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  • Massachusetts Masshealth Application

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Massachusetts Application for Health and Dental Coverage and Help Paying Costs Commonwealth of Massachusetts EOHHS THINGS TO KNOW HOW TO APPLY Use this application to see what coverage choices you.

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Related content

Apply for MassHealth, the Health Safety Net, or...
Use this application if you need health or dental coverage and help paying for it, and if...
Learn more
MassHealth Behavioral Health Services for ......
The mission of CBHI is to strengthen, expand, and integrate Massachusetts state services...
Learn more
Commonwealth Of Massachusetts 801 Regs...
For information about verifying member eligibility and coverage type, see 130 CMR 450.107...
Learn more

Related links form

UK MR04 UK NatWest NWB50047 2014 UK NHS GMS1 2002 UK NWI87070e 2018

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You must live in Massachusetts. You must be a U.S. citizen or a “lawfully present” non-citizen. Your income must be 3 times the federal poverty level for your family size or lower. See the ConnectorCare Upper Income Limits table.

Health Safety Net (HSN) pays acute care hospitals and community health centers for certain essential health care services provided to qualified uninsured and underinsured Massachusetts residents.

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.

The MassHealth application process often takes a few months from start to finish. For Massachusetts residents who need MassHealth benefits to pay for long-term care, there's no time to waste.

You may apply for MassHealth at any time during the year. You DO NOT need an open enrollment waiver from OPP to apply for MassHealth. Please visit MASSHEALTH or call their customer service line at 1-800-841-2900 for eligibility, benefits, or other helpful information.

Eligibility Figures for Community Residents Age 65 or Older Figure Type20232021Individual$18,180$15,940Couple$27,260$23,920Federal benefit rate (300%)$2,742$2,382Medicare Part B premium (per month)$164.90$148.504 more rows

100% of the Federal Poverty Level Guidelines Family SizeAnnualMonthly1$14,580$1,2152$19,720$1,6433$24,860$2,0724$30,000$2,5005 more rows

2023 MassHealth Income Standards and Federal Poverty Guidelines Family SizeMassHealth Income Standards100% Federal Poverty LevelMonthlyYearly1$522$14,5802$650$19,7283$775$24,8646 more rows

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232