MassHealth offers benefits to a wide range of people who meet the eligibility rules. Select one of the links below to get the application that is right for you.
Applicants 64 Years of Age and Younger and Families
On November 15, 2014, if you are 64 years of age or younger, you can find out in real time if you are eligible for coverage by applying online at MAhealthconnector.org. This is the fastest and easiest way to apply for and enroll in coverage. The website is available for individuals and those applying for their family. Simply visit the website and click the Start Your Application link on the homepage.
If you are 64 years of age or younger, you can also download the Massachusetts Application for Health and Dental Coverage and Help Paying Costs. This application is good for individuals as well as those who are applying for their family. If you submit this application you will not need to submit a new application for 2015 coverage.
- Massachusetts Application for Health and Dental Coverage and Help Paying Costs
- Solicitud de cobertura de servicios de salud y dental de Massachusetts y ayuda para pagar los costos
- Massachusetts Application for Health and Dental Coverage and Help Paying Costs (English Large Print)
- Massachusetts Application for Health and Dental Coverage and Help Paying Costs—Additional Persons
- Solicitud de cobertura de servicios de salud y dental de Massachusetts y ayuda para pagar los costos—Personas adicionales
Applicants 65 Years of Age and Older and Long-Term Care (LTC)
Click the link below if you are 65 years of age or older OR if you are in or are waiting to go into a long-term care facility.
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).
How to Submit Your Application
When you have filled out your application, you can submit it to us in the following ways.
Mail your filled-out and signed application to:
Health Insurance Processing Center
P.O. Box 4405
Taunton, MA 02780
Fax your filled-out and signed application to:
Important: Use this two-page cover sheet when sending your fax.
Sign in to your account at www.MAhealthconnector.org. You can create an online account if you do not already have one.
Call the MassHealth Customer Services Center at 1-800-841-2900 (TTY: 1-800-497-4648 for people who are deaf, hard of hearing, or speech disabled.)
In person at a MassHealth Enrollment Center (MEC) or authorized hospital.