Meaningful Change
          Close
        Close
      Close
    • Your Health
      • Mental and Behavioral Health

        • Mental & Behavioral Health
        • Care Options
        • Articles & Videos
        • Substance Use Disorder
        Close
      • Conditions

        • Pregnancy
        • Diabetes
        • Asthma
        Close
      • Everyday Wellness

        • Coronavirus Resource Center
          • We Are Mighty, MA
          Close
        • Flu Resources
          • Flu FAQ
          • Flu Myths
          Close
        • Preventive Care
        • Healthy Living
        • Family Planning
        Close
      Close
    • Learn & Save
      • Plans & Benefits

        • Medical
          • Student Plan
          Close
        • Dental
        • Vision
        • Pharmacy
        • Deductible plans
        • Other Benefits
        • Health Connector Plans
        • Summary of Benefits and Coverage
        Close
      • Ways to Save

        • Health Financial Accounts
        • Fitness & Weight Loss
        • Breast Pump Savings
        Close
      • Insurance Basics

        • Transitioning to Medicare
        Close
      • Fast Forms
      • Glossary of Terms
      Close

    Other Sites

    • Home
    • Medicare
    • Employer
    • Broker
    • Provider
    • Careers
    • Health News
    • About Us

    Need Help

    • Team Blue Support
      • Call member service 1-800-262-2583
      • Talk to a nurse 1-888-247-2583
      • Video Doctor Visit
      • Send website feedback
      Close
    Close
  1. Home
  2. Health Connector Plans

Blue Cross Blue Shield of Massachusetts Connector Plans

  • 2021
  • 2020

Choose Your Health Plan

Thank you for your interest in Blue Cross Blue Shield of Massachusetts. Below you'll find the Summary of Benefits and Coverage and the corresponding coverage policy for each of our plans that are available through the Massachusetts Health Connector. All of our plans are available for both groups and individuals, unless otherwise noted. Our Medication Lookup tool, which provides out-of-pocket medication costs, and our Find a Doctor & Estimate Costs tool, which helps you to find a health care provider and compare costs, can assist in your decision-making process when choosing a health plan.

Platinum Plans

This plan has the highest monthly premiums but the lowest out-of-pocket costs for medical expenses.

Standard Platinum: HMO Blue Premium SBC

Coverage Policy Document

Gold Plans

Gold plans generally have higher monthly premiums than Silver plans. These plans offer a good balance between lower out-of-pocket costs and a higher monthly premium.

Standard High Gold: HMO Blue Copayment SBC

Coverage Policy Document

Non-Standard Low Gold: HMO Blue Deductible with Copayment SBC

Coverage Policy Document

Silver Plans

These plans generally have a higher monthly premium than Bronze plans. You'll have moderate out-of-pocket costs when you receive medical care.

Standard High Silver: HMO Blue Basic SBC

Coverage Policy Document

Standard Low Silver: HMO Blue Saver SBC*

Coverage Policy Document

Non-Standard Silver: Preferred Blue® PPO Deductible with Coinsurance SBC*

Coverage Policy Document

* available for small groups only

Bronze Plans

This plan offers the lowest monthly premium. However, you pay higher out-of-pocket costs when you receive medical care.

Standard High Bronze: HMO Blue Basic Deductible SBC

Coverage Policy Document

Catastrophic Plans

This plan is for individuals under 30. You're covered for medical care at a low monthly premium.

HMO Blue Essential SBC

Coverage Policy Document

Prescription Coverage

Our list of covered medications is based on a tiered cost structure. When you fill a prescription, the amount you pay the pharmacy is determined by the tier your medication is in and your benefits. The amount you pay may also include your copayment, co-insurance, and deductibles. The pharmacist will tell you how much you owe. For more information about how our plans will cover your prescriptions, look them up using our Medication Lookup tool.

With the Medication Lookup tool, you can:

  • Look up any medication to see if it's covered by a plan

  • Find safe and effective covered alternatives for medications not covered by a plan

  • Search for low-cost generic alternatives, specialty medications, and medications that have $0 copays

Blue Cross Blue Shield of Massachusetts Formulary

Pediatric Dental Benefits

All the above health plans include pediatric dental coverage for members up to the end of the month the member turns age 19. View the documents below to learn more about this coverage:

Summary of Benefits

Schedule of Dental Benefits

Find a Doctor & Estimate Costs

Pick the doctor who's right for you using our Find a Doctor & Estimate Costs tool. In minutes, you can:

  • Find doctors, dentists, hospitals, and other health care providers

  • Get cost estimates for about 1,600 common medical procedures

  • Read and write reviews on doctors

Visit Find a Doctor & Estimate Costs

To learn more about Blue Cross Blue Shield of Massachusetts, read our fact sheet.

