Massachusetts MassHealth (Medicaid)

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

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. MassHealth offers different types of coverage based on your age, whether you are a parent, pregnant, disabled, HIV positive or have breast or cervical cancer, and whether you work for a small employer. MassHealth will decide if you are eligible and give you the most complete coverage that you qualify for.

Administration

Massachusetts MassHealth (Medicaid) is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

In order to qualify for this benefit program, you must be a resident of the state of Massachusetts, a U.S. national, citizen or qualified noncitizen* in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.**

*Certain other noncitizens may also be eligible for MassHealth including certain children, pregnant women, disabled and seniors.

**There is no income limit for individuals with disabilities who may have to pay a premium and a one-time deductible to qualify.

 

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $16,040
2 $21,599
3 $27,159
4 $32,718
5 $38,277
6 $43,837
7 $49,396
8 $54,956

*For households with more than eight people, add $5,559 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

To receive MassHealth, you may apply online at https://www.mahealthconnector.org/ or you may, download an Application for Health Coverage and Help Paying Costs at:
http://www.mass.gov/eohhs/consumer/insurance/apply-for-health-coverage/

You may also call MassHealth Customer Service to apply by phone or to request an application:
1-800-841-2900

Contact:

1-800-497-4648

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