Who is eligible for Massachusetts health Connector?

Asked by: Miss Lela Kunze MD  |  Last update: July 4, 2025
Score: 4.7/5 (11 votes)

Who can qualify For a ConnectorCare plan? People with household incomes that are at 500% of the Federal Poverty Level (FPL) or lower may qualify for ConnectorCare. If your income is higher than income limit for the plan year, you won't qualify for a ConnectorCare plan.

What's the difference between MassHealth and MassHealth connector?

ConnectorCare: ConnectorCare is subsidized health insurance offered through the Health Connector to low- and moderate-income families who do not qualify for MassHealth or other public coverage, and who do not have affordable offers of employer-sponsored insurance.

What disqualifies you from MassHealth?

If that person is found to have transferred assets of more than $15,000 each year, they will be denied benefits altogether. Planning ahead allows you to manage your assets strategically so that you can meet MassHealth eligibility requirements while preserving assets for yourself and your family.

How does MassHealth verify your income?

Proof of Job Income

Recent pay stubs dated within the past 60 days. Your most recent Form 1040 (U.S. Individual Income Tax Return) with all attachments, including W2s. This must not be older than the most recent tax year. A signed earnings statement from your employer.

Does MassHealth check your bank account?

So what happens when you submit your application? MassHealth will look at every one of your bank statements, going back five years from the date of your application. (MassHealth isn't allowed to look at bank statements that date back more than five years.)

Open Enrollment with Massachusetts Health Connector

32 related questions found

Does social security count as income for MassHealth?

Countable income includes: Wages, salary, tips, commissions (before deductions) Self-employment income (minus expenses) Social Security benefits.

How do I know if I'm eligible for MassHealth?

To find out if you're eligible, you must fill out an application. You can learn more about how to apply to MassHealth, the Health Safety Net, or the Children's Medical Security Plan or for seniors or those who need long-term-care. If you need completing the application, you can find assistance in your area.

How much money can you have in the bank for MassHealth?

The standard asset limitation is $2,000 for an individual and $3,000 for a couple.

Can you own a car and get MassHealth?

For MassHealth Buy-In, your income and assets (including bank accounts, stocks, bonds, or a second car) must be under certain limits. The chart (at the top right of this page) shows how much you can have and what you will get if your income and assets are within these limits.

Who qualifies for MA health Connector?

Who can qualify For a ConnectorCare plan? People with household incomes that are at 500% of the Federal Poverty Level (FPL) or lower may qualify for ConnectorCare. If your income is higher than income limit for the plan year, you won't qualify for a ConnectorCare plan.

How much is too much money for MassHealth?

For Seniors in MassHealth Standard countable assets cannot exceed $2000/$3000 for an individual/couple. For an institutionalized individual the personal needs allowance is $72.80 per month and the asset test applies. *As of March 1, 2024, there is no asset test for the Medicare Savings Programs: QMB, SLMB and QI.

What is the connector health type?

The most physical of all the Health Types, naturally agile and rarely keep still. Connector: Mesomorph & endomorph. Generally shorter in structure with a solid build – the quintessential extrovert. Variety is important to keep the Connector engaged in fitness, nutrition, life and work.

Can you have Medicare and MassHealth at the same time?

One Care is a way to get your MassHealth and Medicare benefits together. One Care offers services that you can't get when your MassHealth and Medicare benefits are separate. With One Care, you have one plan, one card, and one person to coordinate your care.

Can you own a house and be on MassHealth?

If MassHealth covers your long-term care, it won't take your home and force you out, but the program may take profits from its sale – profits that your beneficiaries are counting on. The best way to make sure that your home and loved ones are protected when that day comes is to make plans long before it arrives.

How much money can you have in the bank and still qualify for medical?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information. » I was not eligible in the past.

What happens to my MassHealth when I turn 65?

Members who were enrolled in MassHealth CommonHealth for at least ten years before turning 65 are now eligible to remain on MassHealth CommonHealth after turning 65 whether they work or not. These members must submit a renewal form for seniors over age 65 (SACA-2-ERV).

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What is an acceptable proof of income for MassHealth?

Acceptable income documents include: Your most recently federal income tax return 1040, 1040A, or 1040EZ. Social Security benefit award letter or annual benefit statement (SSA-1099)

Why can't I get MassHealth?

Your eligibility depends on things like income, citizenship or immigration status, age, and special circumstances. You must be a Massachusetts resident to get any of these services.

What is considered income for MassHealth Connector?

Eligibility for ConnectorCare is based on an individual's Modified Adjusted Gross Income (MAGI) for his or her tax household for the tax year in which he or she is enrolled in a ConnectorCare plan.

How do I check my MassHealth eligibility?

The Eligibility Verification System is available through the Provider Online Service Center (POSC). EVS provides easy access to current and complete member eligibility information on the date services are provided or within a specific date range.

What assets are exempt from MassHealth?

There are also many assets that are considered exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, burial spaces for the applicant and immediate family members, and generally one's primary home.