MassHealth is a health insurance program for eligible Massachusetts residents. BMC HealthNet Plan participates in this program. You must qualify for MassHealth first before you can choose BMC HealthNet Plan.

MassHealth members pay $0 in premiums (monthly fees) and $0 deductibles (upfront fees). For prescription drugs, you either have $0 copay or a small co-pay (fee you pay at the time you receive care), depending on your age and the MassHealth program you qualify for.

If you qualify for MassHealth, you'll be able to:

• regularly see a doctor who gets to know your healthcare needs
• see a specialist *
• go to the hospital *
• get medications - low-cost or free prescription drugs, and in certain cases, over-the-counter drugs with a prescription from your primary care provider (PCP)
• access mental health and substance abuse services
• get vision services*

BMC HealthNet Plan members also get:

• Access to a large network of doctors and hospitals, locally and across the state
• Access to our member services department (M-F; 8 a.m. – 6 p.m.) where you can be connected with an individual who speaks your language 
• Free 24-hour, seven-day-a-week mental health/substance abuse line
• Free 24-hour, seven-day-a-week Nurse Advice Line
• Free 24-hour, seven-day-a-week Audio Library of health topics
• Help for special health needs like asthma, diabetes, pregnancy, and heart health issues

How Do I Know if I Qualify?

You must apply directly to MassHealth (See How Do I Sign Up below) to find out whether or not you qualify. To qualify for the particular MassHealth programs in which BMC HealthNet Plan participates, you must be a Massachusetts resident, AND a U.S. citizen, U.S. qualified alien, or alien with special status.

In addition, you must meet the Program's income guidelines, and are one or more of the following:

• younger than 19
• pregnant
• HIV-positive and under age 65
• disabled
• a parent living with children under age 19
• an adult relative living with children for whom you are the primary caretaker
• have been unemployed for a long time
• a woman under age 65 with breast or cervical cancer

For more information on eligibility, please visit www.mass.gov/masshealth.