Premium Assistance Program (MSPCA) for MassHealth Standard and CommonHealth
Why should I apply?
The MassHealth Standard/CommonHealth Premium Assistance Program (MSCPA) can make CommonHealth more affordable by providing financial assistance to families who have a family member with a disability.
What is my eligibility for Premium Assistance?
One or more family members must have MassHealth Standard or CommonHealth
• The family member must also be covered by private health insurance
• A family member must pay some of the premium for the private health
insurance
• The private health plan must cover services that meet Minimum
Creditable Coverage (MCC). The private insurance must also meet the
MCC requirements for deductibles and out-of-pocket expenses. Learn
more at https://www.mahealthconnector.org/wp-content/uploads/Individual-Mandate-Consumer-Guide.pdf
• Family income DOES NOT COUNT for MSCPA eligibility. There is no asset test or income cap for this type of premium assistance.
How do I apply for MassHealth Premium Assistance?
STEP 1: Receive confirmation that your family member has received
MassHealth Standard or MassHealth CommonHealth.
STEP 2: Gather all your insurance information.
STEP 3: Call Premium Assistance (1-800-862-4840) to see if you qualify.
STEP 4: Say that you are calling about the MSCPA program for a family
member with a disability who has MassHealth Standard or CommonHealth
AND private health insurance. If you are eligible, Premium Assistance will
send you an application.
More Questions?
Visit us at www.fcsn.org/mfv or call us at (800) 331-0688
Massachusetts Family Voices is a project of Federation for Children with Special Needs.
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.