The Online Resource for Massachusetts Poverty Law Advocates

65. Do EAEDC recipients get health coverage?

Yes.  EAEDC recipients automatically receive one of three kinds of MassHealth benefits depending on age, citizenship or immigration status and disability: MassHealth Standard, CarePlus or Family Assistance. 106 C.M.R. § 705.100(G), 130 C.M.R. §§ 505.002(K), 519.002(D) (Standard), 505.008(B) (CarePlus) or 505.005(G), 519.013(C) (Family Assistance). All three types of MassHealth cover inpatient hospital services; outpatient services in hospitals, community health centers, dental clinics, and family planning agencies; certain home health services; lab testing; x-rays; prescription drugs; medical equipment; mental health and substance abuse services; and eyeglasses and hearing aids.

When you are found eligible for EAEDC, you will automatically qualify for MassHealth. You will receive a MassHealth card and your coverage will begin right away.

Most people will also be required to join a managed care plan, and depending on your choice, you may also receive a card from a Managed Care Organization. If you don’t select a plan on your own, MassHealth will assign you a plan.

If your EAEDC cash benefits end, MassHealth will ask you to return a form to enable it to decide if you still qualify for MassHealth independently from EAEDC. For questions about your MassHealth coverage call the MassHealth Customer Service Center at 1-800-841-2900.
 

Advocacy Reminders:

  • Even if you do not qualify for EAEDC, you may be eligible for other health coverage. Consult an advocate.
  • If you have paid out-of-pocket for medical services incurred after applying for SSI or EAEDC, you may be entitled to reimbursement of some of the medical expenses. 106 C.M.R. § 705.160.
  • If you do not have any health coverage, DTA will issue you a temporary MassHealth card if you need one to get medications filled or you have a doctor’s appointment. Once your EAEDC case is approved, you get the MassHealth coverage that goes with your EAEDC.
     

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