The MassHealth Plan Selection Period is the annual 90-day period for individuals enrolled in a MassHealth managed care organization (MCO) health plan. During this time, you can choose a health plan or switch your health plan for any reason.

If you’re happy with your current plan you don’t need to do anything.

These changes do not apply to children in the care or custody of the Department of Youth Services or the Department of Children and Families. They can choose another health plan at any time.


If you are enrolled in an MCO health plan on or BEFORE October 1, 2016

October 1, 2016 Start of Plan Selection Period.
December 31, 2016 Last day to change your health plan for any reason.
January 1, 2017 Start of Fixed Enrollment Period. Members enrolled in an MCO cannot change their health plan until the next Plan Selection Period on October 1, 2017, except for certain reasons. 

If you are enrolled in an MCO health plan AFTER October 1, 2016

Your Plan Selection Period starts on the day you’re enrolled in a MCO Health Plan  

MassHealth will send you a letter letting your know your Plan Selection Start Date.

For example, if you enroll in an MCO health plan on November 3, that is the start of your Plan Selection Period.

Your Plan Selection Period is for 90 days For example, if your Plan Selection Period started on Nov. 3, you have until Jan. 30 (90 days) to change your health plan for any reason.
Your Fixed Enrollment Period starts when your Plan Selection Period Ends 

MassHealth will send you a letter letting your know your Fixed Enrollment Period has started.

For example, if your Plan Selection Period was from Nov. 3 – Jan 30. Your Fixed Enrollment Period starts Feb. 1 (90 days and you can only change your health plan if you meet a special exception.


 

How do I enroll in or switch my MassHealth health plan?

Once you become a MassHealth member, it’s easy to enroll in a managed care organization (MCO) health plan or the Primary Care Clinician (PCC) Plan.

Step One:

View the list of plans available in the area where you live.

Step Two:

Choose a health plan and enroll. 

You can enroll in or change your MCO or PCC health plan

  • online      
  • by paper links to PDF file
  • or by calling us at 1-800-841-2900 (TTY: 1-800-497-4648)

If you enroll in an MCO health plan, you will be asked to pick a primary care provider (PCP). If you do not choose a PCP, your health plan will choose one for you. But it’s better if you make this decision, since you know what’s best for you and your family.

To choose a PCP, call your health plan or go to your plan’s website.

If you enroll in the PCC Plan, you must choose a PCP. You can do this by calling us at 1-800-841-2900.

Step Three:

Once you’ve enrolled, MassHealth will send you a letter confirming your enrollment. 

If you enroll in an MCO health plan, your health plan will send you a welcome packet and a member ID card. Be sure to bring your member ID card to all of your appointments.

Be sure to bring both your MassHealth ID card and your health plan ID card to all of your appointments.

 

What are the MassHealth MCO health plans?

  • Boston Medical Center HealthNet Plan
  • Tufts Health Plan
  • Fallon Community Health Plan
  • Health New England
  • Neighborhood Health Plan
  • CeltiCare Health

 

What health plans can I choose from during my Plan Selection Period?

You can choose from any of the MCO health plans listed above or the Primary Care Clinician (PCC) Plan.
 

What should I consider when choosing or switching a health plan?

  • Are you happy with your current health plan? If you are, you do not need to do anything.
  • Is your primary care physician (PCP) or any specialist you see now still in your current health plan’s network of doctors? 
  • Will you need to (or want to) see different doctors than you see now? If yes, are they in your current health MCO plan’s network of doctors?
  • Have you moved and want to change doctors?

 

What benefits do our health plans have in common?

  • A primary care provider or primary care clinician offers most medical care services and make specialty referrals
  • Access to care 24 hours a day, seven days a week
  • Free 24-hour Nurse Advice Line
  • Health care professionals that speak many languages
  • Member-services departments to answer your questions
  • A grievance and appeal process if you are unhappy with the health care or services you receive
  • A commitment to providing quality care
  • Care management services
  • Quit Smoking Program
  • The same drug copayments are the same for all plans

Some health plans may offer extra benefits. View the list of extra benefits for these MassHealth coverage types:

For more information on how to choose a health plan and a primary care doctor, please download an enrollment guide for these MassHealth coverage types:

 


This information is provided by MassHealth.