Filling Out Your Application

If you don't remember your login information, you can reset your username or password. If you forget your username or password, you can go to the account sign in page and click on the link “Forgot Username” or “Forgot Password” to get an email from MA Login that will include information and instructions to get back into your account.   Please note that these emails will come from MA Login ([email protected]). If you do not get an email within a few minutes, check your email’s spam or junk email folder. If this happens, please add the email address [email protected] to your safe-senders list. Please note: The only required information for this form is your first name and your last name.   I am locked out of my MA Login account. What should I do? First, follow the instructions above to reset your username or password. If you are not able to get back into your account by clicking the “Forgot Username” or “Forgot Password” links (see above), you can call Health Connector customer service for help at 1-877-MA-ENROLL (1-877-623-6765), or TTY 711 for people who are deaf, hard of hearing, or speech disabled. When I try to sign in, I get a message that there is already an MA Login account If you get a message that there is already an account created with your login information, you may need to go through the “I forgot my account username and/or password” process as described above. If you continue to get this [...]

The amount of time it takes to complete your application depends on many things, such as whether or not you are applying for help paying for coverage, your family size, your income sources, and other information. You do not have to complete your application all at once. The application is separated into different sections. Each section has an introduction page that explains: What the section is about, What you will need to complete the section, and An estimated time to complete that section. If you do not think you will have the time to complete the application in one sitting, you can always save your application at the end of a section and come back later to complete it. Please review the Important Dates and Deadlines page so you know when you need to act.

Before you apply for coverage, did you know you can preview plans available in your area? To get started, Click here to go to the application home page. Then, under the “Preview Health and Dental Plans and Prices” paragraph, click the button that reads “Preview Plans.” A window will open that asks a few basic questions about your household, like your zip code, the month and year of birth of the primary applicant, your coverage start date, if you want to see health and/or dental plans, the number of family members to be covered, and their month and year of birth. When you are finished, click the “Preview Plans Now” button to view coverage options in your area. Because the information you enter to preview plans is anonymous, none of your information will be saved. Please note that premiums shown are just an estimate and do not include Advance Premium Tax Credits or cost-sharing reductions. You will need to complete an application to see if you qualify for help paying for costs to see your actual premiums.

The Health Connector uses an account creation service, called MA Login. Why do I have to create an MA Login account? Applying online is the fastest way to get covered, and requires you to create a secure, identity management account (the Health Connector uses the MA Login service) to sign into and start or update your application. What information do I need to set up an MA Login account? To set up an account, you will need the following information: An email account, Your first and last name, Your year of birth, You will need to enter a username, You will need to enter a strong password, and Answers to security questions (also called challenge questions) for added protection of your information and in case you forget your username or password. Important: While you are creating your account, don't click the back or forward buttons on your web browser or refresh the page at any time as the system is processing your information. I don’t have an email address, how do I get one? If you don’t have an email address, you can set up an account for free. Some popular email providers include: Google Gmail → Microsoft Outlook → Yahoo! Mail → AOL Mail → Zoho Mail → To set up a free email account, go to the provider’s website by clicking one of the links above and follow the instructions to set up a new email account. Please note these are just a few of [...]

If you are applying for coverage with the help of an Enrollment Assister, family member, or friend, there is a section of the application that allows you to indicate if someone is helping you. You will need to select “Yes” or “No” before you can continue. Please note that you are not required to have someone help you in order to apply or receive benefits. If you are applying with help from another person, when you select “Yes,” you will also need to provide information about that person on that screen. If you are getting help, you will need to provide the required information on the “Who is helping you” screen during the application before you can continue your application. For some of the types of people that help you, like a Navigator or Certified Application Counselor (CAC), you will also be asked to fill out a form that gives them permission to help you: Enrollment Assister Type Form(s) to Complete Navigator Navigator Designation Form (NDF) Certified Application Counselor Certified Application Counselor Designation Form (NDF)and sometimes also  a Permission to Share Information (PSI) Form Issuer Enrollment Assister Issuer Enrollment Assister Designation Form When you meet with an Enrollment Assister, they will provide you with the form to complete. Who can help you? You can get help from a friend, family member, relative, or other person or organization of your choosing who agrees to help you. Or, you can get help for a certified Enrollment Assister such as [...]

