Masshealth: Marketplace Insurance Or Not?

MassHealth is Massachusetts' Medicaid program, providing free or low-cost health coverage to eligible low- and medium-income residents. To be eligible for MassHealth, you must be a resident of Massachusetts, a U.S. national, citizen, permanent resident, or legal alien with a low or very low income. MassHealth offers different types of coverage based on age, parental status, pregnancy, disability, and certain medical conditions. It is not clear if MassHealth is considered a marketplace insurance, but it is known that Massachusetts residents can use the Health Connector website to enroll in health coverage.

MassHealth covers uninsured children in families with moderate incomes

MassHealth is a government-funded program that offers health-care benefits to certain low- and medium-income people living in Massachusetts. It is a form of Medicaid in Massachusetts.

To be eligible for MassHealth, you must be a resident of Massachusetts and meet the financial requirements. MassHealth will consider your Modified Adjusted Gross Income (MAGI) and who is in your household to determine eligibility.

There are six MassHealth coverage types offered: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited. The type of coverage you receive depends on your income, citizenship or immigration status, age, and special circumstances.

MassHealth offers different types of coverage based on age

There are six types of MassHealth coverage offered to eligible individuals, families, seniors, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited.

MassHealth Standard is the most complete coverage offered by MassHealth and is available to individuals of all ages. It covers a wide range of health care benefits, including long-term care services, inpatient and outpatient hospital services, medical services, mental health and addiction services, personal-care-attendant services, and prescription drugs.

MassHealth CommonHealth offers similar benefits to MassHealth Standard but is specifically for disabled adults and children who cannot get MassHealth Standard. This includes disabled adults who work 40 hours or more per month or have worked at least 240 hours in the six months before applying. Covered services include inpatient and outpatient hospital services, medical equipment and supplies, adult day health, behavioural health services, and well-child screenings for children under 21.

MassHealth CarePlus provides a broad range of health care benefits to adults who are not otherwise eligible for MassHealth Standard. Covered services include inpatient hospital services, outpatient services, medical services, mental health and addiction services, nursing facility services, home health services, and transportation services.

MassHealth Family Assistance is available to Massachusetts residents who are not eligible for MassHealth Standard. Covered services include inpatient hospital services, outpatient services, medical services, nursing facility services, home health services, mental health and addiction services, and ambulance services for emergencies.

MassHealth Limited provides emergency health services to individuals with an immigration status that prevents them from accessing more comprehensive coverage. Covered services include inpatient and outpatient emergency services, certain medical services provided outside of a hospital setting, pharmacy services for emergency conditions, and ambulance transportation for medical emergencies.

In addition to these general coverage types, MassHealth also offers specific coverage for seniors and people who need long-term care. This includes individuals aged 65 and older who need personal care attendant services to live at home or are disabled and working at least 40 hours per month.

MassHealth offers health-care benefits directly or by paying part/all of health-insurance premiums

MassHealth is a Medicaid program paid for by state and federal taxes for eligible persons. It offers health-care benefits directly or by paying part or all of the health insurance premiums of eligible persons.

MassHealth offers six types of coverage to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited. The type of coverage offered depends on factors such as income, citizenship or immigration status, age, and special circumstances.

MassHealth Standard provides a full range of health care benefits, including inpatient and outpatient services, medical services, adult day health and adult foster care, mental health and addiction services, well-child screenings, long-term services and support, transportation services, and services to help individuals quit smoking.

MassHealth CommonHealth offers similar health care benefits to certain disabled adults and children who cannot get MassHealth Standard. Covered services include inpatient and outpatient services, medical services, adult day health and adult foster care, mental health and addiction services, well-child screenings, long-term services and support, transportation services, and services to help individuals quit smoking.

MassHealth CarePlus offers a broad range of health care benefits to adults who are not otherwise eligible for MassHealth Standard. Covered services include inpatient and outpatient services, medical services, mental health and addiction services, nursing facility services, home health services, transportation services, and services to help individuals quit smoking.

MassHealth Family Assistance is available to Massachusetts residents who are not eligible for MassHealth Standard. Covered services include inpatient and outpatient services, medical services, nursing facility services, home health services, mental health and addiction services, developmental screens, ambulance services (emergency only), and services to help individuals quit smoking.

MassHealth Limited provides emergency health services to individuals with an immigration status that prevents them from accessing more comprehensive care. Covered services include inpatient and outpatient emergency services, certain medical services provided by doctors and clinics outside of a hospital, pharmacy services for treating emergency medical conditions, and ambulance transportation for emergency medical conditions.

In addition to these six types of coverage, MassHealth also offers a Premium Assistance program that reimburses eligible members for some or all of the premium cost of eligible private insurance. This program is designed for members who have access to employer-sponsored health insurance and helps ensure that having employer-sponsored insurance does not cost more than having only MassHealth.

MassHealth is the state's marketplace for health and dental insurance

MassHealth is the Massachusetts Health Connector, the state's marketplace for health and dental insurance. The Health Connector website is where Massachusetts residents can enroll in health coverage.

MassHealth (Medicaid) provides free or low-cost health coverage to eligible persons with low or medium incomes. It offers different types of coverage based on age, parental status, pregnancy, disability, certain medical conditions, and employment.

To be eligible for MassHealth, you must be a resident of Massachusetts, a U.S. national, citizen, permanent resident, or legal alien. You must also have a financial situation that would be characterized as low income or very low income. There is no income limit for individuals with disabilities, who may have to pay a premium and a one-time deductible to qualify.

MassHealth offers health-care benefits directly or by paying part or all of your health insurance premiums. MassHealth will determine your eligibility and provide you with the most complete coverage for which you qualify.

MassHealth applicants must be Massachusetts residents

To be eligible for MassHealth, you must be a resident of Massachusetts. This is a basic requirement for receiving MassHealth or other healthcare benefits funded by the Commonwealth.

To meet the residency requirements, you must live in Massachusetts and either intend to reside in the state, with or without a fixed address, or have entered Massachusetts with a job commitment or seeking employment.

If you are visiting Massachusetts for personal pleasure, such as a vacation, or to receive medical care in a setting other than a nursing facility, you do not meet the residency requirements for MassHealth.

In addition to residency, there are other eligibility criteria for MassHealth. These include citizenship or immigration status, financial eligibility, age, and health status.

To apply for MassHealth, you can visit the Massachusetts Health Connector website or download an application for Health Coverage and Help Paying Costs. You may also call the MassHealth Customer Service Center at 1-800-841-2900 to apply by phone or request an application.

The Massachusetts Health Connector is the state's marketplace for health and dental insurance. It allows individuals and small businesses to shop for health coverage and enroll in affordable plans.

Frequently asked questions