How Do I Get My Car/Booster Seat?
Call the BMC HealthNet Plan Member Services Department at 888-566-0010 to request your free car or booster seat
.
What type of insurance is BMC HealthNet Plan?
BMC HealthNet Plan is a
nonprofit health plan
that provides health insurance coverage to Massachusetts residents, including low income, underserved, disabled and elderly populations.
Can my kids stay on MassHealth?
Your family may remain in your current health plan for as long as your child is a full-time student
.
What is MassHealth standard?
MassHealth Standard is
the most complete coverage offered by MassHealth
. It pays for a wide range of health care benefits, including long-term-care services.
Does MassHealth cover breast pumps?
Breast Pumps Including double electric pumps, are provided to expectant and new mothers once per birth or as medically necessary or as determined by the member's requesting physicians
and consistent with the provisions of the Affordable Care Act of 2010 and Section 274 of Chapter 165 of the Acts of 2014.
Does MassHealth pay ambulance?
MassHealth provides nonemergency transportation services and emergency ambulance services
.
Does MassHealth look at your bank account?
MassHealth does not look at your savings
– you can have a large bank account or trust or things like that. But once you turn 65, they look at your assets. For MassHealth Standard you can only have up to $2,000 in savings, although there are certain types of assets that are not counted towards this limit.
What is maximum income for MassHealth?
| Household Size* Maximum Income Level (Per Year) | 1 $18,075 | 2 $24,353 | 3 $30,630 | 4 $36,908 |
|---|
Does MassHealth cover childbirth?
MassHealth Prenatal offers health-care benefits right away to pregnant women for up to 60 days
. During the 60 days, the Division will decide if the pregnant woman can get another MassHealth coverage type. Your monthly income before taxes and deductions can be no more than 200% of the federal poverty level.
Is BMC the same as MassHealth?
BMC HealthNet Plan offers two types of MassHealth plans
. Both have the same benefits package and it is only the network of doctors that are different for each plan. Managed Care Organization (MCO) – We work with providers across the state to offer MassHealth to our members.
What does MassHealth cost?
| % 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 |
|---|
Is MassHealth considered insurance?
MassHealth is a Medicaid program paid for by state and federal taxes for eligible persons.
The Division of Insurance does not oversee MassHealth programs
. You will need to contact MassHealth for assistance with your MassHealth health insurance plan.
Is MassHealth based on income?
MassHealth eligibility is determined using factors, such as income, assets, residency, and household composition.
How does MassHealth verify income?
MassHealth
uses an electronic data match to compare your current yearly income to your past federal tax return
, if your current income is less, it will ask for proof of your current monthly income.
Is MassHealth free?
The cost for MassHealth CommonHealth is based on your family size and income and may include a monthly premium —
it is not a free health plan
. You may be eligible for a monthly stipend to help offset your Masshealth CommonHealth monthly premium through the Premium Assistance Program (see page 9).
Does MassHealth cover nose surgery?
MassHealth does not cover orthognathic surgery for cosmetic purposes
.
Does MassHealth cover chiropractic?
The MassHealth agency pays for all medically necessary chiropractor services for EPSDT- eligible members
in accordance with 130 CMR 450.140: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services: Introduction, without regard to service limitations described in 130 CMR 441.000, and with prior …
Does MassHealth pay for gastric bypass?
MassHealth requires PA for bariatric surgery
. MassHealth reviews requests for PA on the basis of medical necessity. If MassHealth approves the request, payment is still subject to all general conditions of MassHealth, including member eligibility, other insurance, and program restrictions.
Does MassHealth provide transportation?
MassHealth provides non-emergency medical transportation for both ambulatory and non-ambulatory MassHealth members living in the community who are going to MassHealth-covered services
. This transportation is provided through a PT-1 form. This form is the authorization to transport a member to a specific location.
How much is an ambulance ride without insurance?
The cost can be nothing out-of-pocket in cities where services are covered by taxes, but usually ranges from
less than $400 to $1,200 or more plus mileage
.
How much is an ambulance ride in MA?
Boston EMS Chief Jim Hooley also told the Boston Globe that the price of ambulances in Boston average
between $1,200 and $1,900
.
Is Blue Cross Blue Shield part of MassHealth?
This means Blue Cross Blue Shield pays your bills first and although
still covered by MassHealth
, you will no longer be in the MassHealth managed care plan.
Can MassHealth take my inheritance?
In general,
MassHealth can only pursue payment from the assets of the deceased member's estate
. In general, MassHealth will not pursue any unsatisfied claim amount from your family or loved ones if the assets in your estate were not enough to repay the MassHealth claim in full.
What is a lookback period MassHealth?
MassHealth will look at every one of your bank statements, going back
five years from the date of your application
. (MassHealth isn't allowed to look at bank statements that date back more than five years.)
Can you own a house and be on MassHealth?
Since a MassHealth applicant is only allowed to have $2,000 in countable assets,
owning a property with more than $823,000 in equity makes the applicant ineligible for benefits
. In order to become eligible, the applicant must reduce the equity in the home to below $823,000.
Can I get MassHealth if I have a job?
The MassHealth Premium Assistance (PA) program is for MassHealth members who have access to employer-sponsored health insurance (ESI) from a job or from another source, such as members of your household.
How long does it take to get approved for MassHealth?
MassHealth usually responds with their decision within
2-3 weeks
.
