Masshealth buy in 2026

1. Click ‘Get Form’ to open the MassHealth Buy-In application in the editor.
2. Begin by filling out the 'General Information' section. Provide your last name, first name, middle initial, street address, city, state, zip code, and date of birth. Ensure all information is accurate.
3. In the 'Income' section, list your gross monthly income before taxes and deductions. Include proof of income such as pay stubs or pension checks. Repeat this for your spouse if applicable.
4. Complete the 'Assets' section by detailing your savings accounts, checking accounts, and any other assets you or your spouse may have. This helps determine eligibility.
5. Sign and date the application at the bottom. If applicable, ensure your spouse also signs. If someone is acting on your behalf, include the Authorized Representative Designation Form.
6. Once completed, send the application to the provided address or fax it using the number listed.

Start using our platform today to fill out your MassHealth Buy-In application online for free!