About the program

This coverage type offers benefits to people aged 65 and older who live in the community and who meet all MassHealth Standard requirements except immigration. This coverage type is available only to aliens with special status.

Service offerings

In MassHealth Essential, covered services include those listed below. There may be some limits. Your health-care provider can explain them.

  • inpatient hospital services
  • outpatient services: hospitals, clinics, doctors, dentists
  • medical services: labs, X rays, therapies, pharmacy services*, speech and hearing services, medical equipment and supplies
  • behavioral health (mental health and substance abuse) services
  • emergency ambulance services
  • quit-smoking services

*If you are eligible for both Medicare and MassHealth, Medicare will provide most of your prescription drug coverage through a Medicare prescription drug plan. Visit www.medicare.gov or call 1-800-MEDICARE for information about whether you need to enroll in a Medicare prescription drug plan, and, if so, how to choose one that is best for you.

Populations served

You may be able to get MassHealth Essential if you are:

  • aged 65 and older and living in the community; and
  • an alien with special status.

To be an alien with special status, you must have certain immigration status. Please call the MassHealth Customer Service Center for more information.

Eligibility criteria

  • Income standard: 100% of the federal poverty level
  • Asset standard: $2,000 or less for an individual, $3,000 or less for a married couple living together

If your assets are too high, you can reduce them by following certain rules. If your income is too high, you will have a deductible. The deductible is the total amount of your monthly income that is greater than MassHealth's income standard over a six-month period.

Application process

Call a MassHealth Enrollment Center at 1-888-665-9993 (TTY: 1-888-665-9997 for people with partial or total hearing loss) to request a Senior Medical Benefit Request (SMBR), or download a Senior Medical Benefit Request:

Submit the completed application to the one MassHealth Enrollment Center (MEC) listed below that is closest to where you live.

Revere MEC
300 Ocean Avenue
Suite 4000
Revere, MA 02151

Taunton MEC
21 Spring Street
Suite 4
Taunton, MA 02780

Springfield MEC
333 Bridge Street
Springfield, MA 01103

Tewksbury MEC
367 East Street
Tewksbury, MA 01876

Contact information

MassHealth Enrollment Center: 1-888-665-9993
(TTY: 1-888-665-9997 for people with partial or total hearing loss)

MassHealth Enrollment Center

Office hours: Monday through Friday 9 A.M. to 5 P.M.

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This information is provided by MassHealth.