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The estimated premium assistance amount is calculated by subtracting the employer's share of the member's health insurance premium and the MassHealth required member contribution (Member's MassHealth premium) from the total cost of the health insurance premium.
(c) In determining monthly income, the MassHealth agency multiplies average weekly income by 4.333.
There is no upper income limit in 2022. Each addtl. 2021 FPL levels are used for coverage in 2022.
The amount of the premium is based on \u25c6 your monthly income, as it compares to the federal poverty level, \u25c6 your household size, and \u25c6 if you have other health insurance. If you must pay a premium, we will tell you the amount and send you a bill every month.
The MassHealth Premium Assistance program is for MassHealth members who have access to employer-sponsored health insurance (ESI) from a job or from another source, such as members of your household.
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MassHealth Standard and Premium Formula for Members with Breast or Cervical Cancer % of Federal Poverty Level (FPL)Monthly Premium CostAbove 150% to 160%$15Above 160% to 170%$20Above 160% to 170%$25Above 180% to 190%$306 more rows • Dec 19, 2019
Massachusetts Medicaid (MassHealth) pays for health care for certain low and medium income people living in Massachusetts. MassHealth offers health-care benefits directly or by paying part or all of your health-insurance premiums.
A copay is a small amount that a person may need to pay when they get health services. The only time that you may have a copay is when you get certain prescription drugs. There are no copays for other MassHealth covered services.
MassHealth Premiums Premiums are based on family size, monthly income, and whether you have other health insurance. Your premium will not be more than 3% of your monthly household income. This limit does not apply to CommonHealth members.

masshealth monthly premium bill