If you are not already a member, you must apply for MassHealth coverage first. You can easily apply for MassHealth at
www.MAhealthconnector.org
. Or learn more about the application process here.
How do I get a new MassHealth card?
Ask for a new card.
Go to Contacting health plans to find your health plan's contact information
. If your MassHealth member ID card is damaged, lost, or stolen, call us at 1-800-841-2900 (TTY: 1-800-497-4648). We will send you a new card.
How do I find my MassHealth member ID?
Call the MassHealth Customer Service Center to request a new card
. If you don't have your MassHealth ID number, we'll either need your social security number or your name and date of birth to find you in our system.
What is a MassHealth member?
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
. Information for MassHealth Applicants.
How do I become a MassHealth non billing provider?
- Order an application by calling the MassHealth Customer Service Center: Main: (800) 841-2900. TTY: (800) 497-4648.
- Fill out the application.
- Mail it to:
Is MassHealth Medicaid?
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.
Is MassHealth 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.
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 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 |
|---|
How long does it take to get approved for MassHealth?
MassHealth usually responds with their decision within
2-3 weeks
.
How do I submit documents to MassHealth?
- Online. Recommended: The fastest way to update information for your household is through the Massachusetts Health Connector online portal. …
- By fax. (857) 323-8300.
- By mail. Commonwealth of Massachusetts. …
- By phone. (800) 841-2900 (TTY: (800) 497-4648)
Does MassHealth automatically renew?
Ex-parte (automatic) renewals for MassHealth only households (HIX and MA21) began November 2020
. Through this process, an individual's eligibility information is verified using electronic data sources. The household will be renewed for 12-months, and a notice is sent to the household notifying them of this.
Do you pay for MassHealth?
MassHealth Premiums
Premiums are based on family size, monthly income, and whether you have other health insurance.
Your premium will not be more than 3% of your monthly household income
.
Can you be on MassHealth and Medicare?
One Care is a way to get your MassHealth and Medicare benefits together
. One Care offers services that you can't get when your MassHealth and Medicare benefits are separate. With One Care, you have one plan, one card, and one person to coordinate your care.
What type of insurance 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.
Where do I send my MassHealth Nonbilling provider contract?
Please complete, sign, and return this form and the Nonbilling Provider Contract by mail to the
MassHealth Customer Service Center (CSC), Attn: Provider Enrollment, P.O. Box 121205, Boston, MA 02112-1205
.
What is MassHealth provider number?
Phone. Main: Call MassHealth Customer Service Center for Providers, Main: at
(800) 841-2900
. Open Monday–Friday 8 a.m.–5 p.m. TTY: Call MassHealth Customer Service Center for Providers, TTY: at (800) 497-4648. Open Monday–Friday 8 a.m.–5 p.m.
Does MassHealth cover 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 do I get free healthcare in Massachusetts?
To be eligible for Massachusetts Medicaid, you must be a resident of the state of Massachusetts, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
How do I get health insurance in Massachusetts without a job?
If you're unemployed you may be able to get an affordable health insurance plan
through the Marketplace
, with savings based on your income and household size. You may also qualify for free or low-cost coverage through Medicaid or the Children's Health Insurance Program (CHIP).
What is the difference between Medicaid and MassHealth?
Medicaid is primarily based on income, although there are other factors that apply. Medicare is primarily based on your age and whether or not you have a disability. So it's mostly for those 65 and older, or younger people with disabilities. MassHealth funds many programs for people who need care.
Can I get MassHealth if I already have 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.
What is the maximum income to qualify for MassHealth?
| Family Size MassHealth Income Standards 100% Federal Poverty Level | 1 $522 $1,133 | 2 $650 $1,526 | 3 $775 $1,920 | 4 $891 $2,313 |
|---|
Does Social Security count as income for MassHealth?
Countable income includes: Wages, salary, tips, commissions (before deductions) Self-employment income (minus expenses)
Social Security benefits
.
Can I get MassHealth if I am unemployed?
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 use MassHealth out of state?
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
.
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.
