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MassHealth CommonHealth Overview

CommonHealth is a health plan for Massachusetts residents with disabilities who cannot get MassHealth Standard. It is offered by the Massachusetts Division of Medical Assistance (DMA) and is part of MassHealth.

Non-Financial Eligibility Criteria

You may be able to get MassHealth CommonHealth if:

·      You are living in Massachusetts,

·      You are a person with a disability aged 18 and older who:

·                works 40 hours or more a month, or

·                is under age 65 and is not working, or if working meets certain state and federal rules.

The Division determines if you have a disability under State and Federal law. For an adult, this generally means you have a physical or mental condition that severely limits your ability to work or to do certain activities for at least 12 months.

Financial Eligibility Criteria

There is no income limit for MassHealth CommonHealth. If the gross countable monthly income (after any excluded income but before taxes and deductions are subtracted) for all those in your MassHealth family group is above a certain amount, you may have to pay a premium or meet a one-time-only deductible. See: MassHealth CommonHealth Premium and Deductible.

You may be eligible for MassHealth CommonHealth even if you have private health insurance. (See: MassHealth CommonHealth Eligibility.)

NOTE: A more detailed description of the MassHealth eligibility requirements, including premium schedules, can be found in the Division’s regulations at 130 CMR 501.000 through 508.000. More details about the financial eligibility requirements are available in PDF format (requires Adobe Acrobat Reader) at
http://www.mass.gov/Eeohhs2/docs/masshealth/regs_member/regs_memb_506.pdf

Services

Some of the important services under CommonHealth are:

·      doctor visits

·      hospitalization

·      in-home care

·      nursing facility services

·      medication

·      dental services

·      glasses and eye care

·      hearing aids

·      medical equipment

·      rides to medical appointments

·      mental health/substance abuse services

·      other medical services

Additional Information

For a complete list of the covered services, see: MassHealth CommonHealth Covered Services.

Also see:

MassHealth CommonHealth Eligibility

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