How to Apply for MassHealth and Commonwealth Care

STEP 1. APPLY TO MASSHEALTH

Before you can choose a BMC HealthNet MassHealth or Commonwealth Care plan, you must apply to MassHealth. MassHealth determines which state program you are eligible for.

You must complete a Medical Benefit Request form. If you need help applying, call us at 800-792-4355 or e-mail us at helpmeapply@bmchp.org for FREE help applying. Please follow these guidelines when e-mailing us:

Please include:	Please DO NOT include:
Your name* Your phone number Your e-mail address; AND The best times and days to reach you	Any personal identification information such as your social security number Information about medical conditions or treatments Questions about medical conditions or treatments

*If You Are ALREADY A MEMBER:

Please e-mail your questions to memberquestions@bmchp.org (please do not use this email for medical urgent needs, dial 9-1-1)
Find other ways to contact us.

GET HELP APPLYING IN PERSON

You can get free help applying at a number of places, such as a community health center, agency, or advocacy group or a hospital or MassHealth Enrollment Center. Many places can enter your information directly into MassHealth's online application system, also called Virtual Gateway. This may speed up the processing of your application. Find out where to apply in person.

KEEP IN MIND THAT WHEN YOU APPLY, YOU’LL NEED:

Two recent pay stubs or
Last year's U.S. tax return (if self-employed or have rental income) or
Social Security award letter
AND
- Other income (i.e., child support, unemployment, etc.)
- Proof of citizenship/national status (copy both sides)
  - U.S. passport or
  - Certificate of Naturalization (DHS# N-550 or N-570) or
  - Certificate of U.S. Citizenship (DHS# N-560 or N-561) or
  - U.S. birth certificate and a Massachusetts ID or driver's license

To check the status of your application, or for information on MassHealth eligibility and all your health plan options, call the MassHealth Customer Service Center at 800-841-2900 (TTY 800-947-4648) from 8 a.m. to 5 p.m., Monday through Friday.

For more information on Commonwealth Care eligibility and all your health plan options, call the Commonwealth Care Customer Service Center at 877-MA-ENROLL or 877-623-6765 (TTY 877-623-7773) from 8 a.m. to 5 p.m., Monday through Friday, or visit www.mahealthconnector.org.

For more information about BMC HealthNet Plan, call 1-800-792-4355.

STEP 2. ONCE YOU QUALIFY, CHOOSE BMC HEALTHNET PLAN

Once you qualify for MassHealth or Commonwealth Care, the state will send you an enrollment package that tells you how to select a health plan.

If you qualify for MassHealth, you must call 800-841-2900 to choose BMC HealthNet Plan as your health plan. If you do not select a MassHealth health plan within 14 days of the date on the enrollment package letter you receive from the state, the state will automatically assign you to a health plan.

If you qualify for Commonwealth Care, you must either call 877-623-6765 to choose BMC HealthNet Plan, or do so online at www.mahealthconnector.org.

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How to Apply for MassHealth and Commonwealth Care

STEP 1. APPLY TO MASSHEALTH

STEP 2. ONCE YOU QUALIFY, CHOOSE BMC HEALTHNET PLAN

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