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The document is an application form for individuals seeking a waiver or reduction of MassHealth premiums due to financial hardship. It outlines the eligibility criteria for hardship waivers, which are valid for six months, and requires applicants to provide proof of their financial difficulties. The form includes sections for personal information, details of the hardship, and certifications regarding the accuracy of the provided information.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are MassHealth premiums?

MassHealth premiums A premium is the amount that a person may need to pay each month for their health coverage.

Who is eligible for MassHealth Care Plus?

Effective January 1, 2014, MassHealth CarePlus is a new coverage type for adults ages 21 to 64 whose income is at or below 133 percent of the federal poverty level (FPL). (See 130 CMR 505.008: MassHealth CarePlus for categorical requirements and financial standards.)

How does premium assistance work?

Premium assistance enables states to pay premiums on behalf of employees so they can purchase a product that helps to cover the costs of some of the services for which they are eligible under Medicaid. Premium Assistance does not impact the states requirement to provide all Medicaid benefits to consumers.

Who qualifies for MassHealth premium assistance?

Please see MassHealth website to apply today. There are six MassHealth coverage types offered to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited. Learn more about MassHealth Coverage Types.

Who is eligible for MassHealth premium assistance?

Whos eligible for MassHealth Premium Assistance (PA)? MassHealth members on Standard, CommonHealth, Family Assistance, and CarePlus who have access to private employer-sponsored insurance (ESI) from a job may be able to get help paying for part of their premium.

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Who is not eligible for MassHealth in Massachusetts?

Age 21 through 64 at the time of enrollment, Eligible for MassHealth Standard or MassHealth CommonHealth, and Without other comprehensive public or private insurance. Individuals are not eligible to enroll if: they are enrolled in an HCBS Waiver, or they are residents of an Intermediate Care Facility.