Information about renewing your MassHealth coverage

MassHealth members must renew their coverage each year. MassHealth members might need to take action soon to ensure that they continue to receive the best benefit that they are eligible for.

If you need to take action, MassHealth will send you a very important blue envelope in the mail. This envelope will include a renewal form that you must complete and return within 45 days to MassHealth.

I’ve moved since I originally signed up for MassHealth. Do I need to do anything?

If you’ve moved, you need to update MassHealth with your new address. You can call them at 1-800-841-2900 (TDD/TTY: 711), Monday–Friday, 8 a.m.–5 p.m. Or, you can do it online at MA Login Account at mahix.org/individual, if you already have an account. If you don’t have an account, you will need to call 1-844-365-1841 to get an invitation code.

I haven’t received a blue envelope yet. Is there anything I should do ahead of time?

You should make sure that MassHealth has your current contact information. You can update your address, phone number, and email by calling MassHealth at 1-800-841-2900 (TDD/TTY: 711).

When will I have to renew my MassHealth coverage?

Please note that it is important to always read and respond to all mail from MassHealth. In general, members will be renewed based on the timing of their last renewal or when they applied for MassHealth. You can call MassHealth Customer Service at 1-800-841-2900 (TDD/TTY: 711) to ask whether you are up for renewal. If you are under 65, you can also find this information by logging into your MA Login account at mahix.org/individual.

Do I have to go through the redetermination process?

If MassHealth sends you a blue envelope with a renewal form, you must complete the redetermination process to ensure you get the best benefit that you are eligible for.

I received a blue envelope from MassHealth in the mail. What do I do with it?

For members under 65 years old:
If you received a blue envelope from MassHealth, you need to renew your coverage. You can do so with your MA Login account, by phone, by mail, by fax, or by scheduling an appointment.

  • To renew online: Login to your MA Login account at mahix.org/individual.
  • To renew by phone: Call MassHealth Customer Service at 1-800-841-2900 (TDD/TTY: 711).
  • To renew by mail or fax: Review the prepopulated renewal form included in the packet. Make any updates as needed, date and sign, and then mail or fax to:
    Health Insurance Processing Center
    PO Box 4405
    Taunton, MA 02780
    Fax: (857) 323-8300
  • To schedule an appointment: use MassHealth’s online scheduling tool at www.mass.gov/masshealthappointment

For members older than 65 years old:
If you received a blue envelope from MassHealth, you need to renew your coverage. Fill out the renewal form, sign, date, and submit it. You can submit your form online, by mail, by fax, by phone, or by scheduling an appointment.

  • To renew online: If your notice has an E-Submission number, you can submit your renewal online by going to https://mhesubmission.ehs.mass.gov/esb.
  • To renew by phone: Call MassHealth Customer Service at 1-800-841-2900 (TDD/TTY: 711).
  • To renew by mail or fax: Complete the included paper renewal form and then mail or fax to:
    MassHealth Enrollment Center
    PO Box 290794
    Charlestown, MA 02129
    Fax: (617) 887-8799
  • To schedule an appointment: use MassHealth’s online scheduling tool at www.mass.gov/masshealthappointment

Will MassHealth need my credit card information or need a payment when I renew?

No. MassHealth will never ask for money. Please be on the lookout for scams. If you receive a call or something in the mail that you are unsure of, please call MassHealth to report it at 1-800-841-2900 (TDD: 1-800-497-4648), Monday–Friday, 8 a.m.–5 p.m.

Can Fallon Health help me renew my MassHealth coverage?

For members of Fallon 365 Care, Berkshire Fallon Health Collaborative, and Fallon Health-Atrius Health Care Collaborative:
Unfortunately, we are unable to help you with this process. There are other resources that can help you. You can schedule a phone or virtual appointment with a MassHealth Enrollment Center worker by using our online scheduling tool at www.mass.gov/masshealthappointment.

Certified Application Counselors (CACs) are not employed by MassHealth but are trained by MassHealth and the Massachusetts Health Connector to help people apply for health insurance benefits, enroll in health plans, and maintain insurance coverage.

Both people who need help maintaining their MassHealth coverage and people who are no longer eligible for MassHealth can get assistance from CACs. Assistance from a CAC is free but may require an appointment. To find a Certified Application Counselor in your area, visit https://my.mahealthconnector.org/enrollment-assisters.

For members of NaviCare and Summit ElderCare:
Yes. We’ve partnered with a company called Change Healthcare and their program My Advocate to help our members with the MassHealth redetermination process. They can help you by answering any questions you may have and walking you through the process. They will call you when it’s time for you to start the process. If you get a blue envelope and haven’t received a call from them, please let us know.

What if I don't qualify for MassHealth anymore?

If you think you may no longer be eligible for MassHealth, other health coverage options are available.

If you are under 65, you may be eligible for an affordable plan through the MA Health Connector. You can visit mahealthconnector.org or call 1-877-MA ENROLL (TTY: 711) to learn more or enroll in a plan.

If you are over 65, and not already enrolled in Medicare, you should consider doing so via the Social Security Administration.

Can I stay on Fallon 365 Care, Berkshire Fallon Health Collaborative, or Fallon Health-Atrius Health Care Collaborative if I lose MassHealth?

If you lose MassHealth coverage, you won’t qualify for Fallon 365 Care, Berkshire Fallon Health Collaborative, or Fallon Health-Atrius Health Care Collaborative anymore. However, you will have some other options, such as an affordable plan like Fallon Health’s Community Care through the MA Health Connector. Members can visit mahealthconnector.org or call 1-877-MA ENROLL (TTY: 711) to learn more or enroll in a plan.

Can I stay on NaviCare HMO SNP or NaviCare SCO if I lose MassHealth coverage?

No. You must qualify for MassHealth Standard to be a member of NaviCare HMO SNP or NaviCare SCO. If you lose coverage and you have Medicare, you may be able to enroll in another Medicare Advantage plan, including one of the other Medicare plans offered by Fallon Health.

Can I stay with Summit ElderCare if I lose MassHealth?

Yes, however you will be responsible for paying your monthly premium, which can be costly. We recommend that you speak with the Social Worker at your PACE Center for more information.

For more information

Information is available online at mass.gov/masshealthrenew.