What benefits are covered?

Many preventive health care services are covered in full and at no cost.

Preventive Health Care is routine health care that includes screenings, check-ups, and counseling to prevent illnesses, disease, or other health problems. We cover Preventive Health Care Services without Cost-Share to the extent required by the Affordable Care Act.

Your health plan also covers other non-preventative services when they are medically necessary. Depending on the plan type and service, members are responsible to pay certain costs out-of-pocket. View the benefits and cost-sharing summary for your plan level to learn what you pay for services.

For a full list of covered benefits, see the covered services section of the Member Handbook. (2023 | 2024)

Learn about our health coaching and wellness programs. You can tailor them to your goals. Plus, they're easy and available on your schedule at no additional cost.

What does it cost to get covered services?

After getting certain covered services, members may owe costs like copayments, deductibles and/or coinsurance. These costs apply to medical, behavioral health and pharmacy services.

To learn more about the different types of costs, read our Cost Sharing Made Clear page.

American Rescue Plan Savings

The American Rescue Plan can reduce your monthly health insurance costs.

Visit the MA Health Connector to find out if you are eligible.