Are you a MassHealth
(Massachusetts Medicaid) Member?

If you are not sure review the Health Plan cards that are part of MassHealth below.
If you are insured through one of the plans, click “Yes.”
 

Yes I am a MassHealth member No I am NOT a MassHealth member
 

If you completed this waiver form already for the 2017-2018 academic year stating “yes”
you are a MassHealth member AND you were notified by email that your waiver was rejected,
please click “no” you are not a MassHealth member to complete the waiver process.
 

MassHealth

Standard MassHealth Card
 

MassHealth
 

Tufts Health Together

Tufts Health Together
 

Tufts Health Together

MassHealth ID on card following Member ID #
 

MassHealth CarePlus

MassHealth CarePlus
 

MassHealth CarePlus

MassHealth ID is the Member ID (CarePlus ID#)
 

NHP Connect

NHP Connect
 

NHP Connect

MassHealth ID on card following the NHP ID
 

FCHP MassHealth

FCHP MassHealth
 

FCHP MassHealth

MassHealth ID on card after the list of copays
 

HealthNet Plan

HealthNet Plan
 

HealthNet Plan

MassHealth ID on card at bottom
 

Be Healthy

Be Healthy
 

Be Healthy

MassHealth ID listed after Name and ID#