Eligibility for people age 65 and older and people who need long-term-care services

Learn about health care eligibility requirements for individuals age 65 or older or people who need long-term-care services. To find out if you are eligible, you must complete an application.

Basic requirements for coverage


You must be a resident of Massachusetts to get MassHealth or other health care benefits that are funded by the Commonwealth of Massachusetts.

You meet the residency requirements if:

  • You live in Massachusetts and either intend to reside in Massachusetts, with or without a fixed address, or have entered Massachusetts with a job commitment or seeking employment

You do not meet the residency requirements if you are visiting Massachusetts:

  • For personal pleasure, such as vacation, or
  • To receive medical care in a setting other than a nursing facility

Citizenship or immigration status

When deciding if you are eligible for benefits, MassHealth also looks at your citizenship or immigration status. To get MassHealth coverage, your U.S. citizenship or eligible immigration status must be verified. If you do not provide this information, you may be considered for fewer benefits. For more details about U.S. citizenship and immigration rules, see the Senior Guide to Health Care Coverage 


Generally, MassHealth looks at the income and assets of both you and your spouse. Income and assets rules differ for each type of MassHealth program. For more information, see Eligibility Figures Tables for MassHealth Applicants and Members

Categories of coverage

MassHealth offers different types of coverage based on whether you are:

  • 65 years of age or older and need personal-care-attendant services in order to live at home
  • Living at home and you do not need long-term care
  • Living at home and you need long-term services and supports under a Home- and Community-Based Services Waiver, or
  • In or waiting to go into a long-term-care facility

For detailed information about each of these programs, see The Senior Guide for Health Care Coverage.

 If this information does not apply to you, please go to the Individuals, Families, and People with Disabilities page.

Additional Resources


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