Health Connector - Massachusetts Health Connector

Get Covered throughthe Health Connector: What you need to know if you’ve recently lost health insurance benefits

Video UPDATE: Please note that the special enrollment period due to coronavirus mentioned in the video and resources ended July 23, 2020. Find out how you can enroll any time of the year → Download Presentation PDF Download Presentation Questions & Answers Yes, the new COVID-19 SEP is independent of any other SEP, and the only restriction on the COVID-19 SEP is that the individual is not already enrolled in a Health Connector plan. This is true regardless of who paid the first portion of your COBRA coverage (you or an employer) or your length of enrollment in COBRA. Keep in mind the COVID-19 SEP is currently set to end on June 23, 2020, which is also the enrollment and payment deadline for July 1, 2020 coverage. Link to SEP Regulation: https://www.mahealthconnector.org/wp-content/uploads/rules-and-regulations/AdminBulletin04-20.pdf Modified Adjusted Gross Income (MAGI) is used to determine your eligibility for subsidies through the Health Connector. More information and a form to assist you in calculating your annual projected income can be found below. Questions in the application will guide you through the information that you need to supply. In general, we recommend that you read the tool tips in the application if you have questions. It’s also helpful to have a copy of your most recent tax return handy so that you can compare your income or account for deductions that you might also have for 2020. Get full details at https://www.mahealthconnector.org/how-do-i-answer-questions-about-income Estimating your [...]

Health Connector extends enrollment an additional month to July 23rd for uninsured individuals

On June 22, 2020, the Health Connector announced in an Administrative Bulletin an extension to the special enrollment period in response to the coronavirus (COVID-19) emergency through July 23, 2020 to assist uninsured Massachusetts residents seeking health coverage. (The extended enrollment period was previously set to end June 23.) If you need to apply for coverage, you can start by creating an application → If you apply coverage under this special enrollment, the deadlines to complete enrollment are as follows: Coverage Start Date Enrollment Deadline July 1 June 23 August 1 July 23 Please note that if you are eligible to enroll due to normal special enrollment period rules, you can select the one that applies when you complete your application. If you or family members are eligible for MassHealth programs, you can apply any time of the year. Your coverage may start sooner than the 1st of the month. If you need help, you can call customer service at 1-877-623-6765 (or TTY: 711 for people who are deaf, hard of hearing, or speech disabled). Business hours are Monday through Friday, 8:00 a.m.–6:00 p.m.

Health Connector extends enrollment to June 23rd for uninsured individuals

On May 21, 2020, the Health Connector announced in an Administrative Bulletin an extension to the extended enrollment period in response to the coronavirus (COVID-19) emergency through June 23, 2020 to assist uninsured Massachusetts residents seeking health coverage. (The extended enrollment period was previously set to end May 25.) If you need to apply for coverage, you can start by creating an application → If you apply coverage under this special enrollment, the deadlines to complete enrollment are as follows: Coverage Start Date Enrollment Deadline June 1 May 23 July 1 June 23 Please note that if you are eligible to enroll due to normal special enrollment period rules, you can select the one that applies when you complete your application. If you or family members are eligible for MassHealth programs, you can apply any time of the year. Your coverage may start sooner than the 1st of the month. If you need help, you can call customer service at 1-877-623-6765 (or TTY: 711 for people who are deaf, hard of hearing, or speech disabled). Business hours are Monday through Friday, 8:00 a.m.–6:00 p.m.

Massachusetts Health Connector COVID-19 Special Enrollment Period: Results to Date

May 1, 2020—This brief is designed to provide data and analysis (to-date) on supports for state residents to access and maintain their coverage through the duration of the national COVID-19 crisis. The Health Connector’s existing programs paired with new policy strategies aim to expand coverage to the remaining and newly uninsured (particularly those who may be losing job-based health coverage) and protect coverage for current members.

Massachusetts Health Connector continues extended enrollment as nearly 45,000 people enroll in new plans, update current coverage

April 28, 2020 – The Massachusetts Health Connector continues to help people who need health insurance after losing coverage or income due to the coronavirus, with a May 23 deadline ahead for June 1 coverage. In order to help residents who lose their employer-sponsored coverage during the economic crisis created by the coronavirus, the Health Connector has created an extended enrollment period through May 25, so that anyone who needs health insurance can come to the exchange and get into coverage. Additionally, current Health Connector members are encouraged to update their income information if they lost their jobs or working hours have changed, to ensure they are in the plan that provides appropriate financial help paying for their coverage. Since the start of March, nearly 45,000 people have enrolled in a new coverage or updated their coverage. More than 12,000 people have reported a change in income and have moved to a new Health Connector plan type. An additional 11,600 Health Connector members have updated their information and are now in MassHealth coverage. Since the start of March, more than 20,000 new enrollments have come to the Health Connector for April or May coverage. “The economic impact of the coronavirus has extended to thousands of Massachusetts residents, and we all want to minimize the harm it has done to health coverage for people who have lost their job or lost hours at work,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “Massachusetts has worked over the years [...]