The Health Connector application website is used to determine both MassHeath and Health Connector eligibility for people who apply for coverage and help paying for costs. During the application process, you will be asked some specific questions and will need to provide information about how each person in your household is related to one another. Because of this requirement, when you complete your application, and have dependents listed, the system will ask you how you are related to each dependent more than once. As a result, completing this section of the application may be a little confusing. These questions cannot be skipped in order to get an accurate eligibility determination. Please read all the options carefully before answering these questions and ensure you double-check your work before submitting your application.

To determine your eligibility for subsidized health insurance, the Health Connector must collect information about your household’s income. Income sources to include: For each of the following sources, make your best estimate for what your income will be in 2022. Wages Salaries Tips Net income from any self-employment or business Unemployment compensation Social Security payments, including disability payments Alimony Any other taxable income such as retirement income, investment income, pension income, rental income, prizes, awards, and gambling winnings Do NOT include the following as income: Child support Gifts Supplemental Security Income (SSI) Veterans’ disability payments Workers’ compensation Proceeds from loans (such as student loans, home equity loans, or bank loans) Do NOT include any money that an employer takes out of your paycheck such as: Child care Health insurance Retirement plans These “not taxable” items should be listed explicitly on your paycheck. Please be sure to double check that the information you have entered is correct. There is a summary page at the end of the Income section of the application where you can review your information. Take care to note that the income amount has the appropriate yearly/monthly/or weekly label. Continue to read the full guide on how to answer questions on different types of income →

The final step to complete your application is reading and attesting (agreeing) to the statements in the “Rights and Responsibilities” page of the application and providing your electronic signature (e-Signature). This page includes important information about getting coverage through MassHealth or the Health Connector. You will need to read and attest to all statements by clicking the check boxes on the screen before you can submit your application and see what programs you are eligible for. If you need help understanding your rights and responsibilities, you can get help from a customer service representative or an Enrollment Assister. Incarcerated household members Because of Affordable Care Act (ACA) and Medicaid rules, people who are in jail because they have been convicted of a crime are not eligible to get coverage through the Marketplace. However, if someone in your household is in jail awaiting trial (pending disposition), or they will be released within the next 60 days, that person is still eligible to apply for coverage through the Health Connector website. When you apply, you will be asked on the “Rights and Responsibilities” page if someone applying for coverage is incarcerated. Only respond “Yes” if there is a person who is applying with you and they are in jail because they were convicted of a crime (not awaiting disposition).

If you have trouble finding your document or a number on your document, but you know your alien or I-94 number, select “Other documents or status types” when asked to select your document. Then, you’ll see another drop-down list where you should select “Other.” Then, enter a description of your document in the text field and your alien and/or I-94 number. If you have trouble finding information on your document or you’re getting errors when trying to submit your application, answer “Yes” if you have eligible immigration status when asked this question, then continue your application without entering your document numbers. If you don’t enter your document information, you may be asked to provide a copy of your document after you submit your application. Click here to see the different types of immigration documents and how to find the information you need →

When you enter your document type, you may need to enter one or more of these fields: Alien number: The alien number (also called alien registration number or USCIS number) can be found on the immigration document. It starts with an “A” and ends with 8 or 9 numbers. If your card has 8 numbers enter the A before the 8 numbers, if your card has 9 numbers please enter just the 9 numbers. If you also have a card number, you should enter both, if possible. If you have a card number, but don’t enter it, it will take longer to verify your status. Card number: The card number can be found on several immigration documents, including the I-766 Employment Authorization Card and the I-551 Lawful Permanent Resident Card. A card number number starts with 3 letters and ends with 10 numbers. If you also have an alien number or if other document information is requested, you should enter all, if possible. If you have a card number, but don’t enter it, it will take longer to verify your status. I-94 number: The I-94 number (also called the admission number) is printed on the I-94 or I-94A. This is an 11-digit number and is usually found at the top, left-hand side of the document. Note: In some cases, Customs and Border Protection may have struck out the pre-printed I-94 number and hand-written a different number on the form. If this is the case, enter the hand-written number. Passport number: [...]