If you are younger than 65 or meet the other criteria listed under Who Should Use This Application?, then you can download the Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3). This application is for individuals, as well as those who are applying for their family. If you submit this application, you will not have to submit a new application for 2017 coverage.

Applications

For more information, please see the Member Booklet for Health and Dental Coverage and Help Paying Costs.

Member Booklets

To get this booklet in Cambodian, Chinese, Haitian Creole, Laotian, Brazilian Portuguese, Russian, Vietnamese, or Braille please call the MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-800-497-4648 for people who are deaf, hard of hearing, or speech disabled).

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 1-800-841-2900 (TTY: 1-800-497-4648 for the deaf, hard of hearing, and speech disabled).


This information is provided by MassHealth.