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If you’re a MassHealth member who has access to other health insurance, such as through your job, you must cooperate with MassHealth to determine if you must obtain and maintain that insurance. The MassHealth Premium Assistance Program may be able to help you pay for the other health insurance, provided certain rules are met.
To get and keep your MassHealth benefits, you must cooperate with MassHealth to determine if you must obtain and maintain other insurance available to you.
You may be required to:
The MassHealth Premium Assistance program is for MassHealth members who have employer-sponsored health insurance (ESI) from a job or who have access to other health insurance. If you have MassHealth and other insurance, you may be able to get help paying for your premium—the amount you pay every month.
MassHealth members with qualified ESI may be able to get help paying for the monthly premiums deducted from their pay check by their employer. MassHealth may also assist with other out-of-pocket costs such as copayments, deductibles, and coinsurance.
You must give us information about any health insurance that you or a family member already has or can get. We will use this information to decide:
We may ask you or your employer for more information about your access to health insurance from a job. We may also ask for proof you or your family members have enrolled in available health insurance. You must give us information we ask for. If you do not, your MassHealth benefits may end.
To learn more or to apply, call the MassHealth Premium Assistance Unit at
Download and complete the Additional Information about Your Access to Employer Sponsored Health Insurance Coverage form and send to the Premium Assistance Unit.
P.O. Box 7
Quincy, MA 02171
If you are a college student in Massachusetts and you have MassHealth, you may enroll in your school’s Student Health Insurance Plan (SHIP) through the Premium Assistance program.
For Student Health Insurance, you must apply through your college’s online waiver and enrollment process. For questions, call Student Health Insurance Premium Assistance at 1-855-273-5903.
Self-service available 24 hrs/day in English and Spanish. Other services available Monday-Friday 8 a.m.–5 p.m. Interpreter service available.