Vision care
is one of many benefits available to children and adults who are enrolled in MassHealth. Vision care includes services like eye exams, eyeglasses and repairs, and other benefits.
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.
What is standard MassHealth?
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 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 birth?
Under the law,
MassHealth members can get up to a 12-month supply of prescription birth control at once after completing a three-month trial of the prescription
.
How much money can you have in the bank and still get MassHealth?
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.
Is MassHealth free?
Quick Info.
Medicaid provides free or low-cost health coverage to eligible needy persons
.
Does MassHealth pay 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
.
Will MassHealth pay for crowns?
| Service | Crowns/caps | Is it covered for children? (Members younger than age 21) | YES | Is it covered for adults? (Members age 21 and older) | YES | Is a Prior Authorization Needed? | NO |
|---|
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 eye surgery?
MassHealth Limited does not cover preventative or non-emergency vision care services
. If you have questions about vision care services and these programs, you should contact the MassHealth Customer Service Center.
Does MassHealth cover nose surgery?
MassHealth does not cover orthognathic surgery for cosmetic purposes
.
Can you get MassHealth if you are pregnant?
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.
Can you own a home 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 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.
How much is too much for MassHealth?
Yes, Medicaid / MassHealth looks at your assets, and they can disqualify you from coverage if you have assets that are over their limit. In 2021, the asset limit is
$2,000.00 for a single person
.
Is Massachusetts 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.
What is Massachusetts Medicaid called?
Massachusetts Medicaid (
MassHealth
) pays for health care for certain low and medium income people living in Massachusetts. MassHealth offers health-care benefits directly or by paying part or all of your health-insurance premiums.
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 |
|---|
Do you have to pay back MassHealth?
MassHealth has the right to be repaid for the total cost of care for services paid by MassHealth for members age 55 and older, or for members of any age who are permanently in a long-term care or other medical facility.
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.
Does MassHealth standard cover abortions?
In MassHealth Standard,
your abortion care will be free
.
