Compare Our Plans

Let's find the right Medicare Advantage plan for you. Mass Advantage gives you a choice of three plan options. All three include Comprehensive Medical benefits and Part D Prescription Drug insurance.  Beyond that, each plan is slightly different with distinct features to suit different needs. Whichever plan you choose, you’ll have additional benefits as well: extra savings on hearing, dental, vision, fitness options, over-the-counter health, for instance, and much more. No single plan is right for everyone. See what’s unique about each so you'll have the plan that suits you best.


	Mass Advantage Basic (HMO)	Mass Advantage Plus (HMO)	Mass Advantage Premiere (PPO)
Monthly Plan Premium	$0 Monthly Premium	$100 Monthly Premium	$0 Monthly Premium
Physical & Wellness Exams	$0 copay	$0 copay	$0 copay
Primary Care Physician (PCP) visit	$0 copay	$0 copay	$ 0 copay per visit
Specialist Office Visit (in person or via Telehealth)	$40 copay per visit	$20 copay per visit	In Network: $45 copay per visit Out of Network: $65 copay per visit Telehealth not covered out of network
Maximum Out of Pocket (MOOP)	$6,550 yearly out of pocket limit	$3,450 yearly out of pocket limit	In Network: $6,550 yearly out of pocket limit Out of Network: $11,300 combined yearly out of pocket limit
Inpatient Hospital Acute Admission	Days 1–5: $370 copay each day Days 6+: $0 copay	Days 1–5: $150 copay each day Days 6+: $0 copay	In Network: Days 1–5: $350 copay each day Days 6+: $0 copay Out of Network: 35% of the cost
Outpatient Hospitals Service	$300 copay	$150 copay	In Network: $300 copay Out of Network: 40% of the cost
Emergency Care	$90 copay per visit (waived if admitted within 24 hours)	$90 copay per visit (waived if admitted within 24 hours)	$90 copay per visit (waived if admitted within 24 hours)
Urgent Care	$10 copay per visit	$0 copay per visit	$40 copay per visit
Ambulance	$300 copay for each one-way Medicare-covered trip	$200 copay for each one-way Medicare-covered trip	$275 copay for each one-way Medicare-covered trip
Diagnostic Tests, X-rays and Lab Services	Diagnostic tests and procedures: $20 copay Outpatient X-ray services: $0 copay Lab services: $0 copay	Diagnostic tests and procedures: $0 copay Outpatient X-ray services: $0 copay Lab services: $0 copay	In Network Diagnostic tests and procedures: $20 copay Outpatient X-ray services: $0 copay Lab services: $0 copay Out of Network Diagnostic tests and procedures: 40% coinsurance Outpatient X-ray services: 40% coinsurance Lab services: 40% coinsurance
Dental Services	2 routine preventive dental exams and cleanings per year Comprehensive dental at 50% coinsurance $1,000 annual comprehensive allowance	2 routine preventive dental exams and cleanings per year Comprehensive dental at 20% coinsurance $1,500 annual comprehensive allowance	2 routine preventive dental exams and cleanings per year Comprehensive dental at 20% coinsurance $2,000 annual comprehensive allowance
Routine Eye Exam, Vision Benefit	$0 copay, 1 per year Up to $200 allowance annually	$0 copay, 1 per year Up to $200 allowance annually	In Network: $0 copay Up to $200 allowance annually Out of Network: $65 copay Up to $200 allowance annually
Routine Hearing Exam, Hearing Aid Benefit	$0 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear	$0 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear	$0/$65 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear
Over-the-Counter Allowance	Up to $50 per quarter	Up to $100 per quarter	Up to $50 per quarter
Flex Card	$300 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades	$500 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades	$150 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades
Parking*	$50 additional allowance with the Flex Card for qualifying members	$50 additional allowance with the Flex Card for qualifying members	No coverage
Personal Emergency Response System	$0 copay for device & monitoring	$0 copay for device & monitoring	$0 copay for device & monitoring
In-Home Support	12 hours annually	36 hours annually	No Coverage
Post Discharge Meal Services	14 days post discharge (28 meals)	14 days post discharge (28 meals)	No Coverage
Transportation Services	$0 copay / 12 one-way rides	$0 copay / 12 one-way rides	$0 copay / 6 one-way rides

Compare Our Plans

Let's find the right Medicare Advantage plan for you. Mass Advantage gives you a choice of three plan options. All three include Comprehensive Medical benefits and Part D Prescription Drug insurance.  Beyond that, each plan is slightly different with distinct features to suit different needs. Whichever plan you choose, you’ll have additional benefits as well: extra savings on hearing, dental, vision, fitness options, over-the-counter health, for instance, and much more. No single plan is right for everyone. See what’s unique about each so you'll have the plan that suits you best.