Choose Your Health Plan

Thank you for your interest in Blue Cross Blue Shield of Massachusetts. Below you'll find the Summary of Benefits and Coverage and the corresponding coverage policy for each of our plans that are available through the Massachusetts Health Connector. All of our plans are available for both groups and individuals, unless otherwise noted. Our Medication Lookup tool, which provides out-of-pocket medication costs, and our Find a Doctor & Estimate Costs tool, which helps you to find a health care provider and compare costs, can assist in your decision-making process when choosing a health plan.

Platinum Plans

This plan has the highest monthly premiums but the lowest out-of-pocket costs for medical expenses.

Standard Platinum: HMO Blue Premium SBC

Coverage Policy Document

Gold Plans

Gold plans generally have higher monthly premiums than Silver plans. These plans offer a good balance between lower out-of-pocket costs and a higher monthly premium.

Standard High Gold: HMO Blue $1,000 Deductible SBC

Coverage Policy Document

Standard Low Gold: HMO Blue Deductible with Copayment SBC

Coverage Policy Document

Silver Plans

These plans generally have a higher monthly premium than Bronze plans. You'll have moderate out-of-pocket costs when you receive medical care.

Standard High Silver: HMO Blue Basic SBC

Coverage Policy Document

Standard Low Silver: HMO Blue Saver SBC*

Coverage Policy Document

Non-Standard Silver: Preferred Blue® PPO Deductible with Coinsurance SBC*

Coverage Policy Document

* available for small groups only

Bronze Plans

This plan offers the lowest monthly premium. However, you pay higher out-of-pocket costs when you receive medical care.

Standard High Bronze: HMO Blue Basic Deductible SBC

Coverage Policy Document

Catastrophic Plans

This plan is for individuals under 30. You're covered for medical care at a low monthly premium.

HMO Blue Essential SBC

Coverage Policy Document

Prescription Coverage

Prescription drugs are grouped into tiers based on type and cost. Your out-of-pocket cost under each plan's prescription drug coverage can differ depending on which tier a medication falls under. Use our Medication Lookup tool to find out how our plans will cover your prescriptions.

With the Medication Lookup tool, you can:

  • Look up any medication to see if it's covered by a plan

  • Find safe and effective covered alternatives for medications not covered by a plan

  • Search for low-cost generic alternatives, specialty medications, and medications that have $0 copays

Blue Cross Blue Shield of Massachusetts Formulary

Pediatric Dental Benefits

All the above health plans include pediatric dental coverage for members up to the end of the month the member turns age 19. View the documents below to learn more about this coverage:

Summary of Benefits

Schedule of Dental Benefits

Find a Doctor & Estimate Costs

Pick the doctor who's right for you using our Find a Doctor & Estimate Costs tool. In minutes, you can:

  • Find doctors, dentists, hospitals, and other health care providers

  • Get cost estimates for about 1,600 common medical procedures

  • Read and write reviews on doctors

Visit Find a Doctor & Estimate Costs

To learn more about Blue Cross Blue Shield of Massachusetts, read our fact sheet.

Footer: Links

  • About Us
  • Careers
  • Sitemap
  • Feedback
  • Contact Us
  • Privacy & Security
  • Terms of Use
  • Accessibility
  • Nondiscrimination
  • Member Rights
  • Plan Updates
  • Utilization Management
  • MyBlue App
  • Health News Stories
  • Well-B
  • Medical Policies
  • Equity In Health Care​​​​​​​

Download App

Download on App Store Download on Google Play

Follow us:

  • Facebook
  • Twitter
  • LinkedIn
  • YouTube

Choose a language:

  • English (English)
  • Español (Spanish)
  • Português (Portuguese)
  • Français (French)
  • Chinese/简体中文
  • Haitian Creole/Kreyòl Ayisyen
  • Vietnamese/Tiếng Việt
  • Russian/Русский
  • Mon-Khmer, Cambodian/ខ្មែរ
  • Italian/Italiano
  • Korean/한국어
  • Greek/λληνικά
  • Polish/Polski
  • Hindi/हिंदी
  • Gujarati/ગુજરાતી
  • Tagalog/Tagalog
  • Japanese/日本語
  • German/Deutsch
  • Lao/ພາສາລາວ
  • Navajo/Diné Bizaad

ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Call 1-800-472-2689 (TTY: 711).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación llamada 1-800-472-2689 (TTY: 711 ).

ATENÇÃO: Se fala português, são-lhe disponibilizados gratuitamente serviços de assistência de idiomas. Telefone para os Serviços aos Membros, através do número no seu cartão ID chamar  1-800-472-2689 (TTY: 711 ).

ATTENTION : si vous parlez français, des services d’assistance linguistique sont disponibles gratuitement. Appelez le Service adhérents au numéro indiqué sur votre carte d’assuré appel 1-800-472-2689  (TTY : 711 ).

