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MassHealth Health Insurance
for Worcester, Massachusetts
AN OVERVIEW
MassHealth is a program that provides free health insurance to eligible low
and moderate-income families and individuals. MassHealth health insurance pays
for medical
treatment provided by private doctors, clinics, HMOs, hospitals, and pharmacies.
Most children
in Massachusetts whose parents cannot afford to pay for medical care are eligible
for free health
insurance for children through MassHealth. Immigrants, including undocumented
immigrants, are eligible for certain
health insurance benefits without fear of deportation.
For more information, click on the questions below to go to the main MassHealth page on WorcesterResources.org:
MassHealth is a state health insurance program, funded by both the state and federal
governments, that pays medical bills for eligible low- and
medium-income families and individuals in Massachusetts. Medicaid is one part
of MassHealth
To receive MassHealth benefits, you must be a low- to middle-income Massachusetts
resident and must meet certain general and financial eligibility requirements.
The MassHealth Eligibility Check is an easy way for you to find out if you are
likely to qualify for MassHealth benefits. By answering questions online about
your family, your living situation, your job status, and your income you will
see the
results of the eligibility check right away, on your computer screen.
The MassHealth program pays for all or some of a member’s health insurance
and health care services. Services and costs vary depending on your type of coverage.
To apply for MassHealth, you should call the MassHealth Enrollment Center at
1-888-665-9993 (or TTY: 1-888-665-9997 for the deaf and hard of hearing)
to request an application. You can also get an application online at the
MassHealth web site
and from various Worcester community health centers.
Once you have been approved for MassHealth,
you will receive an enrollment package explaining how to choose a health
plan and a primary care doctor. You will
also receive your MassHealth card which you must show whenever you need medical
care.
MassHealth includes several coverage types with different rules for each coverage.
The coverage types are:
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MassHealth Standard: comprehensive health insurance, including long-term-care,
for low-income Massachusetts residents including eligible parents with children
under 19 years of age, pregnant women, children up to 19 years of age, the
elderly, and people with disabilities.
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MassHealth CommonHealth: complete coverage similar
to MassHealth Standard, for
eligible adults with disabilities and children with disabilities who cannot
get MassHealth Standard because their incomes are too high.
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MassHealth Family
Assistance: health insurance with most of the services of MassHealth
Standard, for children under 19 and people with HIV who are not eligible
for MassHealth
Standard or CommonHealth; also health insurance premium assistance for certain
employed
adults.
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MassHealth
Basic: a full range of health care benefits or premium assistance
for EAEDC recipients and low-income Department of Mental Health clients
who are long-term
unemployed.
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MassHealth Limited: emergency medical coverage
for undocumented noncitizens whose immigration status makes them ineligible
for other MassHealth programs.
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Medicare Buy-In programs: programs that
pay all or part of Medicare health insurance expenses for eligible low-income
Medicare recipients.
-
MassHealth Prenatal: short-term outpatient prenatal
care for pregnant women who have applied for MassHealth and are waiting
for eligibility approval.
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MassHealth Essential: a wide range of health care benefits for the long-term unemployed who do not meet the eligibility requirements for MassHealth Basic. Coverage is similar to MassHealth Basic, but more limited.
Links to other web sites with information about MassHealth. |
