Here are some important features that are common to all Health Connector dental plans:

For children under 19 years of age on any plan:

  • The out-of-pocket maximum is $350
  • There is never an annual benefit maximum
  • Medically necessary orthodontia is covered (and some offer cosmetic coverage)

For adults 19 years of age or older, on any plan:

  • There is no out-of-pocket maximum
  • There is an annual benefit maximum (which may vary)
  • Orthodontia of any kind is not a covered benefit

While shopping, pay close attention to these features, which are different from plan to plan:

  • Monthly Premiums
  • Co-insurance amounts (percentage of cost that the plan pays) differ for:
  • Preventive and diagnostic services, such as cleanings, x-rays, treatments and sealants
  • Basic restorative services, such as fillings and extractions
  • Major restorative services, such as crowns, bridges, dentures
  • Orthodontia, both medically-necessary and (when covered) cosmetic
  • Deductibles and annual benefit maximums (for adults only)
  • Some plans have smaller provider networks as indicated in the Summaries of Benefits and Coverage (SBCs) – you may search for specific providers by clicking on the provider search links below. In addition, some plans do not pay for covered services if you see a dentist who is not in the plan’s network. These plans are labeled as having no out-of-network coverage in the SBCs below.
Is my business eligible to shop for plans?

Click on any box to download a side-by-side comparison of available plan benefits and sample premiums:

Basic Coverage

For plans that include preventative, diagnostic, and basic restorative coverage (such as cleanings, x-rays, fluoride treatments, sealants, fillings and extractions)

Basic Coverage

Learn More

Comprehensive Coverage

For plans that include more comprehensive coverage, including all of the preventative and basic restorative coverage plus crowns, bridges, and dentures

Comprehensive Coverage

Learn More

Explore Summaries of Benefits and Coverage (SBC)

To search for a particular dental provider, click on the links below:

Complete the application process and enroll in a plan.

Once you’ve reviewed the plan details and found a plan that’s right for you, please complete the following steps to enroll your small business:

  1. Contact Customer Service at 1-877-MA-ENROLL (1-877-623-6765), TTY 1-877-623-7773 to obtain premium quotes for the plans you are interested in purchasing for your business.
  2. Once you have selected a plan, download and complete our Employer Application Form and one Employee Application Form for each employee. Mail or fax these forms, along with the premium for your first month of coverage to:

Health Connector for Business
133 Portland Street, 1st Floor
Boston, MA 02114-1707

Fax: 877-623-2155
Or, call 1-877-MA-ENROLL (1-877-623-6765) to enroll

Please note that applications must be received 8 business days in advance of the desired effective date. We have provided a table which lists the deadlines for the effective dates which are currently open for enrollment.

2018 Enrollment Deadlines

Coverage Effective Date Application Deadline
August 1, 2018 July 18, 2018
September 1, 2018 August 20, 2018
October 1, 2018 September 18, 2018

Questions?

Call 1-877-MA-ENROLL (1-877-623-6765), toll-free, Monday - Friday between 8:00 a.m. and 6:00 p.m. People who are hearing or speech impaired can use our TTY service by calling 1-877-623-7773.