注意:如果您讲中文,我们可向您免费提供语言协助服务。请拨打您 ID  卡上的号码联系会员服务部 通话 1-800-472-2689(TTY  号码:711 )。

ATANSYON: Si ou pale kreyòl ayisyen, sèvis asistans nan lang disponib pou ou gratis. Rele nimewo Sèvis Manm nan ki sou kat Idantitifkasyon w lan (Sèvis pou Malantandan Rele 1-800-472-2689 TTY: 711 ).

LƯU .: Nếu quý vị n.i Tiếng Việt, c.c dịch vụ hỗ trợ ng.n ngữ được cung cấp cho quý vị miễn ph.. Gọi cho Dịch vụ Hội vi.n theo số tr.n thẻ ID của quý vị Cuộc gọi 1-800-472-2689 (TTY: 711 ).

ВНИМАНИЕ: если Вы говорите по-русски, Вы можете воспользоваться бесплатными услугами переводчика. Позвоните в отдел обслуживания клиентов по номеру, указанному в Вашей идентификационной карте вызов  1-800-472-2689 (телетайп: 711 ).

ការជូនដំណឹង៖ ប្រសិនប. ើអ្នកនិយាយភាសា ខ្មែរ សេ  វាជំនួយភាសាឥតគិតថ្លៃ គឺអាចរកបានសម្  រាប ់អ្នក។ សូមទូរស័ព្ទទ ៅផ ្នែ កសេ  វាសមា  ជិកតាមល េខន  ៅល.  ើប ័ណ្ណ សម្  គាល ់ខ្លួ ខ្លួ នរប ស់អ្នក ហៅ  1-800-472-2689 (TTY: 711) ។

ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativa chiamata  1-800-472-2689 (TTY: 711 ).

참고 : 한국어를 사용하는 경우 언어 지원 서비스를 무료로 사용할 수 있습니다. 신분증에있는 전화 번호 1-800-472-2689 (TTY : 711)로 회원 서비스에 연락하십시오.

ΠΡΟΣΟΧΗ: Εάν μιλάτε Ελληνικά, διατίθενται για σας υπηρεσίες γλωσσικής βοήθειας, δωρεάν. Καλέστε την Υπηρεσία Εξυπηρέτησης Μελών στον αριθμό της κάρτας μέλους σας (ID Card) κλήση 1-800-472-2689 (TTY: 711 ).

UWAGA: Osoby posługujące się językiem polskim mogą bezpłatnie skorzystać z pomocy językowej. Należy zadzwonić do Działu obsługi ubezpieczonych pod numer podany na identyfikatorze zadzwoń 1-800-472-2689 (TTY: 711 ).

ध्यान दें: य दि  आप ह िन् दी बोलते ह ैं, तो भा षा  सहाय  ता  सेवा एँ, आप के लि ए नि :शुल्क  उपलब्ध ह ैं। सदस्य  सेवा ओं को आपके आई.डी. कार  ्ड पर दि ए गए नंबर पर कॉल करें  कॉल 1-800-472-2689 ( टी .टी .वा ई.: 711).

ધ્યાન આપો:  જો તમે ગુજરા તી બોલતા  હો, તો તમને ભા ષા કીય  સહાય  તા  સેવા ઓ વિ ના  મૂલ્યે  ઉપલબ્ધ છે. તમા રા  આઈડી કાર  ્ડ પર આપેલા  નંબર પર Member Service  ને કૉલ કરો કૉલ કરો 1-800-472-2689 (TTY: 711).

PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag 1-800-472-2689 (TTY: 711 ).

お知らせ:日本語をお話しになる方は無料の言語アシスタンスサービスをご利用いただけます。ID カードに記載の電話番号を使用してメンバーサービスまでお電話ください 呼び出す 1-800-472-2689(TTY: 711 )。

ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstützung zur Verfügung. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen 1-800-472-2689 (TTY: 711 ).

ຂໍ້ຄວນໃສ່ໃຈ: ຖ້າເຈົ້າເວົ້າພາສາລາວໄດ້, ມີການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາໃຫ້ທ່ານໂດຍບໍ່ເສຍຄ່າ. ໂທ ຫາ ຝ່າຍບໍລິການສະ ມາ ຊິກທີ່ໝາຍເລກໂທລະສັບຢູ່ໃນບັດຂອງທ່ານ ໂທ 1-800-472-2689 (TTY: 711).

BAA !KOHWIINDZIN DOO&G&: Din4 k’ehj7 y1n7[t’i’go saad bee y1t’i’ 47 t’11j77k’e bee n7k1’a’doowo[go 47 n1’ahoot’i’. D77 bee an7tah7g7 ninaaltsoos bine’d44’ n0omba bik1’7g7ij8’ b44sh bee hod77lnih call 1-800-472-2689 (TTY: 711).

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. ® Registered Marks of the Blue Cross and Blue Shield Association. ®´ Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. ®´´ Registered Marks, TM Trademarks. and SM Service Marks are the property of their respective owners. © 2020 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.