Generally, if you are under age 65 and want to apply for MassHealth, you must fill out an application called a Medical Benefit Request (MBR) and send it, with proof of your household's income, to MassHealth. You can get an MBR by calling the MassHealth Customer Service Center. You can also download an MBR application from this site.

If you are aged 65 or older or if you are any age and need long-term-care services, you need to ask for a different application called the Senior Medical Benefit Request (SMBR) for Seniors and People Needing Long-Term-Care Services. You can get this application by calling the MassHealth Customer Service Center or a MassHealth Enrollment Center. You can download an SMBR from this site.

If you are on Supplemental Security Income (SSI), you are automatically eligible for MassHealth. If you are on Social Security Disability Insurance (SSDI), you must fill out an application for MassHealth.

If you believe you are disabled but are not receiving disability benefits from Social Security, you need to either apply for benefits through Social Security or through MassHealth in order to be declared disabled. MassHealth accepts the Social Security Administration's determination of disability.

You are considered disabled if you have a physical or mental condition that prevents or limits your ability to work for at least 12 months. If you need more information about the process of being approved for disability, call a MassHealth Enrollment Center.

This information is provided by MassHealth.