Mass Advantage Basic (HMO)
Monthly Plan Premium $0 Monthly Premium
Physical & Wellness Exams $0 copay
Primary Care Physician (PCP) visit $0 copay
Specialist Office Visit (in person or via Telehealth) $40 copay per visit
Maximum Out of Pocket (MOOP) $6,550 yearly out of pocket limit
Inpatient Hospital Acute Admission Days 1–5: $370 copay each day Days 6+: $0 copay
Outpatient Hospitals Service $300 copay
Emergency Care $90 copay per visit (waived if admitted within 24 hours)
Urgent Care $10 copay per visit
Ambulance $300 copay for each one-way Medicare-covered trip
Diagnostic Tests, X-rays and Lab Services Diagnostic tests and procedures: $20 copay Outpatient X-ray services: $0 copay Lab services: $0 copay
Dental Services 2 routine preventive dental exams and cleanings per year Comprehensive dental at 50% coinsurance $1,000 annual comprehensive allowance
Routine Eye Exam, Vision Benefit $0 copay, 1 per year Up to $200 allowance annually
Routine Hearing Exam, Hearing Aid Benefit $0 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear
Over-the-Counter Allowance Up to $50 per quarter
Flex Card $300 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades
Parking* $50 additional allowance with the Flex Card for qualifying members
Personal Emergency Response System $0 copay for device & monitoring
In-Home Support 12 hours annually
Post Discharge Meal Services 14 days post discharge (28 meals)
Transportation Services $0 copay / 12 one-way rides

Mass Advantage Plus (HMO)
Monthly Plan Premium $100 Monthly Premium
Physical & Wellness Exams $0 copay
Primary Care Physician (PCP) visit $0 copay
Specialist Office Visit (in person or via Telehealth) $20 copay per visit
Maximum Out of Pocket (MOOP) $3,450 yearly out of pocket limit
Inpatient Hospital Acute Admission Days 1–5: $150 copay each day Days 6+: $0 copay
Outpatient Hospitals Service $150 copay
Emergency Care $90 copay per visit (waived if admitted within 24 hours)
Urgent Care $0 copay per visit
Ambulance $200 copay for each one-way Medicare-covered trip
Diagnostic Tests, X-rays and Lab Services Diagnostic tests and procedures: $0 copay Outpatient X-ray services: $0 copay Lab services: $0 copay
Dental Services 2 routine preventive dental exams and cleanings per year Comprehensive dental at 20% coinsurance $1,500 annual comprehensive allowance
Routine Eye Exam, Vision Benefit $0 copay, 1 per year Up to $200 allowance annually
Routine Hearing Exam, Hearing Aid Benefit $0 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear
Over-the-Counter Allowance Up to $100 per quarter
Flex Card $500 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades
Parking* $50 additional allowance with the Flex Card for qualifying members
Personal Emergency Response System $0 copay for device & monitoring
In-Home Support 36 hours annually
Post Discharge Meal Services 14 days post discharge (28 meals)
Transportation Services $0 copay / 12 one-way rides

