Mass Health Contact Info

Navigating your healthcare can sometimes feel overwhelming, especially when you need to get in touch with your health insurance provider. If you're a MassHealth member or are looking to apply, knowing the right Mass Health contact info is crucial for getting your questions answered quickly and efficiently.

This comprehensive guide will provide you with all the essential MassHealth contact information, ensuring you can connect with the right department whether you prefer to call, click, or visit in person.

Your Essential Guide to Mass Health Contact Info

MassHealth, Massachusetts's Medicaid program, provides vital health coverage to eligible residents. Whether you have questions about your benefits, need to update your information, or are applying for coverage, understanding how to reach them is the first step.

Reaching MassHealth by Phone: The Quickest Way to Get Answers

For many, a direct phone call is the most straightforward way to resolve inquiries. MassHealth offers a dedicated customer service line for members and applicants.

• MassHealth Customer Service Center:

  • Phone Number: 1-800-841-2900
  • TDD/TTY: 711 (for people who are deaf, hard of hearing, or speech disabled)
  • Hours of Operation: Monday – Friday, 8:00 a.m. to 5:00 p.m.
    • Note: While regular hours are 8 a.m. to 5 p.m., in the past, extended hours have been offered for specific services like managed care plan enrollment assistance. Always check the official MassHealth website for the most current hours, especially during holidays or for specific needs.
  • What they can help with: This line is your go-to for questions about eligibility, MassHealth benefits, replacing your MassHealth card, enrolling in a health plan, getting an application, and premium inquiries. They can also assist with the status of your application for health and dental coverage.
  • Language Services: Interpreter services are available.

• MassHealth Disability Accommodation Ombudsman:

  • Phone Number: (617) 847-3468
  • TDD/TTY: 711 or (617) 847-3788
  • Email: [email protected]

• My Ombudsman (for concerns about health plan benefits/services):

  • Phone Number: 1-855-781-9898
  • Videophone (VP): (339) 224-6831
  • Email: [email protected]
  • Hours: Monday – Friday, 9 a.m. to 4 p.m.

• MassHealth Fraud Hotline:

  • Phone Number: (877) 437-2830 or (877) 4-FRAUD-0
  • Purpose: To report suspected fraud.

Online Resources: Managing Your MassHealth Account Digitally

In today's digital age, managing your MassHealth information online can be incredibly convenient.

• MassHealth MA Login Account (for members under 65):

  • Website: Mass.gov/MassHealth
  • What you can do: If you are under 65, creating an online MA Login Account is the fastest way to stay connected. You can apply for coverage, renew your coverage, report household changes, and submit requested information.
  • Access: You can log in to review eligibility status, MassHealth enrollment, and the status of submitted documents.

• MassHealth Appointment Scheduling Tool:

  • Purpose: Schedule a video or phone appointment with a MassHealth representative. This is highly encouraged for those needing help from a customer service representative.

• MassHealth Choices:

  • Website: www.masshealthchoices.com
  • Purpose: Learn about, compare, and enroll in a MassHealth health plan. You can also find primary care providers near you by searching by location or health plan type.

• Health Connector:

  • Website: www.mahealthconnector.org
  • Purpose: This is the state's marketplace for health and dental insurance. You can apply for benefits online here. You can also find certified application counselors or navigators for in-person help.

Mailing Addresses: When You Need to Send Documents

Sometimes, sending documents via mail is necessary. Be sure to use the correct address for your specific needs.

• For Mailing Applications (Individuals, Families, Pregnant Women, and those under age 65):

  • Health Insurance Processing Center PO Box 4405 Taunton, MA 02780

• For Provider Services, Forms Distribution, and Provider Enrollment/Credentialing:

  • MassHealth Customer Service Attn: [Specific Department, e.g., Provider Enrollment and Credentialing] P.O. Box 278 Quincy, MA 02171

• For Claims (Providers):

  • MassHealth Customer Service P.O. Box 7 Quincy, MA 02171

• For Health Connector Complaints (Mail):

  • Health Connector Ombuds Office PO Box 960484 Boston, MA 02196
  • Note: Include your full name, preferred phone number(s), email address, and a summary of the issue.

In-Person Assistance: Local MassHealth Enrollment Centers

While online and phone services are convenient, sometimes you need face-to-face assistance. MassHealth Enrollment Centers (MECs) offer limited walk-in visits, but scheduling an appointment is strongly encouraged.

• MassHealth Enrollment Center Locations (MECs):
  • Charlestown: 529 Main Street, Charlestown, MA 02129 (After-hours drop box available)
  • Chelsea: 45 Spruce Street, Chelsea, MA 02150 (Limited parking, accessible by MBTA bus lines 112 and 114)
  • Quincy: 100 Hancock Street, 1st floor, Quincy, MA 02171
  • Springfield: 88 Industry Avenue, Suite D, Springfield, MA 01104
  • Taunton: 21 Spring Street, Suite 4, Taunton, MA 02780
  • Tewksbury: 367 East Street, Tewksbury, MA 01876
  • Important Note: MECs can help with applications but cannot enroll you into a health plan.

Remember, before visiting an MEC, it's highly recommended to use the MassHealth appointment scheduler.

Conclusion

Having the correct Mass Health contact info at your fingertips empowers you to manage your healthcare coverage effectively. Whether you prefer the convenience of online portals, the directness of a phone call, or the personalized support of an in-person visit, MassHealth offers multiple avenues to assist its members and applicants. Always remember to have your member ID or relevant information ready to expedite the process.

What has been your experience contacting MassHealth? Share your tips or questions in the comments below!

Frequently Asked Questions (FAQ)

Q1: What is the main phone number for MassHealth customer service?

A1: The primary phone number for MassHealth Customer Service is 1-800-841-2900. For TDD/TTY users, you can call 711.

Q2: Can I apply for MassHealth online?

A2: Yes, you can apply for MassHealth coverage online through the MassHealth MA Login Account if you are under 65, or via the Massachusetts Health Connector website at www.mahealthconnector.org.

Q3: What are the hours of operation for MassHealth customer service?

A3: The MassHealth Customer Service Center is generally available Monday through Friday, from 8:00 a.m. to 5:00 p.m.. It's always a good idea to check the official MassHealth website for any changes or extended hours for specific services.

Q4: Where do I mail my MassHealth application?

A4: If you are mailing a MassHealth application for individuals, families, pregnant women, or those under age 65, send it to: Health Insurance Processing Center, PO Box 4405, Taunton, MA 02780.