Blue Cross Blue Shield of Massachusetts
HMO Blue Premium
Deductible$0$0 family
Out-of-pocket max$2,650$5,300 family
Having a baby$560CMS example
Network: HMO BLUE
Massachusetts Marketplace Health Insurance: 2026 Plans and In-Network Doctors
8 insurers sell 48 medical plans through Massachusetts Health Connector in Massachusetts for 2026, and 15 dental plans are also available. Mass General Brigham Health Plan offers the most, 9 plans. Individual deductibles run from $0 to $10,600, and 8 insurers offer $0-deductible plans.
8 insurers
48 medical plans
Deductibles $0 to $10,600
Source: CMS Marketplace plan files for plan year 2026 and insurer provider directories. Updated November 8, 2026.
NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.
Doctor search is not available for Massachusetts
Insurers selling in Massachusetts do not send their provider directories to CMS, so we cannot show which doctors are in each network. The plans below are complete. To check a doctor, call the insurer or the doctor's office.
All 48 plans
Monthly premiums are not shown: they depend on your age, county, household size and income. Massachusetts Health Connector lists them for your household.
Deductible: what you pay for covered care before the plan starts to pay.
Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
Mass General Brigham Health Plan
Complete HMO 20/40
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$600CMS example
Network: Complete HMO
Mass General Brigham Health Plan
Select HMO 20/40
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$600CMS example
Network: Select HMO
Harvard Pilgrim Health Care
Standard Platinum - Flex
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$600CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO - FLEX
Fallon Health
Standard Platinum: Community Care Connector Platinum
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$500CMS example
Network: Community Care
Health New England
Standard Platinum: HNE Platinum A
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$0CMS example
Network: HNE Commercial Network
Tufts Health Plan
Standard Platinum: Tufts Health Direct Platinum
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$500CMS example
Network: Tufts Health Direct Individual
UnitedHealthcare
Standard Platinum: UHC Navigate Platinum 0
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$560CMS example
Network: MA IND Navigate
WellSense Health Plan
Standard Platinum: WellSense Clarity Platinum 0 Deductible
Deductible$0$0 family
Out-of-pocket max$3,000$6,000 family
Having a baby$660CMS example
Network: WellSense Clarity Network
Blue Cross Blue Shield of Massachusetts
HMO Blue Value Deductible
Deductible$0$0 family
Out-of-pocket max$6,650$13,300 family
Having a baby$1,460CMS example
Network: HMO BLUE
Mass General Brigham Health Plan
Complete HMO 1000 20/40
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,500CMS example
Network: Complete HMO
Mass General Brigham Health Plan
Select HMO 1000 20/40
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,500CMS example
Network: Select HMO
Harvard Pilgrim Health Care
Standard High Gold
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,700CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,300CMS example
Network: Community Care
Health New England
Standard High Gold: HNE Gold A
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$0CMS example
Network: HNE Commercial Network
Tufts Health Plan
Standard High Gold: Tufts Health Direct Gold 1000
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,500CMS example
Network: Tufts Health Direct Individual
UnitedHealthcare
Standard High Gold: UHC Navigate Gold 1000
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,560CMS example
Network: MA IND Navigate
WellSense Health Plan
Standard High Gold: WellSense Clarity Gold 1000
Deductible$1,000$2,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,460CMS example
Network: WellSense Clarity Network
Mass General Brigham Health Plan
Complete HMO 1000 35%
Deductible$1,000$2,000 family
Out-of-pocket max$9,100$18,200 family
Having a baby$3,800CMS example
Network: Complete HMO
Tufts Health Plan
Non-Standard Low Gold: Tufts Health Direct Gold 1600
Deductible$1,600$3,200 family
Out-of-pocket max$5,900$11,800 family
Having a baby$2,400CMS example
Network: Tufts Health Direct Individual
WellSense Health Plan
Non-Standard Low Gold: WellSense Clarity Gold1750
Deductible$1,750$3,500 family
Out-of-pocket max$5,500$11,000 family
Having a baby$2,760CMS example
Network: WellSense Clarity Network
Harvard Pilgrim Health Care
Non-Standard Gold: HMO 2000 Value II - Flex
