Other services like glasses, visual aids, and similar materials,
are covered directly by MassHealth
, and you can use any MassHealth provider to obtain these benefits. If you are enrolled in an ACCP or MCO, you should call your health plan first with questions about vision care.
How do I get glasses through MassHealth?
The link for the MassCor Optical Ordering System is:
https://masscor.chs.state.ma.us/masscor/ext/exomm-optical/control/main
To set up an account, please call 1-888-482-7331. Inquiries about all orders may be made online using the “search order” option on the provider homepage. Telephone orders cannot be accepted.
How many pairs of glasses does MassHealth cover?
The MassHealth agency pays for
two pairs
of eyeglasses instead of bifocals if one or more of the following conditions exists. Any condition listed below that warrants the use of two pairs of eyeglasses instead of bifocals must be fully documented in the member's medical record.
Does MassHealth pay for chiropractor?
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 …
What does MassHealth standard cover?
MassHealth pays for many important health-care services including
doctor visits, hospital stays, rehabilitation and therapeutic services, and behavioral health and substance use disorder services
.
Does MassHealth cover wisdom teeth removal?
Dental Services Covered By MassHealth
Oral surgery includes a variety of procedures, one of the most common is the removal of impacted wisdom teeth for teens and adults
. Wisdom tooth extraction requires surgery as the teeth may not come through the gum line.
Does MassHealth cover gym memberships?
Eligible Tufts Health Together (MassHealth) members can receive a reimbursement of up to $30 once every calendar year for a gym membership or fitness-related activity
.
Does MassHealth cover cosmetic surgery?
Except as otherwise noted,
cosmetic services are not covered under MassHealth
and as such are not covered by the Plan.
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 cover nose surgery?
MassHealth does not cover orthognathic surgery for cosmetic purposes
.
What is the income limit for MassHealth 2020?
| Family Size MassHealth Income Standards 150% Federal Poverty Level | Monthly Monthly | 1 $522 $1,699 | 2 $650 $2,289 | 3 $775 $2,879 |
|---|
Does MassHealth pay ambulance?
In 63 of 100 sampled claims for ambulance transportation for dual-eligible hospice members,
MassHealth paid for the transportation without the hospice provider reviewing the claim and determining who should have paid for the service: the hospice provider, MassHealth, or Medicare.
Does MassHealth cover teeth implants?
Currently, MassHealth covers fillings for the most visible six front teeth on the top and bottom, as well as extractions of all teeth. Starting in January, coverage will expand to include fillings of all teeth, but
implants will still not be covered
nor will dentures, root canals or crowns.
Does MassHealth cover periodontal surgery?
According to the MassHealth dental services regulations,
the program provide coverage for periodontal services including gingivectomies, gingivoplasties, periodontal scaling and root planing for members aged 21 and older with prior authorization
. These changes are effective April 22, 2019.
Does MassHealth cover root canals on molars?
Dental Coverage Restoration
MassHealth patients over the age of 21 are now able to access a greater number of dental services. Previously, adults could only get restorations (fillings) and extractions. Now,
they are also entitled to root canals and crowns
, which will save more teeth.
Does MassHealth cover vasectomy?
Masshealth (Medicaid) and other state programs also cover vasectomy
. Generally, a vasectomy costs between 300USD & 3,000USD.
Does MassHealth cover doula?
Doula services are eligible for coverage throughout the Commonwealth of Massachusetts for childbearing individuals through private insurance and MassHealth
. A doula may also be a “Certified Community Health Worker” (as defined by MGL, Chapter 112, Section 259).
Does MassHealth standard 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 cover loose skin removal?
MassHealth considers approval for coverage of excision of excessive skin and subcutaneous tissue on an individual, case-by-case basis
, in accordance with 130 CMR 409.000 and 130 CMR 450.204. c. the member has achieved a 50% or greater excess body weight loss (%EBWL) or excess body mass index loss (% EBMIL).
Does MassHealth cover vaginoplasty?
MassHealth covers gender-affirming procedures and surgeries on a case-by-case basis when medically necessary for the treatment of gender dysphoria
.
What is a belt tummy tuck?
A belt lipectomy is
a type of surgery. It's done to remove the loose skin and fat around your waist or “belt line.”
This is also called an abdominal lipectomy, tummy tuck, and panniculectomy. You may have this surgery after you lose a great deal of weight.
