Qualified Health Plans for Small Businesses

BMC HealthNet Plan Qualified Health Plan Members can:*

  • See a doctor who will help coordinate all of their healthcare
  • See specialists
  • Speak with a nurse about their health questions 24/7
  • Go to in-network hospitals for treatment
  • Fill a prescription at a local pharmacy
  • Get access to mental health and substance-use services
  • Get extra help managing conditions such as asthma and diabetes
  • Get care before and after a baby is born
  • Get a routine eye exam
  • Get money back for staying healthy, including reimbursements for gym membership fees or a fitness tracker, WW® money back toward fees, and eyewear discounts.

Our Member Extras

Our members can get and stay healthy by taking advantage of Member Extras including:

  • Money back for participating in WW® (formerly Weight Watchers®) 
  • Reimbursement for partial gym membership fees or a fitness tracker
  • Discounts on eyewear

What's Covered?

Find out which doctors, hospitals, and pharmacies are in our provider networks here.

*See the Benefit Documents for each of our plans for an overview of benefits and cost sharing. For full details regarding covered benefits, limitations, and exclusions for Qualified Health Plans, see the Evidence of Coverage (EOC) and Schedule of Benefits for the plan you choose. These plans meet all MA requirements for participation, rating, mandatory offer/renewal and benefit mandates. There are no pre-existing condition limitations or waiting periods. Employers must comply with MA non-discrimination standards. All covered services must be medically necessary and some require prior authorization.

If you have a small businesses with 1 to 50 qualifying employees, you can purchase a Qualified Health Plan for your employees and their families.

Is your business located in one of our service areas?

Your business must be located in the service area for the plan you choose. Keep in mind, employees will need to see in-network providers located in or near our service areas.

Choose from seven different plan options for your employees. Our Qualified Health Plans have the same benefits, but differ based on how your employees share the costs of care with us.

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