How do I answer questions about income?

Calculating your Modified Adjusted Gross Income (MAGI) To help figure out your annual Modified Adjusted Gross Income (MAGI) income for 2025, we have provided the calculator below. Please note that the all sources of income you expect to receive in 2025 must be considered. For example, if you are a seasonal employee and expects to collect unemployment during certain months of the year, you should include the expected unemployment income in the total income. [ninja_forms id=34] How to answer questions about your current income The question "Does FIRST NAME LAST NAME have any income?" should be answered for the MONTH you are completing your application. If you—and any household members included on your application—has any current income (such as income from a job, self-employment, or other source), the answer should be "Yes". If you answer the question by selecting "No", click "Save and Continue" to move to the next page. Answer this question based on your current income. If you answer the question by selecting "Yes", the next question on the screen will ask what types of income you have. You can check all the boxes that apply and then click “Save and Continue” to move to the next page and answer questions about the type(s) of income you checked. Check all income types that apply to you. Income Frequency Take care to note that the income amount has the right frequency (how often you receive the income). The table below includes frequency choices and descriptions you will need [...]

Massachusetts Health Connector extends enrollment an additional 30 days for uninsured individuals

On March 11, 2020, the Health Connector previously announced an extended, 45-day enrollment period through April 25 to assist uninsured Massachusetts residents seeking health coverage. The special enrollment period has now been extended an additional 30 days to May 25, 2020. If you need to apply for coverage, you can start by creating an application → If you apply coverage under this special enrollment, the deadlines to complete enrollment are as follows: Coverage Start Date Enrollment Deadline May 1 April 23 June 1 May 23 July 1 May 25 Please note that if you are eligible to enroll due to normal special enrollment period rules, you can select the one that applies when you complete your application. If you or family members are eligible for MassHealth programs, you can apply any time of the year. Your coverage may start sooner than the 1st of the month. If you need help, you can call customer service at 1-877-623-6765 (or TTY: 711 for people who are deaf, hard of hearing, or speech disabled). Business hours are Monday through Friday, 8:00 a.m.–6:00 p.m.

Important information about coverage for coronavirus (COVID-19)

Insurers in Massachusetts, including those that offer health plans through the Health Connector, are now required to cover the cost of testing and treatment for members who may be affected by the coronavirus (COVID-19). The Massachusetts Division of Insurance (DOI) has asked health insurance companies to take several steps to help protect people in Massachusetts against coronavirus, including the following: Set up telephone helplines to answer questions about coronavirus Make telehealth services more available and at a lower cost to members. This is so members can be seen and treated by a doctor without having to go into an office whenever possible Remove coronavirus testing and treatment costs (like co-pays) when medically needed More information Contact your health insurance company if you have specific questions about your benefits Learn more about the coronavirus from the Centers from Disease Control and Prevention (CDC) Learn more about the DOI guidelines for health insurers in Massachusetts

Massachusetts Health Connector offers extended enrollment for uninsured individuals to ease coronavirus fears

On March 30, the special enrollment deadline was extended an additional month to May 25, 2020. Learn more → BOSTON – March 11, 2020 – To ensure everyone who wants access to covered coronavirus services has it, the Massachusetts Health Connector announced today that uninsured residents can apply and get into coverage through a 45-day window running until April 25. On March 6, the Division of Insurance announced that Massachusetts health insurers are now required to cover the cost of testing and treatment for members who may be affected by the Coronavirus (COVID-19), including not charging co-pays or deductibles for those services. The Health Connector’s decision to open enrollment to anyone without coverage ensures Massachusetts residents concerned about contracting coronavirus can access necessary services without cost barriers. Additionally, the Health Connector will be delivering to current members information about the Division of Insurance guidance, reassuring members that coronavirus-related services are available at no cost. “The coronavirus represents a significant and growing public health threat, and the Massachusetts Health Connector is committed to making sure residents have access to testing, treatment and other related services as necessary,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “With 97 percent of residents covered, almost everyone in Massachusetts understands the ongoing value and need for coverage, but if anyone is considering signing up now, we encourage them to do.” Typically, the only time of year anyone can newly access coverage is during Open Enrollment, which runs from November through January. However, because of [...]

Comment Letter on the Proposed Rule, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans”

The Massachusetts Health Connector provided feedback on the proposed 2021 Benefit and Payment Parameters, emphasizing the importance of maintaining automatic re-enrollment to ensure coverage continuity for residents. The letter highlights the critical need for state flexibility in managing eligibility processes, allowing tailored solutions that align with local market dynamics.

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