MassHealth

MassHealth is a Medicaid plan available to qualifying Massachusetts residents. MassHealth members don’t pay monthly fees or deductibles. Plus depending on your age, income and health, you may not have to pay anything—or just a small fee—for your prescriptions.

MassHealth has Changed

There are now even more choices for how you receive care. MassHealth members now have the option of choosing an Accountable Care Organization (ACO) or a Managed Care Organization (MCO) for their health care plan. The main difference between the two is that the network of available doctors is different for each plan type. ACOs and MCOs are responsible for providing you with quality care and helping you meet your health goals. The good news is that BMC HealthNet Plan participates in these new programs. 

To learn more about all of the MassHealth options, visit MassHealthChoices.com.

You must qualify for MassHealth before you can choose BMC HealthNet Plan. To see if you qualify, please apply at MAHealthconnector.org.

Qualify for MassHealth and you can:

  • See a doctor who will help coordinate all of your healthcare
  • See specialists (doctors with extra training in an area of medicine, such as cardiology, dermatology, or pediatrics)*
  • Have 24/7 access to speak with a nurse about your health questions
  • Go to the hospital for treatment*
  • Fill a prescription at your local pharmacy
  • Get access to behavioral health (mental health and substance use disorder) services
  • Get a routine eye exam*
  • Get extra help for special conditions like asthma and diabetes

BMC HealthNet Plan MassHealth members get extra benefits**:

  • FREE child car seats and booster seats
  • FREE bike helmets for kids
  • FREE dental kits, including a tooth brush, toothpaste and floss for adult and child members age 4 and up
  • Up to $100 back for participating in Weight Watchers® and $200 back for membership at a qualifying health club

BMC HealthNet Plan CarePlus members get**:

  • FREE dental kits, including a tooth brush, toothpaste and floss
  • Up to $200 back to help pay for qualifying gym memberships
  • Up to $100 back to help pay for Weight Watchers®, each year


*Please see the MassHealth Member Handbook and MassHealth Covered Services List for additional information, including covered and non-covered benefits; any restrictions to services, benefits or the provider network; and a summary of pharmaceutical management procedures. Click the ‘Find a Doctor, Hospital, or Pharmacy’ link at the top right of the page to find out about our providers. Please see Your Privacy for our privacy policies. Please see a summary of utilization management procedures.

**Some age and frequency limitations may apply.

 

Special Kids Special Care

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Special Kids Special Care

We're excited to be the new health plan supporting the Special Kids Special Care program with the Massachusetts Department of Children and Families (DCF) and MassHealth.

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