Who Takes MassHealth?

by | Last updated on January 24, 2024

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MassHealth provides access to healthcare for approximately

1.9 million low- and moderate-income children, families, seniors, and people with disabilities

annually.

Who uses MassHealth?

MassHealth provides access to healthcare for approximately

1.9 million low- and moderate-income children, families, seniors, and people with disabilities

annually.

What does MassHealth fall under?

In Massachusetts,

Medicaid and the Children's Health Program (CHIP)

are combined into one program called MassHealth. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services.

Can you use MassHealth outside of Massachusetts?

Out-of-state emergency treatment

MassHealth is a health-care program for people living in Massachusetts who get medical care in Massachusetts. In certain situations, MassHealth may

pay for emergency treatment for a medical condition

when a MassHealth member is out of state.

What type of insurance is MassHealth?


The Massachusetts Medicaid program

(commonly referred to as “MassHealth”) provides to nearly one-fifth of Massachusetts residents.

Does MassHealth cost money?

MassHealth

may charge a monthly premium to

certain MassHealth members who have incomes above 150% of the federal poverty level. MassHealth may also charge a monthly premium to members of the Children's Medical Security Plan (CMSP) who have incomes at or above 200% of the federal poverty level.

Is MassHealth free?


Medicaid provides free or low-cost health coverage

to eligible needy persons.

Does MassHealth check bank accounts?


MassHealth does not look at your savings

– you can have a large bank account or trust or things like that. … 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 the income limit for MassHealth?

Family Size MassHealth Income Standards 100% Federal Poverty Level 1 $522 $1,074 2 $650 $1,452 3

$775

$1,830
4 $891 $2,209

Can you own a house and be on MassHealth?

In most instances,

you can own a home and still get MassHealth coverage of your health or long-term care

. While MassHealth has strict income and asset limits on eligibility, in most cases it doesn't count the home against those limits. … spouse is living at home, you can keep it no matter its value.

Can I get MassHealth if I have a job?


You may be eligible for MassHealth whether or not you work

, and even if you have health insurance.

How does MassHealth determine eligibility?

MassHealth eligibility is determined using factors, such as

income, assets, residency, and household composition

. The full list of factors can be found in the MassHealth Member Regulations.

Does MassHealth cover root canals 2020?

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.

How much is MassHealth per month?

% of Federal Poverty Level (FPL) Monthly Premium Cost Above 150% to 200%

$12 per child ($36 PBFG maximum)
Above 250% to 300% $20 per child ($60 PBFG maximum) Above 250% to 300% $28 per child ($84 PBFG maximum)

Is MassHealth the same as health connector?

ConnectorCare is one kind of health insurance you can get from the Massachusetts Health Connector. ConnectorCare is for Massachusetts residents who:

cannot get other public insurance

like MassHealth or Medicare. …

Can I have MassHealth and private insurance?


MassHealth members can have both MassHealth and private health insurance at the same time

. If you have both types of insurance, the private health insurance is considered a liable third party or “TPL”. This means the private health insurance is billed as the primary insurer and MassHealth is the secondary coverage.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.