Deductible$2,000$4,000 family
Out-of-pocket max$5,750$11,500 family
Having a baby$3,100CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO - FLEX
Blue Cross Blue Shield of Massachusetts
HMO Blue Deductible with Copayment
Deductible$2,000$4,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$2,860CMS example
Network: HMO BLUE
Deductible$2,000$4,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$2,800CMS example
Network: Community Care
UnitedHealthcare
Non-Standard Low Gold: UHC Navigate Gold 2000
Deductible$2,000$4,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$2,860CMS example
Network: MA IND Navigate
Blue Cross Blue Shield of Massachusetts
HMO Blue Basic II
Deductible$2,000$4,000 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,060CMS example
Network: HMO BLUE
Health New England
Non-Standard Low Gold: HNE Thrive Gold 2000
Deductible$2,000$4,000 family
Out-of-pocket max$9,800$19,600 family
Having a baby$0CMS example
Network: HNE Commercial Network
Mass General Brigham Health Plan
Complete HMO 2000 25/60 II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,100CMS example
Network: Complete HMO
Mass General Brigham Health Plan
Select HMO 2000 25/60 II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,100CMS example
Network: Select HMO
Tufts Health Plan
Standard High Silver: Tufts Health Direct Silver 2000 II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,000CMS example
Network: Tufts Health Direct Individual
WellSense Health Plan
Standard High Silver: WellSense Clarity Silver 2000 II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,160CMS example
Network: WellSense Clarity Network
Harvard Pilgrim Health Care
Standard Silver II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,500CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,000CMS example
Network: Community Care
Health New England
Standard Silver: HNE Silver A II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$0CMS example
Network: HNE Commercial Network
UnitedHealthcare
Standard Silver: UHC Navigate Silver 2000 II
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,260CMS example
Network: MA IND Navigate
Blue Cross Blue Shield of Massachusetts
HMO Blue Basic Deductible
Deductible$2,900$5,800 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,960CMS example
Network: HMO BLUE
Mass General Brigham Health Plan
Complete HMO 2900 30/65
Deductible$2,900$5,800 family
Out-of-pocket max$10,150$20,300 family
Having a baby$4,000CMS example
Network: Complete HMO
Mass General Brigham Health Plan
Select HMO 2900 30/65
Deductible$2,900$5,800 family
Out-of-pocket max$10,150$20,300 family
Having a baby$4,000CMS example
Network: Select HMO
Deductible$2,900$5,800 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,900CMS example
Network: Community Care
Tufts Health Plan
Standard High Bronze: Tufts Health Direct Bronze 2900
Deductible$2,900$5,800 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,900CMS example
Network: Tufts Health Direct Individual
Harvard Pilgrim Health Care
Non-Standard Bronze: HMO 3500 - Flex
Deductible$3,500$7,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$5,500CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO - FLEX
Health New England
Non-Standard Bronze: HNE Thrive Bronze
Deductible$3,500$7,000 family
Out-of-pocket max$9,800$19,600 family
Having a baby$0CMS example
Network: HNE Commercial Network
Harvard Pilgrim Health Care
Standard High Bronze HSA - Flex
Deductible$3,800$7,600 family
Out-of-pocket max$8,450$16,900 family
Having a baby$5,600CMS example
Network: Harvard Pilgrim Health Care Full Network - HMO - FLEX
Health New England
Standard High Bronze HSA: HNE Bronze 2 HDHP
Deductible$3,800$7,600 family
Out-of-pocket max$8,450$16,900 family
Having a baby$0CMS example
Network: HNE Commercial Network
UnitedHealthcare
Standard High Bronze HSA: UHC Navigate HSA Bronze 3800
Deductible$3,800$7,600 family
Out-of-pocket max$8,450$16,900 family
Having a baby$5,360CMS example
Network: MA IND Navigate
WellSense Health Plan
Standard High Bronze HSA: WellSense Clarity Bronze HSA 3800
Deductible$3,800$7,600 family
Out-of-pocket max$8,450$16,900 family
Having a baby$5,360CMS example
Network: WellSense Clarity Network
Blue Cross Blue Shield of Massachusetts
HMO Blue Essential
Deductible$10,250$20,500 family
Out-of-pocket max$10,250$20,500 family
Having a baby$10,310CMS example
Network: HMO BLUE
Tufts Health Plan
Tufts Health Direct Catastrophic
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,900CMS example
Network: Tufts Health Direct Individual
No plans match these filters.
