About the program
This coverage type offers a full range of health-care benefits and is the only coverage type that pays for long-term-care services.
In MassHealth Standard, covered services include the ones listed below. There may be some limits. Your health-care provider can explain them to you.
- inpatient hospital services
- outpatient services: hospitals, clinics, doctors, dentists, family planning, and vision care
- medical services: lab tests, X rays, therapies, pharmacy services*, eyeglasses, hearing aids, medical equipment and supplies, adult day health, and adult foster care
- behavioral health (mental health and substance abuse) services
- transportation services
- long-term-care services at home or in a long-term-care facility, including home-health 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.
Note: For disabled adults who also get Medicare Part B, MassHealth will pay the Medicare premium, and if applicable, the coinsurance and deductibles.
You may be able to get MassHealth Standard if you are:
- aged 65 or older and living at home; or
- any age and in need of long-term-care services at home or in a facility.
For parents and caretaker relatives for children under age 19, please see MassHealth Standard for Applicants and Members Under Age 65 and Families.
Aged 65 and older and living at home:
- 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.
Any age and in need of long-term-care services in a facility:
- asset standard: $2,000 or less for an individual; for married couples in which one member is institutionalized, the institutionalized spouse may keep $2,000 and the spouse at home may keep up to a certain amount (certain rules apply).
- income standard: There is no income limit, but you may have to pay a patient-paid-amount. Your patient-paid-amount will be determined using certain income deductions.
Any age and in need of long-term-care services in the home:
Though these special programs are available under MassHealth Standard, each program has its own eligibility rules (including income and asset rules) that may be different from other MassHealth eligibility rules. Please call MassHealth Customer Service for more information about these programs.
Call the MassHealth Enrollment Center at 1-888-665-9993 (TTY: 1-888-665-9997 for people who are deaf, hard of hearing, or speech disabled) to request a Senior Medical Benefit Request, 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.
300 Ocean Avenue
Revere, MA 02151
21 Spring Street
Taunton, MA 02780
333 Bridge Street
Springfield, MA 01103
367 East Street
Tewksbury, MA 01876
MassHealth Enrollment Center: 1-888-665-9993
(TTY: 1-888-665-9997 for people who are deaf, hard of hearing, or speech disabled)
Office hours: Monday through Friday 9 A.M. to 5 P.M.
This information is provided by MassHealth.