Residents of Massachusetts may expect to spend an average of $564 per person* for an individual major medical health insurance policy. What is the cost of health insurance in Massachusetts?
| Metal Level | Average Monthly Premium* |
|---|---|
| Silver | $568 |
| Gold | $731 |
| Platinum | $901 |
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Is health insurance in Massachusetts expensive?
IF YOU WORK FOR A COMPANY IN Massachusetts, it is probable that your employer provides health insurance. However, it will cost you. The Center for Health Information and Analysis said on Thursday that 74 percent of Massachusetts businesses supplied health insurance to their employees in 2021, compared to 59 percent of businesses nationwide.
- However, this insurance was pricey.
- Compared to the national average of $645, the average monthly premium for a single policy was $715.
- Nearly half (46%) of employees were enrolled in a health plan with a high deductible, where a single person must pay at least $1,400 out of money and a family must spend at least $2,800 out of pocket before insurance begins to cover costs.
The most recent CHIA results, based on a poll performed between May 2021 and January 2022, highlight a difficulty that Massachusetts citizens have endured for years. Since Gov. Mitt Romney signed the state’s universal health care coverage bill in 2006, Massachusetts citizens have been more likely to be able to receive health insurance than their counterparts in other states.
Nonetheless, Massachusetts has persistently struggled with some of the nation’s highest prices, despite attempts by legislators to curb them. The poll indicated that Massachusetts has a strong culture of businesses providing health insurance to their employees, with almost all enterprises with over 200 employees and 73% of smaller organizations providing coverage.
On average, 76 percent of a company’s workers were qualified for the insurance (part-time workers, for instance, are frequently ineligible), and 70 percent of those eligible used it, resulting in little over half of workers (53 percent) receiving health insurance through their employer.
This is a lesser proportion than the national average, which may be due to the fact that Massachusetts makes it simpler to obtain health insurance outside of the employer-sponsored model. Employers who supplied health insurance typically did so because they believed it was “the proper thing to do” and because it aided in employee retention and recruitment.
Employers that did not offer health insurance typically stated that their employees had coverage elsewhere or that health insurance was too expensive. The survey revealed that insurance policies are often expensive. In 2021, 70 percent of businesses provided high-deductible health plans, while 55 percent of businesses offered no other option.
Some of these employers did offer health savings plans, which allow employees to set away pre-tax funds for out-of-pocket medical bills.) For single coverage, the average yearly deductible for all plans with deductibles was $1,660. Overall, Massachusetts workers contribute more than the national average to pay for insurance, both because premium rates are higher and because employers expect workers to shoulder a greater percentage of the expense.
The average monthly premiums for an employee with a spouse and dependent children was as high as $1,956; employees paid an average of 28 percent of this cost, or about $550. The average monthly premium for an individual was $715, while the average employee contribution was $180. 
What is the monthly cost of MassHealth?
Standard and Premium MassHealth Formula for Breast and Cervical Cancer Patients – The following is the premium calculation method for MassHealth Standard members with breast or cervical cancer whose eligibility is outlined in 130 CMR 506.000. Premium Standard for Breast and Cervical Cancer
| % of Federal Poverty Level (FPL) | Monthly Premium Cost |
| Above 150% to 160% | $15 |
| Above 160% to 170% | $20 |
| Above 160% to 170% | $25 |
| Above 180% to 190% | $30 |
| Above 190% to 200% | $35 |
| Above 200% to 210% | $40 |
| Above 210% to 220% | $48 |
| Above 220% to 230% | $56 |
| Above 230% to 240% | $64 |
| Above 240% to 250% | $72 |
2022 Income Standards for MassHealth and Federal Poverty Guidelines
| Family Size | MassHealth Income Standards | 100% Federal Poverty Level |
|---|---|---|
| 1 | $522 | $1,133 |
| 2 | $650 | $1,526 |
| 3 | $775 | $1,920 |
| 4 | $891 | $2,313 |
Is healthcare free in Massachusetts?
Medicaid offers free or low-cost health coverage to qualified, low-income individuals.
Average Market Premiums by Metal Type in 2021
| State | Average Lowest Cost Bronze Plan | Average Lowest Cost Silver Plan |
|---|---|---|
| Massachusetts | $277 | $353 |
| Michigan | $255 | $340 |
| Minnesota | $251 | $295 |
| Mississippi | $407 | $458 |
What is the MassHealth 2022 income limit?
For coverage in 2022, premium tax credits are provided in the amount required to reduce the cost of the second-least expensive silver plan to no more than 8.5% of household income. In 2022, there is no upper salary cap.