Compare (0 of 3)
Insurers selling Massachusetts Marketplace plans
Select an insurer to see only its plans.
| Insurer | Plans | Deductibles | Out-of-pocket max | Doctors in network | Action |
|---|---|---|---|---|---|
| Mass General Brigham Health Plan | 9 | $0 to $2,900 | $3,000 to $10,150 | Not published | See plans |
| Blue Cross Blue Shield of Massachusetts | 6 | $0 to $10,250 | $2,650 to $10,250 | Not published | See plans |
| Harvard Pilgrim Health Care | 6 | $0 to $3,800 | $3,000 to $10,150 | Not published | See plans |
| Health New England | 6 | $0 to $3,800 | $3,000 to $10,150 | Not published | See plans |
| Tufts Health Plan | 6 | $0 to $10,600 | $3,000 to $10,600 | Not published | See plans |
| Fallon Health | 5 | $0 to $2,900 | $3,000 to $10,150 | Not published | See plans |
| UnitedHealthcare | 5 | $0 to $3,800 | $3,000 to $10,150 | Not published | See plans |
| WellSense Health Plan | 5 | $0 to $3,800 | $3,000 to $10,150 | Not published | See plans |
Dental-only insurers
2 insurers sell stand-alone dental plans in Massachusetts but no medical plans.
| Insurer | Dental plans | Dentists in network |
|---|---|---|
| Delta Dental | 11 | Not published |
| Altus Dental | 4 | Not published |
Questions about Massachusetts Marketplace plans
Which insurers sell Marketplace plans in Massachusetts?
8 insurers sell medical plans for 2026: Mass General Brigham Health Plan, Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim Health Care, Health New England, Tufts Health Plan, Fallon Health, UnitedHealthcare, and WellSense Health Plan. 2 more insurers sell dental plans only.
When can I enroll in a Massachusetts Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Oct 23, 2026 to Jan 23, 2027 on Massachusetts Health Connector. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Can I check if my doctor is in a Massachusetts plan here?
Not for Massachusetts. Insurers there do not send provider directories to CMS. Use the doctor search on Massachusetts Health Connector or call the insurer.
What is the lowest deductible on a Massachusetts Marketplace plan?
10 plans have a $0 individual deductible. Deductibles run from $0 to $10,600. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
These are Massachusetts's 2026 plans, the latest available. Massachusetts's 2027 plan details are not public yet, so prices, benefits and doctors may be different for 2027. Check Massachusetts Health Connector before you enroll. The doctor lists already include doctors that insurers list for 2027. This page will be updated when the 2027 details come out.
Are all Massachusetts plans sold in every county?
No. 26 plans are sold only in some counties, and 22 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on Massachusetts Health Connector. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.
About this data
NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on Massachusetts Health Connector.
| Source | What it provides here | Source date |
|---|---|---|
| CMS public use files for Massachusetts Health Connector | Plans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is sold | Plan year 2026 |
| Insurer provider directories | Which doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Massachusetts are counted. | Updated November 8, 2026 |
| NPPES NPI registry | Provider names, practice addresses and primary specialties | Matched November 8, 2026 |
- Only individual-market plans sold on Massachusetts Health Connector are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
- Doctors listed for 2026 or 2027 plans are counted, because insurer directories already list 2027 networks and most plan IDs carry over.
- Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
- Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.
Compare plans
Green marks the lowest value in a row. Monthly premiums depend on age, county and income and are not shown. CMS examples are standard scenarios from each plan's Summary of Benefits and Coverage. Directories can be out of date, so call the office to confirm.