Mass Advantage Premiere (PPO)
Monthly Plan Premium $0 Monthly Premium
Physical & Wellness Exams $0 copay
Primary Care Physician (PCP) visit $ 0 copay per visit
Specialist Office Visit (in person or via Telehealth) In Network: $45 copay per visit Out of Network: $65 copay per visit Telehealth not covered out of network
Maximum Out of Pocket (MOOP) In Network: $6,550 yearly out of pocket limit Out of Network: $11,300 combined yearly out of pocket limit
Inpatient Hospital Acute Admission In Network: Days 1–5: $350 copay each day Days 6+: $0 copay Out of Network: 35% of the cost
Outpatient Hospitals Service In Network: $300 copay Out of Network: 40% of the cost
Emergency Care $90 copay per visit (waived if admitted within 24 hours)
Urgent Care $40 copay per visit
Ambulance $275 copay for each one-way Medicare-covered trip
Diagnostic Tests, X-rays and Lab Services In Network Diagnostic tests and procedures: $20 copay Outpatient X-ray services: $0 copay Lab services: $0 copay Out of Network Diagnostic tests and procedures: 40% coinsurance Outpatient X-ray services: 40% coinsurance Lab services: 40% coinsurance
Dental Services 2 routine preventive dental exams and cleanings per year Comprehensive dental at 20% coinsurance $2,000 annual comprehensive allowance
Routine Eye Exam, Vision Benefit In Network: $0 copay Up to $200 allowance annually Out of Network: $65 copay Up to $200 allowance annually
Routine Hearing Exam, Hearing Aid Benefit $0/$65 copay, 1 per year 6 options available: ranging from $500 - $1,975 copay per hearing aid Limit 2 per year / 1 per ear
Over-the-Counter Allowance Up to $50 per quarter
Flex Card $150 annual allowance for: Fitness (gyms, wearables, online memberships) Weight management Nutritional / Dietary Vision upgrades
Parking* No coverage
Personal Emergency Response System $0 copay for device & monitoring
In-Home Support No Coverage
Post Discharge Meal Services No Coverage
Transportation Services $0 copay / 6 one-way rides

*The parking benefit mentioned is part of special supplemental program for the chronically ill. Not all members qualify.

Prescription Drug Benefits


	Mass Advantage Basic (HMO)	Mass Advantage Plus (HMO)	Mass Advantage Premiere (PPO)
Annual Prescription Drug Deductible	$195 annual deductible for Tier 3, Tier 4, & Tier 5 Part D prescription drugs only	$0 annual deductible	$250 annual deductible for Tier 3, Tier 4, & Tier 5 Part D prescription drugs only
30 Day Supply Retail and Mail Order Pharmacy	Tier 1: $0 copay Tier 2: $4 copay Tier 3: $47 copay Tier 4: $100 copay Tier 5: 30% coinsurance	Tier 1: $0 copay Tier 2: $4 copay Tier 3: $47 copay Tier 4: $100 copay Tier 5: 33% coinsurance	Tier 1: $2 copay Tier 2: $6 copay Tier 3: $42 copay Tier 4: $95 copay Tier 5: 29% coinsurance
90 Day Supply Retail and Mail Order Pharmacy	Tier 1: $0 copay Tier 2: $8 copay Tier 3: $94 copay Tier 4: $200 copay Tier 5: 30% coinsurance	Tier 1: $0 copay Tier 2: $8 copay Tier 3: $94 copay Tier 4: $200 copay Tier 5: 33% coinsurance	Tier 1: $4 copay Tier 2: $12 copay Tier 3: $84 copay Tier 4: $190 copay Tier 5: 29% coinsurance
Select Insulins 30 Day Supply	You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.	You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.	You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.
Vaccines	Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.	Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.	Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.

Prescription Drug Benefits

Mass Advantage Basic (HMO)
Annual Prescription Drug Deductible $195 annual deductible for Tier 3, Tier 4, & Tier 5 Part D prescription drugs only
30 Day Supply Tier 1: $0 copay Tier 2: $4 copay Tier 3: $47 copay Tier 4: $100 copay Tier 5: 30% coinsurance
90 Day Supply Tier 1: $0 copay Tier 2: $8 copay Tier 3: $94 copay Tier 4: $200 copay Tier 5: 30% coinsurance
Select Insulins You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.
Vaccines Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.

Mass Advantage Plus (HMO)
Annual Prescription Drug Deductible $0 annual deductible
30 Day Supply Tier 1: $0 copay Tier 2: $4 copay Tier 3: $47 copay Tier 4: $100 copay Tier 5: 33% coinsurance
90 Day Supply Tier 1: $0 copay Tier 2: $8 copay Tier 3: $94 copay Tier 4: $200 copay Tier 5: 33% coinsurance
Select Insulins You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.
Vaccines Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.

Mass Advantage Premiere (PPO)
Annual Prescription Drug Deductible $250 annual deductible for Tier 3, Tier 4, & Tier 5 Part D prescription drugs only
30 Day Supply Tier 1: $2 copay Tier 2: $6 copay Tier 3: $42 copay Tier 4: $95 copay Tier 5: 29% coinsurance
90 Day Supply Tier 1: $4 copay Tier 2: $12 copay Tier 3: $84 copay Tier 4: $190 copay Tier 5: 29% coinsurance
Select Insulins You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible.
Vaccines Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible.

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