How do I Sign Up?

STEP 1. Apply to MassHealth

Before you can choose a BMC HealthNet plan – MassHealth or Commonwealth Care – you must apply to MassHealth. MassHealth determines which state program you are eligible for.

You must complete a Medical Benefit Request (MBR) form. Click here to view and print the MBR form . If you need help applying, call us at 1-800-792-4355 (press option 1) or e-mail us at helpmeapply@bmchp.org.

Keep in mind that when you apply, you’ll need:

• Two recent pay stubs or
• Last year’s U.S. tax return (if self-employed or have rental income) or
• Social Security award letter

AND

• Other income (i.e., child support, unemployment, etc.)
• Proof of citizenship/national status (copy both sides)
• U.S. passport or
• Certificate of Naturalization (DHS# N-550 or N-570) or
• Certificate of U.S. Citizenship (DHS# N-560 or N-561) or
• U.S. birth certificate and a Massachusetts ID or driver’s license

To check the status of your application, or for information on MassHealth eligibility and all your health plan options, call the MassHealth Customer Service Center at 800-841-2900 (TTY 800-947-4648) from 8 a.m. to 5 p.m., Monday through Friday.

For more information on Commonwealth Care eligibility and all your health plan options, call the Commonwealth Care Customer Service Center at 877-MA-ENROLL or 877-623-6765 (TTY 877-623-7773) from 8 a.m. to 5 p.m., Monday through Friday, or visit www.mahealthconnector.org.

For more information about BMC HealthNet Plan, call 1-800-792-4355.

Step 2. Once You Qualify, Choose BMC HealthNet Plan

Once you qualify for MassHealth or Commonwealth Care, the state will send you an enrollment package that tells you how to select a health plan.

• If you qualify for MassHealth, you must call 800-841-2900 to choose BMC HealthNet Plan as your health plan.
• If you qualify for Commonwealth Care, you must either call 877-623-6765 to choose BMC HealthNet Plan, or do so online at www.mahealthconnector.org.