Your right to appeal

We will send you a notice to let you know when your MassHealth is closing.

If you think that our decision is wrong, you have the right to ask for a fair hearing to appeal decisions we make about your MassHealth benefits and services.

MassHealth notices have information on the back that explain how to ask for a fair hearing and how much time you have to ask for one.

Members who are turning age 65

If you are or will soon be aged 65, and do not have children under age 19 living with you, you must meet certain income and asset requirements to keep getting MassHealth. We will send you a new form to fill out to give us the information we need to make a decision. If you can keep getting MassHealth, you will not get your medical care through a MassHealth managed care plan. Instead, you can get your medical care from any other MassHealth health-care provider.

Certificates of Creditable Coverage

When your MassHealth coverage ends, MassHealth will give you a Certificate of Creditable Coverage if you were getting MassHealth Standard, CommonHealth, Essential, or Basic, or if you were enrolled in a MassHealth health plan under MassHealth Family Assistance. If you have a continuing medical condition when you enroll in a new health plan offered by private insurance, this certificate may allow you to shorten the waiting period or have no waiting period. More information is given on the certificate.

This information is provided by MassHealth.