CareNet (formerly known as Boston HealthNet)
1-800-462-6381
CareNet is sponsored by Boston Medical Center & affiliated Health Centers.
This plan is available to all age groups with incomes under 200% of the federal
poverty level and provides a wide-range of health care services.
Must receive care at one of 13 participating sites.
Center Care
1-617-624-6052
CenterCare is a public health program for improving the self-management of clients
with chronic illnesses served by community health centers throughout Massachusetts.
Its aim is to support programs of support and services for the self-care of
clients with diabetes, asthma, clinical depression and other selected conditions.
These programs help enhance medical management and prevent medical complications.
CenterCare is open to individuals who meet income guidelines, are residents
of Massachusetts and 19 years of age or older.
Commonwealth Cares
1-877-MA-ENROLL or 1-877-623-6765 or www.macommonwealthcare.com
Is an insurance program for adults 19 years of age and older under 300% of fpl
who do not have health insurance. There are four plan types depending on income
level and eligible residents enroll in one of four managed care plans.
Dental Services
Many local health centers and schools of dentistry offer low cost dental services.
A complete listing is available by calling the Mayor’s Health Line.
Free Care
Contact your local hospital or clinic for more information.
Free Care and partial free care covers inpatient, outpatient and emergency medical
services. In most cases, doctors’ fees, laboratory fees, out patient and
prescription drugs are not covered at hospitals. Most services provided
at health centers, including doctor services, are covered. Free Care is
available to anyone, including undocumented immigrants, with incomes at 200%
of the federal
poverty level. Partial free care is available to people between
200% - 400% of the federal
poverty level.
- You are automatically eligible if you’re enrolled in Healthy Start, CenterCare
or EAEDC
- Current MassHealth enrollees who were not enrolled at time of reception
of medical services, are eligible for free care coverage of those services.
Healthy Start
1-800-841-2900 or www.state.ma.us/dph/bfch/mcfh/access/hs.htm
Healthy Start is run by the Massachusetts Office of Medicaid and is for pregnant
women who cannot receive Mass Health/Prenatal
The Insurance Partnership
1-800-399-8285
www.insurancepartnership.org
The Insurance Partnership makes health insurance more affordable for qualified
small businesses( including the self-employed) and their employees. The Insurance
Partnership is not a health plan. It is a program that can help pay for the
health insurance you offer to your employees.
Under the Insurance Partnership, small businesses that provide health insurance
to their qualified employees can have part of their costs paid for by the Commonwealth
of Massachusetts.
MassHealth
(888) 665-9993 or www.state.ma.us/dma/
MassHealth is a joint state and federal umbrella program that provides medical
services for certain low to moderate income Massachusetts residents. Eligibility
depends on meeting income guidelines described as a percentage of the federal
poverty level and on meeting other eligibility standards described
below.
MassHealth Standard, is the most comprehensive
state-funded health care program offering a full range of benefits, including
hospital visits, doctor visits, dental visits, lab services, OB/GYN services,
well-child visits, prescription drug coverage, mental health, and substance
abuse services. In addition to meeting the income guidelines, one of the
following conditions must also be met:
- Pregnant
- Under age 19
- A parent with his/her child under 19
- Disabled according to standards set by federal law
MassHealth CommonHealth offers health-care benefits
similar to MassHealth Standard to disabled adults and disabled children who
are not eligible for MassHealth Standard. There are no income guidelines,
but those with an income above a certain level may be required to pay a premium
or a one-time-only deductible. The conditions required for eligibility
are:
- Disabled child under 19
- Disabled persons aged 19 through 64 who work 40 hours of more a month, or
if not working have a one-time deductible and a possible monthly premium based
on a sliding scale depending on income
- Disabled persons aged 19 through 64 who work less than 40 hours a month,
over 133% of the federal poverty leevel,
must pay a one time deductible and possibly a monthly premium
MassHealth Basic offers more limited range of health-care
benefits than the Standard plan, but it offers benefits to certain disabled adults.
The conditions required for eligibility are:
- Under age 65
- Does not have health insurance
- Recipient of EAEDC and/or services from DMH
- Legal, but Federally non-qualified alien who applied before 7/1/96
MassHealth Buy-In pays for all of or part of a person’s
private health-insurance premium. The family monthly income must be less
than 133% of federal
poverty level. The conditions required for eligibility are:
- Have not worked in more than one year, or have not earned enough to collect
unemployment
- Not eligible to collect unemployment benefits
MassHealth Family Assistance offers coverage to
children through age 18 under 300% of federal poverty
level who cannot be covered under MassHealth Standard or MassHealth CommonHealth
because of a failure to meet the income guidelines. This plan also pays
part of a family’s health insurance premium if they have or can receive health
insurance from an employer.
MassHealth HIV provides coverage to adults and children
HIV+ up to 200% of the federal
poverty level. You do not have to have AIDS or be disabled to qualify.
This plan may provide direct coverage or pay part of your health insurance premium
if you have or can receive health insurance from your employer.
MassHealth Limited provides emergency health services to undocumented
immigrants who are prevented by Federal law from receiving more services.
The standards for eligibility are similar to those for MassHealth Standard.
MassHealth Prenatal offers health-care benefits right away to pregnant
women for up to 60 days. During the 60 days, the MassHealth will decide
if the pregnant woman is eligible for another type of MassHealth coverage.
The unborn baby may be counted as an additional family member.
Medical Security Plan (MSP)
1-800-914-4455 or www.bluecrossma.com
The Medical Security Plan is a health plan for residents who are receiving unemployment
compensation benefits. The plan provides health insurance through two different
programs called Premium Assistance and Direct Coverage. To be eligible for MSP
one must:
- be receiving or eligible to receive unemployment benefits for employment
with a Massachusetts employer other than from employment with the federal
government or armed forces
- be a Massachusetts resident
Medicare
1(800) Medicare or 1 (800) 633-4227 or
http://www.medicare.gov/
State & Federal program available to persons 65 and over, and certain
classifications of disabled
Pharmacy programs:
- MassMedLine - 1-866-633-1617 or http://www.massmedline.com is a free service offered as a public private partnership between the Massachusetts Executive Office of Elder Affairs and the Massachusetts College of Pharmacy and Health Sciences. MassMedLine is open Monday - Friday 8:00 AM - 6:00 PM. This toll-free hotline offers access to a team of pharmacists and case mangers who assist callers with medication questions and compliance, screen for available insurance options and evaluate for eligibility to programs for medication access through the pharmaceutical industry or private assistance programs.
- Prescription Advantage - 1-800-953-3305 State program for those over 65,
not receiving MassHealth & under 150% of the federal
poverty level.
- Mayor’s Neighborhood Pharmacy Program - (617) 635-3993 reduced costs on prescriptions
at participating pharmacies. Must be over 65, a Boston resident and income
less than 200% of federal poverty level.
- Pharmacy Assistance Program - your health care provider can provide you
with the application
- Free Care (link to Free Care section) Certain health centers and hospitals
cover pharmacy costs
- Boston Health Net - for enrollees only up to $100 per prescription per month
