Massachusetts Health Connector and member carriers agree to carry over out-of-pocket costs for mid-year moves to access new lower premiums on-exchange
Agreement allows carrier members to access to lower Health Connector premiums as a result of the American Rescue Plan without resetting deductibles in 2021 May 20, 2021 – All nine health insurance carriers who participate in the Massachusetts Health Connector have agreed to let their off-exchange members move from an off-exchange plan to an exchange-based plan mid-year without losing spent out-of-pocket costs in 2021. This flexibility can help Massachusetts residents access new lower-cost plans through the Health Connector. The federal American Rescue Plan, which was signed into law in March 2021, creates new premium subsidies for many people who earn more than 400 percent of the federal poverty level (about $51,000), creating lower premiums for plans available through the Health Connector. Someone who currently buys their plan directly through the carrier can seek out the new premium help available only through the Health Connector. If they purchase a plan with the same carrier, the money they have spent on their deductible and other out-of-pocket costs will be credited for money spent so far this year. The Health Connector recently completed a redetermination of more than 11,000 current members who were not receiving subsidy previously. A majority of those people are now eligible for help paying for their health insurance, with average monthly premiums for those eligible dropping 27 percent thanks to savings of $217 per month – or $2,600 a year. “This agreement to carry over out-of-pocket costs for people moving into Health Connector plans will allow thousands of Massachusetts [...]

