What Is MassHealth CarePlus?


Quick Answer

MassHealth CarePlus is a health care benefit plan for Massachusetts citizens and eligible residents between the ages of 21 and 65. It is ideal for adults whose income is less than 133 percent of the federal poverty level and who do not qualify for MassHealth Standard.

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Full Answer

MassHealth CarePlus offers a wide range of health care benefits, including doctor and clinic visits, prescription medication, hospital stays, substance abuse and mental and behavioral health. The plan aims to make health care accessible to people who were previously uninsured or who were struggling with co-payments. Low income employees who were not previously eligible for subsidized health care coverage are eligible for MassHealth CarePlus without any penalties for employers.

There are six health care plans known as managed care organizations that serve MassHealth CarePlus members. They include BMC HealthNet Plan, CeltiCare Health Plan, Fallon Community Health Plan, Health New England, Neighborhood Health Plan and Network Health. The managed care organizations are responsible for providing inpatient hospital care and outpatient services to the members. Members who have medical emergencies may visit any emergency rooms for treatment at no cost to them.

MassHealth automatically enrolls existing eligible members into CarePlus. Members have the opportunity to choose between the existing managed care organizations when they receive their enrollment guides.

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