Massachusetts Medicaid Eligibility and Enrollment

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  • Massachusetts Medicaid pays for health care for low-income people who meet certain eligibility requirements. Find out if you qualify for Massachusetts Medicaid.

Medicaid is a jointly funded government health care program designed to pay for medical expenses for low- and medium-income people living in Massachusetts. Applicants must meet certain eligibility requirements to receive MassHealth, the state’s Medicaid program. MassHealth provides medical benefits by paying part or all of your health insurance premiums. Medicaid in Massachusetts provides medical coverage and health insurance benefits for more than 1.6 million people who are under the age of 19 and over the age of 65, blind or disabled, based on financial need. MassHealth also offers different types of health care coverage based on whether you are a parent, pregnant or HIV positive, have breast or cervical cancer, and whether you work for a small employer. 

Who Is Eligible for Medicaid in Massachusetts?

Residents in Massachusetts are eligible for Medicaid if they meet the state and federal standards for income and asset limits, which are adjusted yearly for the state. To qualify for MassHealth, participants must be a U.S. citizen, state resident or legal alien in need of medically necessary health care and meet the low-income standards.

Applicants in Massachusetts must earn less than the modified annual gross income, which is set to 133% of the federal poverty level. For MassHealth applicants, the annual household income limit (before taxes) is $16,971 a year for one person, $22,930 a year for two people and $34,846 a year for a family of four. MassHealth provides different types of coverage based on income, age, household size and whether you’re pregnant or disabled. People who qualify for services include: 

  • A parent living with children younger than 19 years of age
  • An adult caretaker living with children younger than 19 years of age (must be related by blood, adoption or marriage)
  • A child 19 years of age and younger
  • An adult 65 or older
  • Adults who are 21 through 64 years of age
  • Blind and disabled
  • HIV-positive
  • Breast or cervical cancer patient

Medicaid and Children’s Health Insurance Program (CHIP) are both part of MassHealth in Massachusetts, where members have access to routine doctor visits, hospitalization and prescription drugs. 

How Do I Enroll in Medicaid in Massachusetts?

Massachusetts residents have several options for applying for the state Medicaid program. Applications are available online at the Mass.gov website, where enrollees can explore different health coverage plans and find out what program fits their needs. Participants can apply for MassHealth, Health Safety Net and the Children’s Medical Security Plan. Seniors or those who need long-term care can also apply for benefits. 

Contact Information for Massachusetts Medicaid

If you have questions or concerns about your health care coverage or medical benefits, you can contact MassHealth at (800) 841-2900.