Maintaining your Employer-Sponsored Insurance (ESI)
To keep your MassHealth benefits, including PA payments for your ESI, you must report any changes in your ESI policy information to the Premium Assistance Unit at (800) 862-4840 as soon as possible, but no later than 10 days from the date of the change.
What is the maximum income to qualify for MassHealth?
| Household Size* Maximum Income Level (Per Year) | 1 $18,075 | 2 $24,353 | 3 $30,630 | 4 $36,908 |
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Can I have MassHealth and Blue Cross?
No, you will not lose your MassHealth coverage . You have to maintain your MassHealth in order to qualify for Premium Assistance. Premium Assistance is to pay for your Blue Cross Blue Shield premium. MassHealth covered services are not affected.
Can you work and get MassHealth?
You may be eligible for MassHealth whether or not you work , and even if you have health insurance.
How do I make my insurance primary?
If you have coverage under a plan from your employer in addition to a spouse's or parent's plan, your own plan will be primary and the other plan will be secondary. This is also true if the additional coverage is with TRICARE or Medicaid, as those plans are always the secondary insurer if you have other coverage.
Who pays MassHealth?
As a result, total spending on MassHealth represents a large share of the state budget. However, since MassHealth is jointly funded by the state and fed- eral governments, much of this health care coverage is actually paid for by the federal government .
The MassHealth Premium Assistance Program helps working individuals and families pay for employer- sponsored health insurance coverage . MassHealth members with access to qualifying employer- sponsored insurance (ESI) may be eligible to enroll in Premium Assistance.
What is the cost of MassHealth?
| % 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 |
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Is health connector the same as MassHealth?
MassHealth and the Massachusetts Health Connector use the same streamlined application to determine if you qualify for MassHealth, the Health Safety Net, Children's Medical Security Plan, ConnectorCare plans, or Advance Premium Tax Credits.
Is Blue Cross Blue Shield of Massachusetts private insurance?
Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed nonprofit private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston.
Will MassHealth cover me out of state?
Out-of-state emergency treatment
In certain situations, MassHealth may pay for emergency treatment for a medical condition when a MassHealth member is out of state . If an emergency occurs while you are out of state, show your MassHealth card and any other health-insurance cards you have, if possible.
Does MassHealth check your 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 based on income?
MassHealth eligibility is determined using factors, such as income, assets, residency, and household composition.
Who qualifies for MassHealth?
To be eligible for this benefit program, you must be a resident of Massachusetts and meet all of the following: 18 years of age and under, and . A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S, and . Ineligible for Medicaid .
How long does it take to get approved for MassHealth?
MassHealth usually responds with their decision within 2-3 weeks .
Can you get MassHealth while on unemployment?
But people on MassHealth are protected from losing coverage during the emergency period even if Unemployment Benefits (not counting the added $600 week) put them over income limits . The Health Safety Net and CMSP use the same income counting rules as MassHealth.
Can you have two health insurances at the same time?
Yes, you can have two health insurance plans . Having two health insurance plans is perfectly legal, and many people have multiple health insurance policies under certain circumstances.
Can you have 2 car insurance policies?
Is it illegal to have two policies on one car? No, doubling up on your car insurance isn't illegal . But if you make a claim from two insurance providers, you can't claim for the full amount from each of them. Doing so is considered fraud, which is illegal and can land you with a criminal record.
Which insurance is primary when you have two?
If you have two plans, your primary insurance is your main insurance . Except for company retirees on Medicare, the health insurance you receive through your employer is typically considered your primary health insurance plan.
What type of insurance is MassHealth?
In Massachusetts, Medicaid and the Children's Health Insurance 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.
Do I have MassHealth?
If you are a MassHealth, Commonwealth Care, or Health Safety Net member or applicant you can get the same information by phone at (888) 665-9993 . When you call this number, select a language and then press Option 1. You will be led through a series of easy menus to access your information.
What are the different types of MassHealth?
Described below are the six MassHealth coverage types offered to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited .
Does mass have free healthcare?
The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level (FPL) and mandated employers with more than 10 full-time employees ...
Does MassHealth reimburse for 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 . Follow these steps to request your reward: 1.
