Through the NHP Commonwealth Choice Plan, members will receive complete coverage for medically necessary services, including:
Your premium costs will depend on your age, family size, and town of residence, as well as the plan you choose. Visit the health cost calculator at the Health Connector website for a premium quote.
| Plan | Office Visit/ER Copays** | Pharmacy Copays | Coverage Details* | PCP Provider Network |
|---|---|---|---|---|
| NHPOne |
$10/$50 | $10 tier 1/$25 tier 2/$45 tier 3 | Comprehensive coverage with no coinsurance or deductibles. [NHPOne Benefit Summary] |
NHP Comprehensive |
| NHPOne -- Version 2008 |
$15 or $25/$75 | $10 tier 1/$25 tier 2/$45 tier 3 | Comprehensive coverage with no coinsurance or deductibles. [NHPOne -Version 2008 Benefit Summary] |
NHP Comprehensive |
| NHPTwo | $25/$100 | $15 generics/ 50% coinsurance brand |
Comprehensive coverage with higher hospital out-of-pocket costs and 50% co-insurance on brand name prescriptions. [NHPTwo Benefit Summary] |
NHP Comprehensive |
| NHPTwo Select | $25/$100 | $15 generics/ 50% coinsurance brand |
Same coverage as NHPTwo. [NHPTwo Select Benefit Summary] |
NHP Select |
| NHPThree Select | $25/$100 after deductible | $100 Individual/$200 Family Deductible, then $15 copay Generics & 50% coinsurance brand | Deductible ($2,000 individual/$4000 Family) and 20% coinsurance applies to some services. Out-of-pocket maximum $5,000 individual/$10,000 family. [NHPThree Select Benefit Summary] |
NHP Select |
| NHPGreen Select | $25/$100 after deductible | $100 Individual Deductible, then $15 copay generics & 50% coinsurance brand | For individuals 19-26 years old only. $2,000 deductible and 20% coinsurance applies to some services. $5,000 out-of-pocket maximum/$50,000/year maximum benefit. [NHPGreen Select Benefit Summary] |
NHP Select |
| NHPGreen Select No Rx | $25/$100 after deductible | Not Covered | For individuals 19-26 years old only. Same Coverage as NHPGreen Select, but without prescription coverage. [NHPGreen Select No Rx Benefit Summary] |
NHP Select |
**See our glossary for an explanation of coinsurance, deductibles, and out-of-pocket maximums.
*Waived if admitted to the hospital
You may purchase an NHPCare HMO plan directly through Health Services Administrators (HSA), a division of our preferred intermediary, the Massachusetts Business Association (MBA). To obtain pricing and benefit information for any NHPCare HMO plan, please contact HSA at 866-474-0101, or visit HSA's website at www.hsainsurance.com/nhp.
If you cannot view PDF files, download and install the free Acrobat Reader first.