Health Insurance

The MassHealth/ CommonHealth Plan

What is the CommonHealth Plan?
CommonHealth is a MassHealth insurance plan for disabled adults and disabled children living in Massachusetts who cannot get MassHealth Standard. You may be eligible for MassHealth CommonHealth if you are: 

• a disabled child under age 18, OR
• a disabled person aged 18 or older who
  • works 40 hours or more a month, OR
  • is under age 65 and is not working, or if working meets certain state and federal rules.

Is there an income limit?
No, there is no income or asset limit for CommonHealth. If your monthly income before taxes is above a certain amount, you will have to pay a monthly premium.

What about other health insurance?
Even if you already have health insurance, you may be eligible for CommonHealth.

How can I apply, or where can I get more information?
You can get more information or request an application (called a Medical Benefit Request) by:

• Connecting to the MassHealth website or
• Calling the MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-900-497-4648). They are open between 9:00 am and 5:00pm, Monday through Friday.
• You can also download a Medical Benefit Request right here:

Link to application in English (PDF)

Link to application in Spanish (PDF)

What kind of health-care benefits does CommonHealth offer?
MassHealth CommonHealth members have access to a health-care benefits package very similar to MassHealth Standard members. Some covered services include the examples listed below. There may be some limitations, which your health-care provider can explain to you. The MassHealth / CommonHealth web site contains a more detailed description of covered services.

• inpatient hospital services
• outpatient services
• medical services: lab tests, X rays, therapies, pharmacy services*, eyeglasses (restrictions apply), hearing aids, medical equipment and supplies, adult day health, and adult foster care
• mental health and substance abuse services
• well-child screenings
• disabled adults on Medicare part B
• transportation services

*Beginning January 1, 2006, if you are eligible for both Medicare and MassHealth, Medicare will provide most of your prescription drug coverage through a Medicare prescription drug plan. Visit www.medicare.gov or call 1-800-MEDICARE for information about whether you need to enroll in a Medicare prescription drug plan, and, if so, how to choose one that is best for you.

This site is not meant to be used to make application and enrollment decisions. Persons with a disability wanting information about their individual eligibility should call the MassHealth Customer Service Center. Contact Information: MassHealth Customer Service Center- 1-800-841-2900 (TTY: 1-800-497-4648)

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	MassHealth/CommonHealth is a comprehensive health insurance program that provides benefits for disabled children, working and non-working adults who have disabilities. Learn more about the eligibility and application process; view a presentation on the Ticket to Work MassHealth and CommonHealth programs.
	Massachusetts Medicaid Infrastructure and Comprehensive Employment Opportunities Grant (MI-CEO). For additional information and resources visit one of the other three grant websites: Policy Makers and Advocates- www.mi-ceo.org/ Direct Service Providers- www.MassWorks.org/ Employers- www.ForEmployers.com/

This grant is funded by the Centers for Medicare and Medicaid Services (CFDA #93-768) and administered by UMASS Medical School, Center for Health Policy and Research; UMASS Boston, Institute for Community Inclusion; and the Massachusetts Executive Office of Health and Human Services. For more information visit: www.MI-CEO.org

The information contained herein is intended, in its entirety, to serve only as a guideline. While we strive to show the most accurate representation of the various benefits within this website, we take no responsibility for any implied or misconstrued interpretation of the information contained herein.