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MassHealth
MassHealth provides the most benefits for uninsured children. In Massachusetts,
MassHealth eligibility requirements have been expanded to cover more children.
How do I know if my child is eligible for MassHealth?
Your child can receive benefits from MassHealth if he or she is: age 18
or younger, and your family’s income is 200 percent of the poverty level
or lower (see income chart
).
What if I make more money than the MassHealth income limit?
If your child is disabled and your income is more than the MassHealth limit,
your child can be covered by MassHealth /
CommonHealth.
If your child is not disabled and your income is more than the MassHealth
limit, your child may be covered by the Children’s
Medical Security Plan (CMSP)
.
Can immigrants get MassHealth?
Yes. Children who are citizens, refugees, asylees, PRUCOL (persons residing
under color of law) or legal permanent residents can get MassHealth benefits.
Undocumented children can get limited emergency benefits and CMSP. All children
who receive Mass-Health must live in Massachusetts.
What if I already have health insurance, but my income is under the MassHealth
limit? Should I still apply for MassHealth?
Yes. Depending on your income, MassHealth can help you pay your premiums
for your children or supplement your children’s coverage (see
Premium Assistance Programs
).
What does MassHealth cover?
MassHealth covers a wide range of services, including hospital and doctors’
visits, dentists’ visits, lab services, prescription drugs, medical equipment,
medically necessary transportation, home nursing care, and mental health and
substance abuse services.
How do I enroll my child in MassHealth?
You can get a Medical Benefit Request Form (MBR) and help filling out the
form at one of the MassHealth enrollment
sites
or you can obtain an MBR form by calling (888) 665-9993. When you
get the form, fill it out completely. Send the form, with proof of your family’s
income (pay stubs or tax returns) and proof of your child’s immigration status
(if not a U.S. citizen), to the MassHealth address listed on the form.
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