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Monthly premiums chart

We offer access to free and low-cost health care to Massachusetts residents eligible for Commonwealth Care.

Use the chart below to determine your eligibility, plan type, and estimated cost, which is based on your yearly income and family size.

Guidelines for Tufts Health Forward (Commonwealth Care)
Rates effective July 1, 2013 – January 31, 2015


Commonwealth Care plan type: Plan Type I Plan Type IIa Plan Type IIb Plan Type IIIa Plan Type IIIb

Family size:

Yearly income (before taxes):

equal to or less than

between

between

between

between

1

$11,676

$11,677
$17,508

$17,509
$23,340

$23,341
$29,184

$29,185
$35,016

2

$15,732

$15,733
$23,604

$23,605
$31,464

$31,465
$39,336

$39,337
$47,196

3

$19,800

$19,801
$29,688

$29,689
$39,588

$39,589
$49,476

$49,477
$59,376

4

$23,856

$23,857
$35,784

$35,785
$47,700

$47,701
$59,628

$59,629
$71,556

5

$27,912

$27,913
$41,868

$41,869
$55,824

$55,825
$69,780

$69,781
$83,736

6

$31,980

$31,981
$47,964

$47,965
$63,948

$63,949
$79,932

$79,933
$95,916

7

$36,036

$36,037
$54,048

$54,049
$72,060

$72,061
$90,084

$90,085
$108,096

8

$40,092

$40,093
$60,144

$60,145
$80,184

$80,185
$100,236

$100,237
$120,276

If eligible for Commonwealth Care, your monthly premium is: $0.00 $3.00 $45.00 $85.00 $126.00
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