Apply for MassHealth coverage for seniors and people of any age who need long-term-care services (2023)

What you need for Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

To apply, you may need to provide the following information and documents.

  • Social Security numbers, if you have them, for every household member who is applying
  • Proof of income and assets
  • Proof of any health insurance that you are currently enrolled in or have access to
  • Information about or proof of citizenship/national status or immigration status

Who can use this application?

Use this application if you live in Massachusetts and you are

  • Aged 65 or older and living at home, and:
    • Not the parent of a child under 19 years of age who lives with you, or
    • Not an adult relative living with and taking care of a child younger than 19 years of age when neither parent is living in the home, or
  • Age 65 or older and are disabled and are either working 40 or more hours a month, or are currently workingand have worked at least 240 hours in the 6-months immediately before the month of the application, or
  • Not working
  • An individual of any age and need long-term-care services in a medical institution,such as a nursing facility or chronic hospital
  • An individual who is eligible for certain programs to get long-term-care services to live at home (for more information on long-term-care services, please see the Senior Guide to Health Care Coverage)
  • Amember of a married couple living with your spouse, and
    • Both you and your spouse are applying for health coverage
    • There are no children under 19 years of age living with you
    • One spouse is 65 or older and the other spouse is under 65

Learn more about eligibility for seniors and long-term care. If this does not describe you, please see Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan.

    How to apply Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

    To complete the Senior application on your own:

    1. Print theApplication for Health Coverage for Seniors and People Needing Long-Term-Care Services and any needed supplements
    2. Complete, sign, and date application, and any needed supplements
    3. Collect the documents (such as income, assets, citizenship, or immigration, etc.)

    Send your application, any needed supplements, and required documentsto:

    MassHealth Enrollment Center
    Central Processing Unit
    P.O. Box 290794
    Charlestown, MA 02129-0214

    1. Print theApplication for Health Coverage for Seniors and People Needing Long-Term-Care Services and any needed supplements
    2. Complete, sign, and date application, and any needed supplements
    3. Collect the documents (such as income, assets, citizenship, or immigration, etc.)
    4. Fax the filled out application, any needed supplements, and required documentsto (617) 887-8799

      MassHealth Enrollment Centers (MECs)

      The Enrollment Centers are open forlimitedwalk-in appointments. We strongly encourage you to use MassHealth’s newappointment schedulerif you need help from a MassHealth Customer Service Representative.

      Please note:MEC's can help you with applications, but they are not able to enroll you into a health plan. Please use the other contacts listed on this page to enroll in a plan. Do notmail or fax an application to any of the locations below.

      Locations:

      Charlestown
      529 Main Street
      Charlestown, MA 02129

      Springfield
      88 Industry Avenue, Suite D
      Springfield, MA 01104

      Taunton
      21 Spring Street, Suite 4
      Taunton, MA 02780

      Tewksbury
      367 East Street
      Tewksbury, MA 01876

      Quincy - MassHealth Central Office
      100 Hancock Street, Floor 6
      Quincy, MA 02171

      Next steps for Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

      1. When we receive your application

        • We review the application
        • Write to you or call you if we need more information
        • Make a decision about your eligibility and send you a written notice about this decision
      2. If you have paid for medical services during the eligibility period

        • Show the written MassHealth notice to your health care provider right away
        • If the health care provider determines that MassHealth will pay for the services you already paid for, the provider could refund what you paid

        More info for Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

        Voter registration

        If you are a U.S. citizen, a resident of Massachusetts, and 18 years old on or before election day, you can register to vote. Just print out this voter registration form and bring or mail it to your town or city hall. If you need help, you can call 800-841-2900 (TDD/TTY: 711).

        Need help?

        Call us at 800-841-2900 (TDD/TTY: 711) if you need:

        • A senior application
        • A Senior Guide to Health Care Coverage in another language
        • Interpreter services
        • Help filling out the senior application
        • Help with any questions about the application process

        Downloads for Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

        Open PDF file, 1.4 MB, for Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (PDF 1.4 MB)

        Open DOCX file, 115.68 KB, for Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (DOCX 115.68 KB)

        Open PDF file, 416.52 KB, for Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (English Large Print) (PDF 416.52 KB)

        Open PDF file, 1.38 MB, for Renewal Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (PDF 1.38 MB)

        Open DOCX file, 140.5 KB, for Renewal Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (DOCX 140.5 KB)

        Open PDF file, 1.03 MB, for Solicitud de cobertura de salud para personas de la tercera edad y personas que requieren servicios de atención a largo plazo (PDF 1.03 MB)

        Open DOCX file, 106.17 KB, for Solicitud de cobertura de salud para personas de la tercera edad y personas que requieren servicios de atención a largo plazo (DOCX 106.17 KB)

        Open PDF file, 981.36 KB, for Solicitud de renovación de cobertura de salud para personas de la tercera edad y personas que requieren servicios para atención a largo plazo (PDF 981.36 KB)

        Open DOCX file, 122.06 KB, for Solicitud de renovación de cobertura de salud para personas de la tercera edad y personas que requieren servicios para atención a largo plazo (DOCX 122.06 KB)

        Open PDF file, 821.97 KB, for Senior Guide to Health Care Coverage (PDF 821.97 KB)

        Open DOCX file, 105.57 KB, for Senior Guide to Health Care Coverage (DOCX 105.57 KB)

        Open PDF file, 332.24 KB, for Senior Guide to Health Care Coverage (English Large Print) (PDF 332.24 KB)

        Open PDF file, 2.02 MB, for Guía de cobertura de atención médica para la persona de la tercera edad (PDF 2.02 MB)

        Open DOCX file, 111.63 KB, for Guía de cobertura de atención médica para la persona de la tercera edad (DOCX 111.63 KB)

        Open PDF file, 190.49 KB, for Formulario de autodeclaración (PDF 190.49 KB)

        Open DOCX file, 23.61 KB, for Formulario de autodeclaración (DOCX 23.61 KB)

        Contact for Apply for MassHealth coverage for seniors and people of any age who need long-term-care services

        Phone

        Main: Call MassHealth Customer Service Center, Main: at (800) 841-2900

        Self-service available 24 hrs/day in English and Spanish. Other services available Monday-Friday 8 a.m.–5 p.m. Interpreter service available.

        Self-service available 24 hrs/day in English and Spanish. Other services available Monday-Friday 8 a.m.–5 p.m. Interpreter service available.

        Phone

        Voice: Call MassHealth Disability Accommodation Ombudsman, Voice: at (617) 847-3468

        TDD/TTY: Call MassHealth Disability Accommodation Ombudsman, TDD/TTY: at (617) 847-3788

        Online

        Email MassHealth Disability Accommodation Ombudsman at ADAAccommodations@state.ma.us

        • Accessibility Resources
        • Language Assistance
        • How to appeal a MassHealth decision
        • MassHealth Enrollment Centers (MECs)
        • Applications to become a MassHealth member

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