By phone by calling the MassHealth or Health Connector Customer Service Center:ġ-80, or TTY 1-80 for people who are deaf, hard of hearing, or speech disabled.Go to the “Forms” section of the site to download one now. By mail by completing a paper application.To find out if you are eligible for MassHealth or ConnectorCare, you can complete an online application. You do not need to have a qualifying life event to enroll in MassHealth or if you are newly eligible for ConnectorCare plans. Remember that Massachusetts residents can enroll in MassHealth or ConnectorCare at any time, if they qualify. Change in ConnectorCare plan types that you qualify for.For example, if you are already enrolled in coverage and your income goes down, you may be able to get extra help, like an Advance Premium Tax Credit. Household income change resulting in you being eligible or ineligible for help paying for your insurance.If you are already enrolled in coverage through the Health Connector: No qualifying life event? Apply for a waiver through the Massachusetts Office of Patient Protection. Was mistakenly enrolled or not enrolled in a Health Connector health or dental plan due to an error, misrepresentation, or inaction on the part of the Health Connector or the Department of Health and Human Services, or its instrumentalities, as determined by the Health Connector.Becomes a lawfully present individual but you were not lawfully present in the U.S.Such an individual may enroll in a health or dental plan or change from one plan to another once a month even if the open enrollment period is over. Is an American Indian or Alaska Native, as defined by section 4 of the Indian Self-Determination and Education Assistance Act.Change in residency, such as a permanent move to Massachusetts, gains access to new plans as a result of a permanent move within the state, or release from jail or prison.having a claim that would meet or exceed a lifetime limit on all benefits.primary subscriber of your health insurance plan becomes eligible for Medicare.turning 19 years old and no longer qualifying for a child-only plan.turning 26 years old and no longer qualifying as a dependent in a family plan.the end of your dependent status on someone else’s plan.no longer qualifying for student health coverage.no longer living or working in your health insurance carrier’s service area.Note: Not paying your COBRA premium is not considered loss of coverage. You may qualify for a special enrollment period if you lose health coverage for a reason other than not paying premiums or because of fraud. Qualifying for ConnectorCare, after not applying or qualifying for it in the past.It is best to add newborns within 10 days of birth to make sure the baby’s coverage takes effect right away. If you do not report on time, your family member may have a gap in coverage or may need to wait until the next Open Enrollment to get coverage. Read more about the Health Connector's Special Enrollment Period (SEP) rules.During Closed Enrollment, it is important to add newborns, spouses, adoptees, and foster children to your application within 30 days from when they become part of your household. Note: These rules do not apply to enrollment in MassHealth, HSN, CMSP or a Health Connector dental plan or those enrolling in Health Connector for Business. Special Enrollment Period (SEP) rules will be in effect for Health Connector plans starting Tuesday, January 24th. This means that some ConnectorCare eligible individuals can enroll in a plan or make a change to their enrollment beyond the Open Enrollment period. Those newly determined eligible for ConnectorCare on or before January 23rd will automatically have an SEP to ensure they have 60 days from the date of their eligibility determination to enroll. When helping consumers that may want to make changes or enroll, please check their application to see if they have an SEP. If consumers qualify under the rules of the SEP, they have up to 60 days to enroll in a Qualified Health Plan (QHP). Once Open Enrollment ends, consumers can still apply for health benefits however, they can only enroll in Health Connector coverage if they qualify for a Special Enrollment Period (SEP).
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