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MassHealth Application Package

The MassHealth application package includes an application form (also known as the Medical Benefit Request) and the MassHealth member booklet.

There are several ways to get the application package to apply for MassHealth:

· by downloading the application form and member booklet. See:
http://www.mass.gov/portal/index.jsp?pageID=eohhs2terminal&L=4&L0=Home&L1=Consumer&L2=MassHealth+and+Insurance&L3=Apply+for+MassHealth+Coverage&sid=Eeohhs2&b=terminalcontent&f=masshealth_consumer_applicant_forms_index&csid=Eeohhs2

· by calling the MassHealth Enrollment Center at 1-888-665-9993 (or TTY: 1-888-665-9997 for people who are deaf or hard of hearing).

Also see:

MassHealth Application - Overview

MassHealth Application Procedures

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