Understanding MassHealth Member Services and Benefits

MassHealth is a vital healthcare program for low-income individuals and families in Massachusetts. It provides essential services and benefits to its members, ensuring they receive quality care.

MassHealth offers a range of services, including doctor visits, hospital stays, and prescriptions. Members can also access preventive care, such as vaccinations and screenings.

One of the key benefits of MassHealth is the extensive network of healthcare providers. Members can choose from a variety of doctors, hospitals, and pharmacies, giving them flexibility and convenience.

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To be eligible for MassHealth, you'll need to renew your coverage periodically to ensure you're still qualified for the best benefits. You'll receive a notice from MassHealth with a due date to respond.

MassHealth needs to renew coverage for all members to make sure they are still eligible and receive the best benefit they qualify for. If you've recently moved, report the change in your mailing address to MassHealth.

To apply for service, you can call MassHealth Customer Service toll-free at 800-841-2900 or 800-497-4648 (TTY). You can also request a Prescription for Transportation (PT-1) form to be faxed to your medical MassHealth Provider.

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If you're receiving a notice from MassHealth about eligibility redeterminations, you need to respond by the due date on your renewal notice.

MassHealth requires renewal of coverage for all members to ensure they remain eligible and receive the best benefit they qualify for.

You should report any changes to your mailing address if you've recently moved, as this will help ensure you receive important notices from MassHealth.

To report changes to your mailing address, follow the instructions found on the MassHealth website.

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If you receive a notice from MassHealth saying you need to renew your coverage, you must respond by the due date on your renewal notice.

MassHealth needs to renew coverage for all members to make sure they are still eligible and receive the best benefit they qualify for.

You should report any changes to your mailing address if you have recently moved.

To report changes to your mailing address, learn how to do so here.

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To apply for MassHealth coverage, you can call the MassHealth Customer Service Center at 800-841-2900 or 800-497-4648 (TTY).

You can also request a Medical Benefit Request (MBR) or a MassHealth Application (MHA) for Seniors and People Needing Long-Term-Care Services by calling the MassHealth Customer Service Center.

If you need help completing the application forms, call the MassHealth Enrollment Center at 888-665-9993 or 888-665-9997 (TTY).

To get transportation to MassHealth medical appointments, you can schedule rides online or through a mobile app.

MassHealth members can get non-emergency transportation to their medical appointments.

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MassHealth offers various coverage types, including MassHealth Standard, MassHealth CommonHealth, MassHealth Family Assistance, MassHealth Basic, MassHealth Essential, MassHealth Prenatal, MassHealth Limited, MassHealth Senior Buy-In, and MassHealth Buy-In.

You can choose from these coverage types to find the one that best suits your needs. MassHealth also offers a MassHealth Plan called Revere Health Choice, which provides additional benefits beyond standard MassHealth coverage.

Here are the coverage types offered by MassHealth:

The Revere Health Choice Plan offers a range of benefits to its members. As a MassHealth Plan, you'll get all the same features you have from MassHealth.

You'll also have access to programs and services at no additional cost to manage health issues like asthma, high blood pressure, diabetes, COPD, depression, and anxiety.

Revere Health Choice provides support and resources to manage your physical health, behavioral health, and social service needs.

With this plan, you may be able to find local social services like transportation, clothing, housing, food, and more to help you with everyday needs.

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MassHealth is a comprehensive healthcare program that serves a wide range of populations. Families with children under age 19 are eligible for MassHealth.

One of the key groups served by MassHealth are children under age 19. They receive essential healthcare services to ensure their overall well-being.

Pregnant women are also covered under MassHealth, providing them with access to prenatal care and other essential services. This is crucial for a healthy pregnancy and a smooth delivery.

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People out of work for a long time, often referred to as those with long-term unemployment, are also served by MassHealth. This includes individuals who have been unemployed for an extended period.

Disabled people are another group that MassHealth serves. This includes individuals with physical, mental, or intellectual disabilities.

Adults who work for a qualified employer are eligible for MassHealth, as long as they meet specific income and employment requirements.

The following groups are also served by MassHealth:

As a MassHealth member, you're entitled to a wide range of benefits that cover various aspects of your life.

You can receive medical services, including doctor visits, hospital stays, and prescription medications, through MassHealth's network of healthcare providers.

MassHealth also offers dental services, including cleanings, fillings, and extractions, which are essential for maintaining good oral health.

Eye exams and glasses or contact lenses are also covered, helping you see the world clearly.

Vision care is an important aspect of overall health, and MassHealth recognizes its significance.

MassHealth members can also receive mental health services, including counseling and therapy, to support their mental well-being.

These services are available to help you manage stress, anxiety, or other mental health concerns.

MassHealth also provides transportation services to help you get to your medical appointments.

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MassHealth members need to renew their health coverage soon, as the continuous coverage requirements that started during the COVID-19 emergency are ending. This means you'll need to take action to keep your coverage intact.

Make sure MassHealth has your most up-to-date address, phone number, and email so you don't miss important information and notices. If they can't contact you, your coverage may change or you might lose it altogether.

Report any household changes, like a new job, address, changes to your income, disability status, or pregnancy. This will help MassHealth keep your information current and ensure you get the right benefits.

You can update your information and report changes using your MA Login Account at http://www.mahix.org/individual. If you don't have an account, you can create one by calling MassHealth Customer Service at (844) 365-1841.

If you have questions or need help with your MassHealth coverage, contact MassHealth Customer Service at (800) 841-2900.

The MassHealth Flexible Services Program will be ending on December 31, 2024. Don't worry, a new program called Health Related Social Needs will start on January 1, 2025, to help with food and housing needs.

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MassHealth member services are available 24/7 through the MassHealth website, phone, or mobile app. You can also visit your local MassHealth office in person.

You can report changes to your household, income, or health coverage status online, by phone, or by mail. This is important to ensure you're receiving the right level of benefits.

MassHealth sends reminders to members about upcoming appointments and deadlines for renewing benefits. You can also set up email or text message reminders on the MassHealth website.

If you're having trouble with your MassHealth benefits, you can contact the MassHealth Customer Service Center for help. They're available to answer questions and resolve issues.

You can also reach out to your MassHealth caseworker or care coordinator for personalized support and guidance. They can help you navigate the system and find resources to meet your needs.

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If you need to get in touch with MassHealth for assistance, you can call the MassHealth Customer Service Center at 800-841-2900.

The TTY number for hearing-impaired individuals is 800-497-4648.

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