Learn about NaviCare

NaviCare HMO SNP is a program for people aged 65 and older, who live in our service area, and who have MassHealth Standard and Medicare Parts A and B.  NaviCare combines MassHealth (Medicaid) and Medicare benefits, including Medicare Part D prescription drug coverage. As a NaviCare member, you can’t be enrolled in another health insurance plan, except Medicare and MassHealth.

More benefits and extras for $0

With NaviCare HMO SNP, you’ll get all the benefits of MassHealth Standard and Medicare for $0, and more. Learn more about your benefits »   

Your Care Team

As a NaviCare member, you’ll have an entire team dedicated to making sure you get the care you need, when you need it. Plus, your Navigator can save you time by helping you make doctor appointments. Members of your team may include a: 

Navigator

  • Educates you about your benefits and services
  • Helps you get care and services
  • Helps you make medical appointments

Primary Care Provider

  • Directs your care
  • Provides medical services

Nurse Case Manager (or Advanced Practitioner)

  • Evaluates your clinical and daily needs
  • Teaches you about your medications 
  • Makes sure you get the care and services you need after a stay in a medical facility

Behavioral Health Case Manager (as needed)

  • Coordinates services to support your emotional health and well-being

Geriatric Support Services Coordinator (GSSC)

  • Connects your needed in-home services

Clinical pharmacist (if needed)

  • Calls or visits you after a hospital stay to review your medications and work with your medical providers

Eligibility and service area

As a NaviCare member, you can’t be enrolled in another health insurance plan, except Medicare and MassHealth. Also, to qualify you must:

  • Be age 65 or older
  • Have MassHealth Standard and Medicare Parts A and B
  • Live in the NaviCare service area, which includes all of the cities and towns in Massachusetts except those in Nantucket and Dukes counties. 

Next steps

NaviCare HMO SNP is a Dual Special Needs Plan (D-SNP) with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health insurance, except Medicare. 

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The information on this page was last updated on 10/1/2025.

Next steps