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MassHealth Choosing a Health Plan

If you are approved for MassHealth Standard, Family Assistance, or Basic and do not have private health insurance, you must choose a doctor and a health plan through MassHealth. For Basic members, you do not get benefits until you are enrolled in a health plan through MassHealth. For Standard and Family Assistance members without health insurance, you get coverage before you enroll in a health plan, but you are still required to enroll.

Soon after you receive notification that you can get MassHealth, you will be sent information called an enrollment package explaining choices you have and telling you how to enroll. If you are eligible for MassHealth CommonHealth, Limited, or Prenatal, or have private health insurance, you do not have to choose a health plan or fill out an enrollment form.

Choosing a health plan and doctor for yourself and your family is an important decision. If you need help making this decision, you can call the toll-free number that you will find in the enrollment package. You will talk to a Health Benefits Advisor, who is trained to help you make the choice that is best for you and your family.

Additional Information

More information about choosing a health plan through MassHealth can be found in the Division’s regulations at 130 CMR 508.000.

NOTE: The Code of Massachusetts Regulations (CMR) is available at:
http://www.lawlib.state.ma.us/cmr.html.

Also see:

MassHealth Overview

Source

Information for this topic was drawn from the MassHealth website (requires Adobe Acrobat Reader) at:
http://www.mass.gov/Eeohhs2/docs/masshealth/appforms/mh_member_booklet.pdf

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