MassHealth Financial Assistance Options and Benefits

MassHealth offers several financial assistance options to help make healthcare more affordable. You may be eligible for a lower premium or even no premium at all.

MassHealth covers a wide range of services, including doctor visits, hospital stays, and prescriptions. This can include medical, dental, and vision care.

Some MassHealth members may be required to pay a small copayment for certain services, such as doctor visits or prescriptions. However, these copayments are often lower than what you'd pay without MassHealth.

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To qualify for MassHealth financial assistance, you must be a Massachusetts resident. Your eligibility is based on household size and adjusted gross income.

To apply for financial assistance, you'll need to complete the financial assistance program application. This application and all supporting documentation will be kept confidential.

You can find the financial assistance program application, as well as other required documents, on the list of applications and documents provided by Boston Medical Center. This list includes the Financial Assistance Policy, Plain Language Summary, and more.

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Here are some of the documents you may need to apply for financial assistance:

If you live in Massachusetts, you may be able to get health insurance or help paying your health care bills through a state program like MassHealth.

MassHealth is the state's Medicaid program, also referred to as MassHealth in the state of Massachusetts. Once approved for Medicaid, you may be eligible to select a MassHealth health plan.

MassHealth offers several programs, including MassHealth Premium Assistance (PA) Program, which is for MassHealth members with access to employer-sponsored health insurance or from another source. To learn more about this program, visit www.mass.gov/info-details/masshealth-premium-assistance-pa or call 800-862-4840.

The MassHealth Members program allows you to select a MassHealth health plan that's best for you and your family. It's essential to choose a plan that's accepted at your local health center, such as WellSenseCommunity Alliance, which is accepted at South Boston Community Health Center.

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To elect or change an insurance-assigned Primary Care Provider (PCP), you can log in to your MA portal at https://www.mass.gov/masshealth-ma-login-accounts, contact MassHealth Customer Service at 1-800-841-2900, or book an appointment with the Financial Counseling department at South Boston Community Health Center by calling (617)269-7500.

Here are some resources to help you navigate the MassHealth program:

Financial assistance is available for those who need it. You may qualify for a discount on medical bills if you don't have insurance or if your insurance didn't cover your care.

You can use a screening tool to find out if you qualify. The Patient Financial Services Department staff can also help you access affordable healthcare and offer assistance with health insurance application and enrollment.

The Massachusetts Health Safety Net Fund (HSN) provides full or partial free care for hospital services to those who are not eligible for government-sponsored programs like Connector Care and MassHealth.

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Here are some resources to help you navigate financial assistance:

Additionally, organizations like the PAN Foundation and the Massachusetts College of Pharmacy and Health Sciences University Pharmacy Outreach offer assistance with out-of-pocket costs and access to affordable prescription drugs.

If you're struggling to pay your medical bills, there are options available to help. You may qualify for a discount if you don't have insurance or if your insurance didn't cover your care.

To find out if you qualify, use the screening tool provided. You can also read the full Financial Assistance Policy for more information.

If you're underinsured, the PAN Foundation can help with out-of-pocket costs and advocate for improved access and affordability. Visit their website at https://www.panfoundation.org to learn more.

You can also set up a 0% interest monthly payment plan for any bill, including health insurance co-payments, co-insurance, or deductibles. To do this, log into Patient Gateway or call 617-726-3884 for details.

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If you need financial assistance, the Patient Financial Services Department staff can help you access affordable healthcare. They can assist with application and enrollment into government-sponsored programs like Connector Care and MassHealth. If you're not eligible for these programs, you may be eligible for full or partial free care under the Massachusetts Health Safety Net Fund (HSN).

If you're uninsured or underinsured, you can access some helpful information on the Heywood Hospital website, including their Financial Assistance Policy and Participating Providers in their Financial Assistance Policy.

Here are some resources to consider:

Additionally, the Massachusetts College of Pharmacy and Health Sciences University Pharmacy Outreach offers a community service program that can help with medication and prescription coverage. You can contact them at 866-633-1617 or visit their website at www.mcphs.edu/pharmacyoutreach.

The Massachusetts Medical Price Transparency Law is a game-changer for patients who want to know the cost of their medical care upfront. This law requires hospitals and health systems to provide patients with a clear and detailed estimate of their medical expenses.

You can access the Price Transparency Law and Cost Estimate Worksheet by downloading it from the relevant website.

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