You pay monthly for your HMO. This monthly charge is called a "premium." Sometimes when you visit your doctor or health care provider, you may also have to pay a “copayment.”
You have to pay the first month premium by a deadline before you can enroll. Then the Health Connector will bill you every month. The premium is the same every month.
If your situation changes and you report the change to the Health Connector, your premium can change.
The cost of your premium depends on your plan type and the HMO you pick. Your plan type is based on your income. See where your household income is on this table and which Plan Type applies to you.
- If your income is 150% of the federal poverty level or less, you can choose an HMO that has no premium.
- If your income is more than 150% of poverty level you have to pay a premium. If you have an extreme financial hardship, you can apply for a temporary premium waiver.
Use PY2021 ConnectorCare Carrier Lookup Tool to find out which HMOs are available in your region and what the premium will be for each HMO. Enter your zip code to find out your Region Code & the names of available HMOs. On the second sheet with the maps look for your Region Code and find the monthly premium amounts by HMO and Plan Type. Remember your Plan Type depends on your income.
After you enroll, you may have to pay a copayment for some visits to your doctor or other health care provider. You pay the copay to the health care provider. This copayment is in addition to the monthly premium you pay to the Health Connector.
The amount of your copayment is based on your Plan Type. And your Plan Type is based on your income. For Copayments there are 3 Plan Types: Plan Type 1 copayments are the lowest, and Plan Type 3 are the highest.
ConnectorCare HMO plans all cover the same services and charge the same copayments for people in the same Plan Type.