MassHealth CommonHealth is a program for disabled adults and children who may not be eligible for MassHealth Standard. If you’re enrolled in MassHealth CommonHealth and also have Medicare, here are some potential benefits:
Contents
- 1 1. Coverage for Services Not Fully Covered by Medicare:
- 2 2. Lower Out-of-Pocket Costs:
- 3 3. Comprehensive Coverage:
- 4 4. Community-Based Services:
- 5 5. Behavioral Health Services:
- 6 6. Vision and Hearing Services:
- 7 7. Dental Coverage:
- 8 8. Home Modifications:
- 9 9. Transportation:
- 10 10. Access to a Larger Network:
- 11 Compare to MassHealth Standard – Which is the Medicaid Program
1. Coverage for Services Not Fully Covered by Medicare:
MassHealth CommonHealth may cover some services that Medicare doesn’t fully cover, such as prescription drugs, personal care attendant services, and some types of home health care. Original Medicare is Part A & B. Prescription drug coverage is Part D. If you take expensive prescription drug, then maybe this plan could help reduce the cost. If you enroll in a Medicare Part C Advantage Plan, this could also remedy the cost of prescription drugs. Speak to an insurance advisor (508) 474-9494 so you can get your individual concerns answered.
2. Lower Out-of-Pocket Costs:
MassHealth CommonHealth can help lower out-of-pocket costs by covering Medicare premiums, deductibles, and co-payments. Medicare has premiums, deductibles and co-insurances, even Part C Advantage plans! Call (508) 474-9494 if you need to get more explanations. If you are not sick, you may not see these premiums, but when you get sick, it will soon become apparent. Find out what the cost of getting sick really looks like by speaking to an Insurance Advisor
3. Comprehensive Coverage:
When combined with Medicare, MassHealth CommonHealth can provide more comprehensive health coverage. This insurance is called a “last payer”, it can help extend your Medicare coverage in areas that it lacks.
4. Community-Based Services:
MassHealth CommonHealth offers access to community-based services and supports that are not typically covered by Medicare. Call MassHealth to get more details and see if you need this service.
5. Behavioral Health Services:
MassHealth CommonHealth covers some behavioral health services that are not fully covered by Medicare. Do you need behavioral health services?
6. Vision and Hearing Services:
MassHealth CommonHealth may cover some vision and hearing services that are not fully covered by Medicare, such as eyeglasses or hearing aids. Original Medicare does not cover vision and hearing, but many Part C plan do. If you don’t have Part C, maybe you will need to use their vision and hearing plan. Do you need their vision and hearing plan? or will you be or have you already enrolled in Part C Medicare Advantage Plan? I can help you enroll; call (508) 474-9494
7. Dental Coverage:
While Medicare generally does not cover dental care, MassHealth CommonHealth can provide coverage for certain dental services. If you have only Original Medicare & no Part C, it is likely you do not have dental. Do you need MassHealth CommonHealth for their dental coverage? If you are planning on enrolling in Part C with a Dental coverage, it is likely that you may not need it for dental, only you can answer this question.
8. Home Modifications:
For those who qualify, MassHealth CommonHealth can cover certain home modifications to help individuals live more independently and safely in their own homes. Do you need home modifications?
9. Transportation:
MassHealth CommonHealth may cover non-emergency transportation to medical appointments, which is not typically covered by Medicare. Do you need transportation help?
10. Access to a Larger Network:
In some cases, MassHealth CommonHealth may provide access to a larger network of healthcare providers than Medicare alone. Do you need a larger network?
Again, it’s important to note that the specific benefits and coverage can vary based on individual circumstances, so it’s recommended to speak with a healthcare professional or benefits counselor for personalized advice.
Please note that eligibility for benefits can depend on various factors, including income, assets, and other personal circumstances. It’s always a good idea to consult with a healthcare professional or benefits counselor to understand the specific benefits available to you.
Compare to MassHealth Standard – Which is the Medicaid Program
MassHealth Standard vs CommonHealth
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