Massachusetts Benefits Benchmarks

Real plan data from verified employers in your state

Live Data
561Employers
1,640Plans
Get Full Report

Employee Benefits in Massachusetts

Medical plan benchmarks from verified employer data

Live Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 561 employers in Massachusetts offering 1,640 verified benefit plans. PPO plans are the most common (38% of employers), followed by HDHP (33%). Fully-Insured funding is the predominant model, used by 61% of state employers. Most employers offer three or more plan options to employees (58%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

561 employers1,640 verified plansUpdated February 2026
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$996
$1,417
$2,776
$1,41752Bal
Family Deductible
$1,592
$4,022
$5,704
$4,02252Bal
Individual OOP Max
$3,787
$4,986
$6,955
$4,98652Bal
Family OOP Max
$6,371
$9,568
$13,078
$9,56852Bal
Coinsurance
13%
18%
28%
18%52Bal
Primary Care
$23
$38
$46
$3852Bal
Specialist
$42
$58
$71
$5852Bal
Emergency Room
$183
$284
$473
$28452Bal
Urgent Care
$58
$75
$94
$7552Bal

Unlock Full Benchmark Data

Get complete plan design details, contribution analysis, and downloadable reports for massachusetts.

Also Included in Report
Employee Contributions
Monthly employee premium contributions by tier
Gross Premium Rates
Total monthly premium costs by coverage tier
Prescription Drug Coverage
Rx copays, deductibles, and mail-order options
Full report includes percentile rankings for all metrics

Plan Type Mix

LIVE
PPO38%
HDHP33%
HMO18%
EPO7%

Plan Funding

LIVE
Fully-Insured61%
Self-Insured30%
Level-Funded8%

Plans Offered

LIVE
Three or More Plans58%
Two Plans29%
One Plan14%
Report Preview

See What You'll Discover

Our reports reveal exactly where your plan stands—and why. Preview using sample Massachusetts data.

72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

This is sample data. Get real insights for your plans.

Instant PDF delivery · Updated weekly · Verified employer data

Get Massachusetts Report

Massachusetts Benefits Landscape

Regional trends and benchmarking considerations

Massachusetts employers operate under one of the nation's first comprehensive healthcare reform frameworks, with mandatory coverage requirements predating the ACA. Our benchmarking data shows Massachusetts employers offering competitive benefits with higher coverage rates than most states. The strong healthcare and biotech sectors drive benefits expectations.

Key Highlights

Healthcare Industry Hub

Massachusetts' concentration of hospitals, biotech, and life sciences creates competitive benefits expectations in our data.

High Coverage Rates

State requirements contribute to higher employer coverage rates and broader benefits offerings in our benchmarks.

Benchmarking Considerations

Massachusetts benefits reflect the state's healthcare and technology concentration. These sectors typically offer richer benefits than other industries. Use industry filters for relevant comparisons.

Compare Nearby States

Frequently Asked Questions

About massachusetts benefits benchmarking

Explore More Benchmarks

Get the full Massachusetts report

Detailed benchmarks, industry breakdowns, and exportable data

Stoploss Plans and Strategues
HSA Accounts and Funding
Employer Contributions as a %
Out-of-Network Benefits
Surcharges and Opt-Outs
Rx-Carve Out Benefits
Verified Data OnlyUpdated WeeklyExportable