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.

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.

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.