Health Insurance is complicated. The answers on this tip sheet will help youget started understanding the best coverage for your child\/youth with special health care needs.<\/p>\n
Yes. Massachusetts Law requires that most residents over 18 who can afford health insurance have Most Massachusetts residents (individuals and their families) get their health insurance through: an Yes. Mass residents must be enrolled in health insurance plans that meet Minimum Creditable Coverage Contact your health plan if you have questions about your child\u2019s coverage.<\/p>\n Behavioral Health Services may be covered by your employer insurance. Check with your plan for MassHealth CommonHealth is a supplemental insurance from MassHealth available to children with The MassHealth Premium Assistance program reimburses eligible MassHealth members for some or all Here is the website to apply for Mass Health: https:\/\/www.mass.gov\/how-to\/apply-for-masshealth-thehealth-safety-net-or-the-childrens-medical-security-plan<\/a><\/p>\n Yes. You will need to the choose the best plan in Mass Health Standard for your child and family. For more information: https:\/\/www.mass.gov\/masshealth-plans-and-enrollment-guide\u00a0<\/a><\/p>\n An individual or household can apply for insurance through the Health Connector. The Massachusetts For additional questions with Health Insurance and Mass Health, please contact: Funding provided by the U.S. Department of Health & Human Services, Health Resources & Services Administration, Maternal and Child Health Bureau, Division of Services for Children with Special Health Needs, Grant #H84MC08005 to Massachusetts Family Voices @ the Federation for Children with Special Needs.<\/p>\n\n\t\t
\ncoverage or pay a penalty through their tax returns.
\nInformation about the MA health insurance mandate:
\nhttps:\/\/www.mahealthconnector.org\/wp-content\/uploads\/Individual-Mandate-Consumer-Guide.pdf<\/a><\/p>\nWhere do Massachusetts residents get health insurance?<\/h2>\n
\nemployer, a government program (Mass Health), or the Massachusetts marketplace (Health Connector,
\nhttps:\/\/www.mahealthconnector.org\/<\/a>).<\/p>\nDoes health insurance in Massachusetts need to meet certain requirements?<\/h2>\n
\n(MCC) requirements. Information about minimal credible coverage:
\nhttps:\/\/www.mass.gov\/info-details\/health-care-reform-for-individuals#minimum-creditable-coverage-<\/a>
\n(mcc)-<\/p>\nHow do I know what services my employer health insurance covers for my child with special health
\nneeds?<\/h2>\nWill my employer health insurance cover behavioral health services for my child?<\/h2>\n
\nconfirmation. For more information about coverage of these services:
\nhttps:\/\/www.childrensmentalhealthcampaign.org\/direct-services\/<\/a><\/p>\nWhat if I cannot afford the deductible or copays for healthcare services my child needs or those services are not covered by my employer\/private insurance?<\/h2>\n
\nqualifying disabilities. CommonHealth will pay for copays and deductibles that are not covered by your
\nprivate insurance. CommonHealth will pay for services that are not covered by your private policy such as
\nbehavioral health services. CommonHealth has a sliding scale premium.<\/p>\nWhat if I cannot afford CommonHealth Premiums?<\/h2>\n
\ntheir insurance premium cost. Children on CommonHealth may be eligible for Premium Assistance. For
\ninformation about Premium Assistance:
\nhttps:\/\/www.mass.gov\/info-details\/masshealth-premium-assistance-pa<\/a><\/p>\nWhere do I go to apply for Mass Health?<\/h2>\n
Will I need to choose a specific plan with Mass Health Standard?<\/h2>\n
What if my family does not qualify for MassHealth Standard and we do not have employer\/private
\ninsurance?<\/h2>\n
\nHealth Connector is the state’s marketplace for health and dental insurance. For information on the health
\nconnector: https:\/\/www.mahealthconnector.org\/<\/a> .<\/p>\n
\nThe Federation for Children with Special Needs
\nPhone: (617) 236-7210, (800) 331-0688 (in MA)
\nEmail: fcsninfo@fcsn.org
\nOnline Intake form: https:\/\/fcsn.org\/fcsn-intake-form\/<\/a><\/p>\n